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GOOD  MORNING

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EVERYONE.

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AND I CAN'T THANK YOU ALL ENOUGH

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FOR BEING HERE ESPECIALLY OUR

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VISITORS FROM -- VISITORS -- OUR

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PARTNERS FROM OUTSIDE NIH AND

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FOR TAKING YOUR TIME.

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WE KNOW HOW PRECIOUS YOUR TIME

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IS, WE ARE SO GRATEFUL FOR YOUR

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PARTICIPATION IN THIS VERY

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IMPORTANT COMMITTEE FOR US AT

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NIH.

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WELCOME TO THIS CONVENING OF THE

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SCIENTIFIC MANAGEMENT REVIEW

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BOARD.

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CONGRESS AUTHORIZED THE CREATION

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OF THIS BOARD IN 2006 WITH THE

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NIH REFORM ACT.

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WITH THE GOAL OF ADVISING BOTH

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NIH, AND HEALTH AND HUMAN

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SERVICES OFFICIALS ON THE

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ORGANIZATION OF OUR INSTITUTES

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AND CENTERS AND OFFICES WITHIN

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THE OFFICE OF THE DIRECTOR.

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SO TODAY, NEXT SLIDE.

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GOT THEM UP?

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OKAY.

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WE CAN JUST GO TO THE SECOND 1.

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OKAY, SO TODAY I WILL SET THE

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STAGE BY GIVING A BIG PICTURE

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DESCRIPTION OF THE NIERK H

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MISSION, HOW WE ARE CURRENTLY

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ORGANIZED AND WHAT WE DO.

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I WILL ADDRESS THE CONTEXT IN

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WHICH WE'RE WORKING AND THE NEW

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INITIATIVES THAT I THINK WE NEED

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TO IMPROVE THE HEALTH OF THE

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NATION AND I'LL CONCLUDE BY

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PRESENTING THE CHARGE TO THIS

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BOARD.

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NEXT SLIDE.

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AT NIH, WE'RE ACCOUNTABLE TO THE

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AMERICAN PEOPLE.

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OUR MISSION IS TO SEEK

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FUNDAMENTAL KNOWLEDGE ABOUT

46
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LIVING SYSTEMS AND TO APPLY THAT

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KNOWLEDGE TO IMPROVE HEALTH FOR

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EVERYONE.

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WE FULFILL OUR MISSION BY

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SUPPORTING THE FULL SPECTRUM OF

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BIOMEDICAL RESEARCH FROM THE

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MOST FUNDAMENTAL LEVEL TO BETTER

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UNDERSTAND HOW MOLECULES AND

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CELLS WORK, TO CLINICAL TESTING

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OF DRUGS AND TECHNOLOGY, AND WE

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ALSO SUPPORT RESEARCH BY

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TRAINING AND FUNDING A CREATIVE

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AND DIVERSE SCIENTIFIC

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WORKFORCE.

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THE BASIS OF OUR PROGRESS IS

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CURIOSITY-DRIVEN SCIENCE AND WE

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KNOW THIS FROM LOOKING AT THE

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HISTORY OF HOW NEWLY APPROVED

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DRUGS WERE DEVELOPED.

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IT CAN BE MANY YEARS BEFORE A

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STRAND OF FUNDAMENTAL KNOWLEDGE

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WHICH MIGHT AT FIRST BE OF

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INTEREST TO ONLY A VERY SMALL

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NUMBER OF EXPERTS BECOMES

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CRITICAL FOR DEVELOPING A NEW

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DRUG OR OTHER TREATMENT THAT IS

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INCREDIBLY VALUABLE TO THE

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PEOPLE WE SERVE.

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ONE THING WE KNOW, WE'VE TRIED,

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IT IS IMPOSSIBLE TO PREDICT

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ACCURATELY, WHICH DISCOVERIES

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WILL BE THE REALLY IMPORTANT 1S.

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SO, SUPPORTING A VERY BROAD

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SCIENTIFIC PORTFOLIO WITH THE

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CREATIVITY OF OUR ENTIRE NATION

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AND INCREASINGLY THE WORLD IS

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WHAT WE MUST DO TO MAXIMIZE THE

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CHANCES FOR THE BREAKTHROUGHS

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THAT WE NEED.

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NEXT SLIDE.

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PROBABLY I THINK MY HIGHEST

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GUIDING PRINCIPLE IS THAT OUR

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WORK IS NOT FINISHED WHEN WE

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DELIVER SCIENTIFIC DISCOVERIES,

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WE MUST HAVE THE VIEW THAT OUR

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WORK IS FINISHED ONLY WHEN ALL

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PEOPLE ARE LIVING LONG AND

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HEALTHY LIVES.

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00:03:30,949 --> 00:03:35,487
NIH MUST SUPPORT SERVICES THAT

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00:03:35,487 --> 00:03:36,421
SUPPORT LABORATORY AND CLINIC

96
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BUT WE KNOW THAT HEALTH IS NOT

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JUST THE GENES WE INHERIT, NOT

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JUST THE BIOLOGY WE ARE BORN

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WITH.

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IT INVOLVES DEEP -- IT GOES

101
00:03:50,769 --> 00:03:51,737
DEEPLY INTO THE COMMUNITIES

102
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WHERE WE LIVE, WHERE WE LIVE,

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WHAT OUR ENVIRONMENT IS LIKE,

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00:03:56,108 --> 00:03:58,310
WHAT WE EAT, WHAT OUR

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EDUCATIONAL ATTAINMENT, SO MANY

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00:03:59,144 --> 00:04:03,115
THINGS THAT ARE REALLY ABOUT OUR

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00:04:03,115 --> 00:04:04,383
COMMUNITIES AND THEREFORE, IT IS

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VERY IMPORTANT THAT NIH RESEARCH

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00:04:06,118 --> 00:04:09,321
DOES NOT STOP AT THE DOOR TO THE

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00:04:09,321 --> 00:04:11,156
CLINIC BUT EXTENDS DEEPLY INTO

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THE COMMUNITIES THAT WE SERVE.

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NEXT SLIDE.

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NIH IS THE LARGEST FUNDER OF THE

114
00:04:16,828 --> 00:04:17,996
BIOMEDICAL RESEARCH IN THE WORLD

115
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WITH A TOTAL BUDGET OF 47.4

116
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BILLION DOLLARS IN FISCAL YEAR

117
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2024.

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THE VAST MAJORITY OF OUR

119
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RESEARCH, OF OUR BUDGETS

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SUPPORTS RESEARCH CONDUCTED

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AROUND THE COUNTRY OUTSIDE OF

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NIH, IN UNIVERSITIES, MEDICAL

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SCHOOLS, RESEARCH CENTERS, SMALL

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BUSINESSES, AND ALSO SUPPORTS

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00:04:40,385 --> 00:04:44,389
TRAINING OF THE NEXT GENERATION

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OF BIOMEDICAL RESEARCHERS.

127
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APPROXIMATELY 1 FIFTH OF THE

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OVERALL BUDGET GOES TO SPENDING

129
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AT NIH WITH ABOUT 11% GOING TO

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SUPPORT RESEARCH BY NIH

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INTRAMURAL SCIENTISTS.

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NIH CONSISTS OF 27 CONGRESSALLY

133
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MANDATED INSTITUTES AND CENTERS.

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EACH HAS ITS OWN MISSION,

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00:05:09,414 --> 00:05:11,316
BUDGET, PRIORITIES, LEADERSHIP,

136
00:05:11,316 --> 00:05:12,083
AND FUNDING STRATEGY.

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HERE THEY'RE SHOWN AS CIRCLES,

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SIZED IN PROPORTION TO THEIR

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BUDGETS.

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MOST INSTITUTES AND CENTERS

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00:05:19,891 --> 00:05:20,692
SUPPORT BOTH EXTRAMURAL RESEARCH

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00:05:20,692 --> 00:05:22,794
AND THEIR OWN RESEARCH

143
00:05:22,794 --> 00:05:27,432
LABORATORIES ON NIH CAMPUSES.

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NIH RESEARCH RANGES FROM THE

145
00:05:32,103 --> 00:05:33,738
HIGHLY TECHNICAL, FOR EXAMPLE,

146
00:05:33,738 --> 00:05:39,211
EXCITING NEW METHODS USING

147
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CRYOELECTRON TOMOGRAPHY TO LOOK

148
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AT COMPLETE INTACT TISSUES AT A

149
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NANO GRAM LEVEL AND ALSO LOOK,

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ALLOW, OBSERVATION OF PROTEIN

151
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DYNAMICS IN REALTIME.

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TOO, ON THE OTHER END OF THE

153
00:05:58,964 --> 00:06:00,332
SPECTRUM, WE'RE CONDUCKED WITH

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NATIVE AMERICAN COMMUNITIES

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COMBINING TRADITIONAL HEALING

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CEREMONIES WITH DRUG THERAPIES

157
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AND COUNSELING FOR DEPRESSION,

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CHRONIC PAIN, AND SUBSTANCE USE

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DISORDER.

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WE HAVE A VERY, VERY LARGE JOB

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TO COVER THAT ENTIRE SPECTRUM.

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NEXT SLIDE.

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THE OFFICE OF THE DIRECTOR IS

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THE CENTRAL OFFICE AT NIH

165
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RESPONSIBLE FOR SETTING POLICY

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FOR NIH AND FOR PLANNING,

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MANAGING AND COORDINATING THE

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PROGRAMS AND ACTIVITIES OF ALL

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THE NIH COMPONENTS.

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THIS INCLUDES THE OFFICE OF

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EXTRAMURAL RESEARCH WHICH

172
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PROVIDES THE CORPORATE FRAMEWORK

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FOR NIH EXTRAMURAL RESEARCH

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ADMINISTRATION, THE OFFICE OF

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INTRAMURAL RESEARCH WHICH SERVES

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A SIMILAR ROLE OF OVERSIGHT AND

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POLICY DEVELOPMENT FOR

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INTRAMURAL RESEARCH.

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PART OF MY ROLE AS NIH DIRECTOR

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IS TO PREVENT SILOS AND TO

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INSURE EFFECTIVE CROSS AGENCY

182
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COLLABORATIONS TO ACHIEVE COMMON

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00:06:57,489 --> 00:06:58,290
GOALS.

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AND IMPORTANTLY, TO ACHIEVE

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GOALS THAT CANNOT OTHERWISE BE

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ACHIEVED WITHOUT COORDINATION

187
00:07:05,664 --> 00:07:06,631
ACROSS THE ENTIRE ENTERPRISE.

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00:07:06,631 --> 00:07:08,366
SOME OF OUR MOST IMPORTANT

189
00:07:08,366 --> 00:07:09,834
ACCOMPLISHMENTS COME FROM

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00:07:09,834 --> 00:07:12,237
EFFORTS THAT SPAN MANY DIFFERENT

191
00:07:12,237 --> 00:07:15,840
INSTITUTES AND CENTERS BUT ALSO

192
00:07:15,840 --> 00:07:18,610
INCREASINGLY, OTHER U.S.

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AGENCIES AND ACROSS DISCIPLINES,

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EFFORTS LIKE PUBLIC PRIVATE

195
00:07:21,746 --> 00:07:23,448
PARTNERSHIPS, AND EFFORTS THAT

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00:07:23,448 --> 00:07:26,518
BRIDGE THE GAP BETWEEN BENCH AND

197
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COMMUNITY.

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00:07:26,851 --> 00:07:28,219
ONE OF OUR KEY OFFICES IN THE

199
00:07:28,219 --> 00:07:30,388
OFFICE OF THE DIRECTOR IS THE

200
00:07:30,388 --> 00:07:31,856
DIVISION OF PROGRAM

201
00:07:31,856 --> 00:07:34,859
COORDINATION, PLANNING AND

202
00:07:34,859 --> 00:07:39,531
STRATEGIC INITIATIVES, OTHERWISE

203
00:07:39,531 --> 00:07:41,366
KNOWN AS DPC PSI, NEXT SLIDE.

204
00:07:41,366 --> 00:07:44,102
THIS OFFICE OF HELPED TO

205
00:07:44,102 --> 00:07:46,171
IMPLEMENT THE RENIH REFORM ACT

206
00:07:46,171 --> 00:07:50,141
OF 2006 ALONG WITH THIS BOARD

207
00:07:50,141 --> 00:07:54,045
THE SMRB, THE DPC PSI PLANS,

208
00:07:54,045 --> 00:07:54,813
COORDINATES TRANSNIH INITTIAIVE

209
00:07:54,813 --> 00:07:56,481
ITS AND RESEARCH SUPPORTED BY

210
00:07:56,481 --> 00:07:59,584
THE NIH COMMON FUND AND DEVELOPS

211
00:07:59,584 --> 00:08:02,354
RESOURCES THAT SUPPORT OUR

212
00:08:02,354 --> 00:08:03,154
CRITICAL PORTFOLIO ANALYSIS.

213
00:08:03,154 --> 00:08:06,057
IT ALSO HAS THE ROLE OF

214
00:08:06,057 --> 00:08:08,193
IDENTIFYING EMERGING SCIENTIFIC

215
00:08:08,193 --> 00:08:09,561
OPPORTUNITIES, PUBLIC HEALTH

216
00:08:09,561 --> 00:08:12,097
CHALLENGES AND KNOWLEDGE GAPS

217
00:08:12,097 --> 00:08:13,932
THAT WARRANT FURTHER RESEARCH.

218
00:08:13,932 --> 00:08:15,300
THE OFFICE OF STRATEGIC

219
00:08:15,300 --> 00:08:16,901
COORDINATION SHOWN HERE IN THE

220
00:08:16,901 --> 00:08:20,472
BOTTOM ROW IS RESPONSIBLE FOR

221
00:08:20,472 --> 00:08:21,906
MANAGING THE CRITICAL COMMON

222
00:08:21,906 --> 00:08:24,342
FUND PROGRAMS.

223
00:08:24,342 --> 00:08:25,110
NEXT SLIDE.

224
00:08:25,110 --> 00:08:26,711
SO NOW A LITTLE BIT ABOUT THE

225
00:08:26,711 --> 00:08:28,613
COMMON FUND.

226
00:08:28,613 --> 00:08:30,582
THIS ESTABLISHED IN 2006

227
00:08:30,582 --> 00:08:31,750
PROMOTES INTERDISCIPLINARY

228
00:08:31,750 --> 00:08:35,020
RESEARCH WITH A FOCUS ON

229
00:08:35,020 --> 00:08:35,720
BUILDING SCIENTIFIC

230
00:08:35,720 --> 00:08:36,087
INFRASTRUCTURE.

231
00:08:36,087 --> 00:08:38,456
IT ALLOWS THE NIH DIRECTOR TO

232
00:08:38,456 --> 00:08:39,557
DIRECT FUNDING TO IMPORTANT

233
00:08:39,557 --> 00:08:42,360
MATTERS THAT HAVE NOT OTHERWISE

234
00:08:42,360 --> 00:08:43,395
RECEIVED SIGNIFICANT FUNDING AND

235
00:08:43,395 --> 00:08:45,797
TO MOVE VERY QUICKLY ON RESEARCH

236
00:08:45,797 --> 00:08:48,166
OPPORTUNITIES OF HIGH PRIORITY.

237
00:08:48,166 --> 00:08:50,702
TO LAWRCH A COMMON FUND PROGRAM,

238
00:08:50,702 --> 00:08:53,271
THE OFFICE OF STRATEGIC

239
00:08:53,271 --> 00:08:54,606
COORDINATION IDENTIFIES A HIGH

240
00:08:54,606 --> 00:08:55,540
PRIORITY CHALLENGE FOR THE

241
00:08:55,540 --> 00:08:56,741
SCIENTIFIC COMMUNITY AND THEN

242
00:08:56,741 --> 00:09:00,645
MULTIPLE INSTITUTES AND CENTERS

243
00:09:00,645 --> 00:09:01,479
MUST COME TOGETHER TO

244
00:09:01,479 --> 00:09:03,515
COLLABORATE ON THE ISSUE.

245
00:09:03,515 --> 00:09:04,716
SOME EXAMPLES OF COMMON FUND

246
00:09:04,716 --> 00:09:08,019
PROJECTS ALONG WITH THE

247
00:09:08,019 --> 00:09:09,621
INSTITUTES PARTICIPATING ARE

248
00:09:09,621 --> 00:09:10,221
LISTED HERE.

249
00:09:10,221 --> 00:09:11,923
THE FOCUS FOR THIS WORK IS

250
00:09:11,923 --> 00:09:13,658
DEVELOPING TOOLS AND APPROACHES

251
00:09:13,658 --> 00:09:15,493
THAT WE THEN MAKE WIDELY

252
00:09:15,493 --> 00:09:17,996
AVAILABLE TO THE ENTIRE

253
00:09:17,996 --> 00:09:18,463
SCIENTIFIC COMMUNITY.

254
00:09:18,463 --> 00:09:21,166
ONE OF THE MOST IMPORTANT

255
00:09:21,166 --> 00:09:22,000
ACCOMPLISHMENTS OF THE COMMON

256
00:09:22,000 --> 00:09:25,870
FUND, I HAVE TO SAY, NOW BEING

257
00:09:25,870 --> 00:09:29,207
PRESENT FOR ALMOST 20 YEARS HAS

258
00:09:29,207 --> 00:09:31,943
BEEN TO PROMOTE A CULTURE OF

259
00:09:31,943 --> 00:09:33,578
COLLABORATION ACROSS ALL THE

260
00:09:33,578 --> 00:09:35,180
DIFFERENT NIH INSTITUTES AND

261
00:09:35,180 --> 00:09:39,751
CENTERS AND I AM VERY PROUD TO

262
00:09:39,751 --> 00:09:41,386
SAY THAT THIS CROSS CENTER

263
00:09:41,386 --> 00:09:45,123
COLLABORATION AND CULTURE IS NOW

264
00:09:45,123 --> 00:09:45,724
COMMON PRACTICE.

265
00:09:45,724 --> 00:09:46,791
NEXT SLIDE.

266
00:09:46,791 --> 00:09:47,759
MANY COLLABORATIONS ACROSS

267
00:09:47,759 --> 00:09:50,662
INSTITUTES AND CENTERS ARE NOT

268
00:09:50,662 --> 00:09:52,630
LED BY ACTUALLY, 2 MY POINT, NOT

269
00:09:52,630 --> 00:09:54,799
LED BY THE OFFICE OF THE

270
00:09:54,799 --> 00:09:56,101
DIRECTOR BUT HAVE COME FROM THE

271
00:09:56,101 --> 00:09:57,702
DIFFERENT INSTITUTES AND CENTERS

272
00:09:57,702 --> 00:10:01,372
WHO HAVE DECIDED TO WORK

273
00:10:01,372 --> 00:10:02,073
TOGETHER ON MULTIFACTORIAL

274
00:10:02,073 --> 00:10:06,811
PROBLEMS SUCH AS THE OPIOID

275
00:10:06,811 --> 00:10:07,145
CRISIS.

276
00:10:07,145 --> 00:10:09,914
THE NIH HEAL INITIATIVE IS IN

277
00:10:09,914 --> 00:10:10,815
COLLABORATION ACROSS 18

278
00:10:10,815 --> 00:10:12,584
DIFFERENT NIH INSTITUTES AND

279
00:10:12,584 --> 00:10:12,984
CENTERS.

280
00:10:12,984 --> 00:10:20,058
IT IS SUPPORTED MORE THAN  1800

281
00:10:20,058 --> 00:10:21,826
PRONG ECTOMYOSINS IN ALL 50

282
00:10:21,826 --> 00:10:23,728
STATES INCLUDING MORE THAN 300

283
00:10:23,728 --> 00:10:25,930
CLINICAL TRIALS TO TEST

284
00:10:25,930 --> 00:10:27,332
INTERVENTIONS FOR OPIOID USE

285
00:10:27,332 --> 00:10:29,067
DISORDER AND OVERDOSE AND ALSO

286
00:10:29,067 --> 00:10:30,568
CRITICALLY IMPORTANT TO TACKLE

287
00:10:30,568 --> 00:10:33,004
THE ROUTE CAUSES OF OPIOID USE

288
00:10:33,004 --> 00:10:37,675
DISORDER WHICH IS CHRONIC PAIN

289
00:10:37,675 --> 00:10:40,645
AND OTHER MENTAL HEALTH ISSUES.

290
00:10:40,645 --> 00:10:42,213
NEXT SLIDE.

291
00:10:42,213 --> 00:10:44,082
ANOTHER 1 WAS LAUNCHED WITH

292
00:10:44,082 --> 00:10:47,152
CONGRESSIONAL SUPPORT IN 2018,

293
00:10:47,152 --> 00:10:49,487
THE INCLUDE PROJECT WHICH STANDS

294
00:10:49,487 --> 00:10:52,223
FOR INVESTIGATING CO OCCURRING

295
00:10:52,223 --> 00:10:53,925
CONDITIONS ACROSS THE LIFE SPAN

296
00:10:53,925 --> 00:10:56,194
TO UNDERSTAND DOWNS SYNDROME.

297
00:10:56,194 --> 00:10:59,164
THIS IS AN OFTEN OVERLOOKED

298
00:10:59,164 --> 00:10:59,631
POPULATION.

299
00:10:59,631 --> 00:11:03,868
PEOPLE WITH DOWNS SYNDROME, THE

300
00:11:03,868 --> 00:11:05,036
PROJECT INVOLVES 14 DIFFERENT

301
00:11:05,036 --> 00:11:10,475
NIH INSTITUTES AND CENTERS.

302
00:11:10,475 --> 00:11:12,277
DOWN SYNDROME CONCISIONS TO MANY

303
00:11:12,277 --> 00:11:15,380
CONDITIONS ACROSS THE LIFE SPAN

304
00:11:15,380 --> 00:11:19,818
AND ACROSS ICs, INCLUDING

305
00:11:19,818 --> 00:11:22,320
ALZHEIMER'S DISEASE, DISEEP

306
00:11:22,320 --> 00:11:24,055
DEFICITS, HEARING DEFICITS AND

307
00:11:24,055 --> 00:11:24,889
SLEEP APNEA, SO IT'S IMPORTANT

308
00:11:24,889 --> 00:11:26,791
TO BRING ALL THESE INSTITUTE

309
00:11:26,791 --> 00:11:29,961
TOGETHER THAT FOCUS ON ALL THESE

310
00:11:29,961 --> 00:11:30,528
DISPARATE CONDITIONS.

311
00:11:30,528 --> 00:11:32,430
ONE OF THE WONDERFUL THINGS

312
00:11:32,430 --> 00:11:33,665
THAT'S BEEN ACCOMPLISHED FOR

313
00:11:33,665 --> 00:11:35,600
PEOPLE WITH DOWN SYNDROME IS

314
00:11:35,600 --> 00:11:38,002
THAT THEIR LIFE SPAN HAS

315
00:11:38,002 --> 00:11:39,404
INCREASED DRAMATICALLY AND ALSO

316
00:11:39,404 --> 00:11:40,605
NOW, THOUGH, WE ARE ALSO

317
00:11:40,605 --> 00:11:42,307
UNCOVERING A NEED TO CONQUER

318
00:11:42,307 --> 00:11:46,945
SOME OF THE OTHER EFFECTS WHICH

319
00:11:46,945 --> 00:11:49,480
SHOW SOME ACCELERATION IN PEOPLE

320
00:11:49,480 --> 00:11:51,649
WITH DOWNS SYNDROME.

321
00:11:51,649 --> 00:11:53,451
NEXT SLIDE.

322
00:11:53,451 --> 00:11:55,253
SO THE EXTRAMURAL PROGRAM, JUST

323
00:11:55,253 --> 00:11:57,121
A BRIEF SNAPSHOT HERE, 80% OF

324
00:11:57,121 --> 00:12:03,228
THE NIH BUDGET GOES TO FUNDING

325
00:12:03,228 --> 00:12:03,995
EXTRAMURAL PROJECTS.

326
00:12:03,995 --> 00:12:05,630
GRANTS AND PROJECTS IN ALL 50

327
00:12:05,630 --> 00:12:09,100
STATES AS WELL AS WASHINGTON D.

328
00:12:09,100 --> 00:12:10,401
C.

329
00:12:10,401 --> 00:12:11,970
EVERY YEAR APPROXIMATELY 80,000

330
00:12:11,970 --> 00:12:15,607
APPLICATIONS ARE REVIEWED BY

331
00:12:15,607 --> 00:12:18,977
29,000 REVIEWERS AND

332
00:12:18,977 --> 00:12:20,345
APPROXIMATELY 350,000

333
00:12:20,345 --> 00:12:23,815
INVESTIGATORS ARE FUNDED ACROSS

334
00:12:23,815 --> 00:12:26,651
MORE THAN 2700 DISTINCT

335
00:12:26,651 --> 00:12:27,051
INSTITUTIONS.

336
00:12:27,051 --> 00:12:29,254
THESE ARE RESEARCH PROJECT

337
00:12:29,254 --> 00:12:31,222
GRANTS, SMALL BUSINESS

338
00:12:31,222 --> 00:12:34,092
APPLICATIONS, AND TRAINEE

339
00:12:34,092 --> 00:12:34,525
AWARDS, NEXT SLIDE.

340
00:12:34,525 --> 00:12:36,327
SO HOW DO WE KEEP TRACK, HOW DO

341
00:12:36,327 --> 00:12:43,501
WE KNOW WHAT WE'RE FUNDING IN

342
00:12:43,501 --> 00:12:45,303
THIS GINORMOUS ENTERPRISE.

343
00:12:45,303 --> 00:12:46,871
WELL, MONITORING THE NIH

344
00:12:46,871 --> 00:12:48,473
PORTFOLIO OVERALL AND WITHIN AN

345
00:12:48,473 --> 00:12:49,674
INSTITUTE OR CENTER, OR THE

346
00:12:49,674 --> 00:12:50,842
OFFICE OF THE DIRECTOR OVERALL

347
00:12:50,842 --> 00:12:53,211
IS A VERY IMPORTANT ACTIVITY.

348
00:12:53,211 --> 00:12:55,413
SO THIS IS HOW THIS FIGURE WAS

349
00:12:55,413 --> 00:12:56,114
DEVELOPED.

350
00:12:56,114 --> 00:12:59,150
IT WAS CREATED USING WORD

351
00:12:59,150 --> 00:13:01,786
EMBEDDING DESCRIPTIONIVE AI THAT

352
00:13:01,786 --> 00:13:03,721
CAN EXTRACT SEMANTIC MEANING

353
00:13:03,721 --> 00:13:07,225
FROM WHAT, WENT INTO THIS, THE

354
00:13:07,225 --> 00:13:09,727
GRANT TITLES, THE GRANT

355
00:13:09,727 --> 00:13:12,797
ABSTRACTS, BUT EVEN MORE

356
00:13:12,797 --> 00:13:15,300
IMPORTANT, ALL THE PUBLICATION

357
00:13:15,300 --> 00:13:18,403
TITLES AND PUBLICATION ABSTRACTS

358
00:13:18,403 --> 00:13:20,672
THAT RESULTED FROM THOSE AWARDS.

359
00:13:20,672 --> 00:13:23,541
SO BOTH THE FUNDING AND THE

360
00:13:23,541 --> 00:13:25,276
PRODUCTIVITY THAT CAME OUT OF

361
00:13:25,276 --> 00:13:25,977
THE FUNDING.

362
00:13:25,977 --> 00:13:28,146
THE SIZES OF THE NOTES OR THE

363
00:13:28,146 --> 00:13:29,447
CIRCLES SHOW THE RELATIVE

364
00:13:29,447 --> 00:13:31,749
PERCENTAGE OF ALL NIH FUNDED

365
00:13:31,749 --> 00:13:36,321
RESEARCH THAT WENT TO THESE

366
00:13:36,321 --> 00:13:37,689
SELECTED AREAS.

367
00:13:37,689 --> 00:13:38,990
THERE'S 28 TOPICS SHOWN HERE.

368
00:13:38,990 --> 00:13:40,892
OBVIOUSLY THIS CAN BE EXPANDED

369
00:13:40,892 --> 00:13:42,360
AND CONTRACTED IN MANY WAYS.

370
00:13:42,360 --> 00:13:44,228
THIS IS I THINK 1 OF THE BEST

371
00:13:44,228 --> 00:13:46,297
GLOBAL VIEWS OF EVERYTHING WE

372
00:13:46,297 --> 00:13:46,698
DO.

373
00:13:46,698 --> 00:13:50,168
THE LINES BETWEEN THE NODES ARE

374
00:13:50,168 --> 00:13:51,803
ALSO REALLY VALUABLE, THEY

375
00:13:51,803 --> 00:13:52,603
REPRESENT THE CONNECTIONS

376
00:13:52,603 --> 00:13:54,906
BETWEEN THESE DIFFERENT TOPICS,

377
00:13:54,906 --> 00:13:57,642
AGAIN, ILLUSTRATED BY LOOKING AT

378
00:13:57,642 --> 00:14:00,011
THE REAL FUNDED PROJECT AND

379
00:14:00,011 --> 00:14:02,747
THEIR PRODUCTIVITY.

380
00:14:02,747 --> 00:14:04,282
THICKER LINES INDICATE GREATER

381
00:14:04,282 --> 00:14:05,883
CONTENT SIMILARITY BETWEEN THE

382
00:14:05,883 --> 00:14:10,888
TOPICS AND THEN, THIS WAS ME

383
00:14:10,888 --> 00:14:12,857
TAKING A SHOT AT BEING ABLE TO

384
00:14:12,857 --> 00:14:15,994
HAVE A VISUAL REPRESENTATION.

385
00:14:15,994 --> 00:14:19,297
THE BLUE ROUGHLY CORRESPONDS TO

386
00:14:19,297 --> 00:14:21,032
MORE BASIC SCIENCE RESEARCH.

387
00:14:21,032 --> 00:14:23,835
THE YELLOW MORE TRANSLATIONAL

388
00:14:23,835 --> 00:14:27,205
RESEARCH AND THE GREEN MORE

389
00:14:27,205 --> 00:14:28,673
CLINICAL RESEARCH ALTHOUGH

390
00:14:28,673 --> 00:14:30,608
THAT'S A VERY, VERY LOOSE

391
00:14:30,608 --> 00:14:31,976
DISTINCTION BUT IT DOES KIND OF

392
00:14:31,976 --> 00:14:35,747
GIVE YOU AN EYE ABOUT 50% IN THE

393
00:14:35,747 --> 00:14:38,649
BLUE AND THE REST SPREAD AMONG

394
00:14:38,649 --> 00:14:42,253
TRANSLATIONAL AND CLINICAL.

395
00:14:42,253 --> 00:14:43,788
NEXT SLIDE.

396
00:14:43,788 --> 00:14:45,189
SO NIH'S CLINICAL CENTER HERE ON

397
00:14:45,189 --> 00:14:46,724
THE MAIN CAMPUS IN BETHESDA

398
00:14:46,724 --> 00:14:48,760
MARYLAND IS THE LARGEST CLINICAL

399
00:14:48,760 --> 00:14:52,663
RESEARCH CENTER IN THE WORLD,

400
00:14:52,663 --> 00:14:55,433
THE ONLY HOSPITAL IN THE COUNTRY

401
00:14:55,433 --> 00:14:59,704
DEVOTED ENTIRELY TO BIOMEDICAL

402
00:14:59,704 --> 00:14:59,971
RESEARCH.

403
00:14:59,971 --> 00:15:01,005
HERE INTRAMURAL CLINICIAN

404
00:15:01,005 --> 00:15:03,775
SCIENTISTS PARTNER WITH PATIENTS

405
00:15:03,775 --> 00:15:05,143
AND HEALTHY VOLUNTEERS TO STUDY

406
00:15:05,143 --> 00:15:08,413
THE NATURAL HISTORY OF DECS AND

407
00:15:08,413 --> 00:15:09,580
TO EVALUATE NOVEL INTERVENTIONS

408
00:15:09,580 --> 00:15:11,549
AND CLINICAL TRIALS AND THE GOAL

409
00:15:11,549 --> 00:15:15,153
OF THE CLINICAL CENTER IS TO DO

410
00:15:15,153 --> 00:15:16,754
THE WORK THAT EITHER CANNOT BE

411
00:15:16,754 --> 00:15:20,058
DONE BY ANYONE ELSE BECAUSE IT

412
00:15:20,058 --> 00:15:22,894
REQUIRES TRULY UNIQUE RESOURCES

413
00:15:22,894 --> 00:15:27,565
AT NIH, OR NEEDS TO HAVE A FOCUS

414
00:15:27,565 --> 00:15:30,201
THAT THE NIH INTRAMURAL GROUP

415
00:15:30,201 --> 00:15:32,036
CAN BEST PROVIDE, BUT STILL IS

416
00:15:32,036 --> 00:15:34,038
DONE IN THE COLLABORATION WITH

417
00:15:34,038 --> 00:15:38,709
EXTRAMURAL PARTNERS, AND I WILL

418
00:15:38,709 --> 00:15:42,814
SAY, MANY, MANY PEOPLE WITH RARE

419
00:15:42,814 --> 00:15:44,682
DISEASES RECEIVE THEIR CARE AT

420
00:15:44,682 --> 00:15:46,250
THE CLINICAL CENTER.

421
00:15:46,250 --> 00:15:47,718
NEXT SLIDE.

422
00:15:47,718 --> 00:15:49,353
THE INTRAMURAL RESEARCH PROGRAM

423
00:15:49,353 --> 00:15:50,188
ALSO SUPPORTS LABORATORIES LED

424
00:15:50,188 --> 00:15:52,223
BY MORE THAN A THOUSAND

425
00:15:52,223 --> 00:15:52,924
PRINCIPAL INVESTIGATORS THAT

426
00:15:52,924 --> 00:15:55,326
CONDITION DUCT MORE THAN 3000

427
00:15:55,326 --> 00:15:57,995
PROJECTS AND ALSO SERVES IN A

428
00:15:57,995 --> 00:15:59,697
CRITICAL ROLE TRAINING MORE THAN

429
00:15:59,697 --> 00:16:02,667
2000 POST DOCS AND MORE THAN

430
00:16:02,667 --> 00:16:05,837
2000 PREDOCS AND POST BACKS IN

431
00:16:05,837 --> 00:16:06,270
ANY GIVEN YEAR.

432
00:16:06,270 --> 00:16:11,409
I THINK THIS IS REALLY AN

433
00:16:11,409 --> 00:16:12,877
UNDERAPPRECIATED, AND INCREDIBLE

434
00:16:12,877 --> 00:16:14,879
CONTRIBUTION TO THE BIOMEDICAL

435
00:16:14,879 --> 00:16:19,383
RESEARCH WORKFORCE WHEN YOU

436
00:16:19,383 --> 00:16:23,254
THINK THAT THIS IS THE LARGEST

437
00:16:23,254 --> 00:16:25,656
AGENCY DEVOTED ENTIRELY TO

438
00:16:25,656 --> 00:16:26,124
RESEARCH.

439
00:16:26,124 --> 00:16:29,560
SO THINK ABOUT THE EXPERIENCE

440
00:16:29,560 --> 00:16:32,163
THAT THESE TRAINEES GET

441
00:16:32,163 --> 00:16:33,898
PARTICULARLY THOSE I WILL CALL

442
00:16:33,898 --> 00:16:37,068
OUT WHO ARE CLINICIAN-SCIENTISTS

443
00:16:37,068 --> 00:16:41,372
WHICH AS WE KNOW IS GETTING

444
00:16:41,372 --> 00:16:42,073
INCREASINGLY DIFFICULT DESPITE

445
00:16:42,073 --> 00:16:49,213
OUR BEST EFFORTS TO SUPPORT.

446
00:16:49,213 --> 00:16:50,848
OKAY, SOME THINGS I THINK ARE

447
00:16:50,848 --> 00:16:52,817
CRITICALLY IMPORTANT THAT WE

448
00:16:52,817 --> 00:16:55,453
NEED TO PAY ATTENTION TO AT NIH.

449
00:16:55,453 --> 00:16:56,988
WE KNOW OUR PURPOSE WITH ALL

450
00:16:56,988 --> 00:16:58,289
THIS RESEARCH IS 1 THING, ALL

451
00:16:58,289 --> 00:16:59,790
PEOPLE LIVING LONG AND HEALTHY

452
00:16:59,790 --> 00:17:02,927
LIVES BUT I AM TRULY CONCERNED

453
00:17:02,927 --> 00:17:04,729
THAT WE'RE LOSING GROUND.

454
00:17:04,729 --> 00:17:06,097
THE OVERALL HEALTH OF THE U.S.

455
00:17:06,097 --> 00:17:08,733
POPULATION IS NOT WHERE IT

456
00:17:08,733 --> 00:17:09,767
SHOULD BE.

457
00:17:09,767 --> 00:17:12,003
OUR HEALTHCARE SYSTEM, UNDER 

458
00:17:12,003 --> 00:17:15,072
PERFORMS THOSE OF OTHER RICH

459
00:17:15,072 --> 00:17:15,306
NATIONS.

460
00:17:15,306 --> 00:17:16,974
COMMONWEALTH REPORT THIS YEAR,

461
00:17:16,974 --> 00:17:23,514
WE WERE 10 OUT OF 10 AND WE GOT

462
00:17:23,514 --> 00:17:26,717
A 10 IN ALL THE SUBCATEGORIES,

463
00:17:26,717 --> 00:17:29,687
WE GOT A 10, LAST PLACE IN

464
00:17:29,687 --> 00:17:32,623
HEALTH OUTCOMES DESPITE THE FACT

465
00:17:32,623 --> 00:17:37,695
THAT WE SPEND SIGNIFICANTLY MORE

466
00:17:37,695 --> 00:17:43,134
MONEY THAN THE OTHER COMPARITTOR

467
00:17:43,134 --> 00:17:43,534
COUNTRIES.

468
00:17:43,534 --> 00:17:45,136
NEXT SLIDE, AND THIS SLIDE IS

469
00:17:45,136 --> 00:17:45,636
ALSO DEEPLY TROUBLING.

470
00:17:45,636 --> 00:17:48,139
YOU CAN SEE A FEW GREEN POCKETS

471
00:17:48,139 --> 00:17:50,374
WHICH IS HIGH LIFE EXPECTANCY

472
00:17:50,374 --> 00:17:51,175
AROUND THE COUNTRY WHERE

473
00:17:51,175 --> 00:17:52,610
DIFFERENT GROUPS OF PEOPLE ARE

474
00:17:52,610 --> 00:17:55,980
DOING FAIRLY WELL, BUT FOR SOME

475
00:17:55,980 --> 00:17:57,582
DEMOGRAPHICS, PARTICULARLY,

476
00:17:57,582 --> 00:17:59,784
BLACK AMERICANS, NATIVE

477
00:17:59,784 --> 00:18:01,152
AMERICANS, AMERICAN INDIANS AND

478
00:18:01,152 --> 00:18:03,654
ALASKA NATIVES, PEOPLE WHO LIVE

479
00:18:03,654 --> 00:18:08,192
IN RURAL AREAS, LIFE EXPECTANCY

480
00:18:08,192 --> 00:18:11,929
IS PARTICULARLY LOW AND WE AT

481
00:18:11,929 --> 00:18:14,098
NIH TAKE THIS CREDIBLY SERIOUSLY

482
00:18:14,098 --> 00:18:16,934
AND REALLY NEED TO DIRECT

483
00:18:16,934 --> 00:18:20,438
PROGRAMS TO OVERCOMING IN ISSUE.

484
00:18:20,438 --> 00:18:21,138
NEXT SLIDE.

485
00:18:21,138 --> 00:18:23,307
WHAT CAN WE DO?

486
00:18:23,307 --> 00:18:25,343
WELL, HERE'S THE FIRST LARGE

487
00:18:25,343 --> 00:18:27,645
LANDMARK PROGRAM TO ATTACK THIS

488
00:18:27,645 --> 00:18:27,912
DIRECTLY.

489
00:18:27,912 --> 00:18:31,983
WE HAVE TO DO A BETTER JOB OF

490
00:18:31,983 --> 00:18:32,917
CONNECTING THE LABORATORY, AND

491
00:18:32,917 --> 00:18:35,419
THE COMMUNITY CAN TO THIS END WE

492
00:18:35,419 --> 00:18:36,587
RECENTLY LAUNCHED A NEW COMMON

493
00:18:36,587 --> 00:18:38,022
FUND BECAUSE WE COULD GET IT UP

494
00:18:38,022 --> 00:18:39,657
AND RUNNING VERY QUICKLY,

495
00:18:39,657 --> 00:18:41,492
RESPONDING TO THIS WITH URGENCY,

496
00:18:41,492 --> 00:18:43,361
A COMMON FUND PROGRAM CALLED

497
00:18:43,361 --> 00:18:44,061
CARE FOR HEALTH.

498
00:18:44,061 --> 00:18:46,931
IN SEPTEMBER WE ANNOUNCED THE

499
00:18:46,931 --> 00:18:49,133
FIRST 3 PILOT AWARDS FOR WHAT IS

500
00:18:49,133 --> 00:18:51,469
A NEW PRIMARY CARE CLINICAL

501
00:18:51,469 --> 00:18:52,937
RESEARCH NETWORK, PRIMARY CARE

502
00:18:52,937 --> 00:18:55,539
BECAUSE IT'S THOSE ON THE FRONT

503
00:18:55,539 --> 00:18:57,608
LINES OF HEALTH THAT WE NEED TO

504
00:18:57,608 --> 00:19:00,111
ENGAGE IN RESEARCH TO TACKLE

505
00:19:00,111 --> 00:19:03,180
THOSE PROBLEMS THAT WE SEE SO

506
00:19:03,180 --> 00:19:04,582
PROMINENTLY DISPLAYED IN

507
00:19:04,582 --> 00:19:05,716
COMMUNITIES THAT HAVE

508
00:19:05,716 --> 00:19:09,153
TRADITIONALLY BEEN LEFT OUT OF

509
00:19:09,153 --> 00:19:10,488
BIOMEDICAL RESEARCH.

510
00:19:10,488 --> 00:19:11,055
WE'RE STARTING SMALL.

511
00:19:11,055 --> 00:19:16,227
OUR GOAL IS TO BUILD -- IS TO

512
00:19:16,227 --> 00:19:18,729
LEARN HOW TO BRING SUSTAINABLE

513
00:19:18,729 --> 00:19:23,768
HIGH QUALITY RESEARCH TO THESE

514
00:19:23,768 --> 00:19:24,702
CHALLENGING COMMUNITIES AND

515
00:19:24,702 --> 00:19:26,203
TRULY ENGAGE THE COMMUNITIES

516
00:19:26,203 --> 00:19:27,538
THEMSELVES IN THE CLINICAL

517
00:19:27,538 --> 00:19:27,805
RESEARCH.

518
00:19:27,805 --> 00:19:29,907
I THINK THAT THIS IS ALSO A

519
00:19:29,907 --> 00:19:33,711
CRITICAL PROGRAM FOR US TO

520
00:19:33,711 --> 00:19:35,513
ENGENDER TRUST IN SCIENCE BY

521
00:19:35,513 --> 00:19:37,248
BEING DEEPLY INVOLVED IN

522
00:19:37,248 --> 00:19:38,716
COMMUNITIES, ADDRESSING RESEARCH

523
00:19:38,716 --> 00:19:40,885
QUESTIONS, THAT MATTER TO THEM.

524
00:19:40,885 --> 00:19:43,487
NOT ONLY WILL WE BE COLLECTING

525
00:19:43,487 --> 00:19:45,189
INFORMATION FOR RESEARCH, THIS

526
00:19:45,189 --> 00:19:48,959
NEW NETWORK, AS WE KNOW FROM

527
00:19:48,959 --> 00:19:49,860
RESEARCH SUCCESSES ELSEWHERE,

528
00:19:49,860 --> 00:19:52,496
WILL BE HELPING TO DELIVER

529
00:19:52,496 --> 00:19:55,132
EVIDENCE BASED CARE TO

530
00:19:55,132 --> 00:19:55,466
PARTICIPANTS.

531
00:19:55,466 --> 00:19:57,435
THE INITIATIVE WAS INSPIRED BY

532
00:19:57,435 --> 00:19:59,704
MY OWN EXPERIENCE BEFORE I CAME

533
00:19:59,704 --> 00:20:02,206
TO NIH.

534
00:20:02,206 --> 00:20:04,709
I PARTICIPATED IN NCI SPONSORED

535
00:20:04,709 --> 00:20:06,811
RESEARCH ON THE PINE RIDGE

536
00:20:06,811 --> 00:20:07,645
INDIAN RESERVATION.

537
00:20:07,645 --> 00:20:10,247
A PLACE WITH THE LOWEST LIFE

538
00:20:10,247 --> 00:20:14,652
EXPECTANCY OF ANY PLACE IN THE

539
00:20:14,652 --> 00:20:16,420
UNITED STATES, ONLY 49 YEARS FOR

540
00:20:16,420 --> 00:20:20,191
MEN AND 31 YEARS FOR WOMEN.

541
00:20:20,191 --> 00:20:24,061
WE WERE ABLE TO -- AND WHEN NCI

542
00:20:24,061 --> 00:20:26,397
INCREASED RATES OF FUNDING

543
00:20:26,397 --> 00:20:27,965
SCREENINGS, REDUCE TOBACCO

544
00:20:27,965 --> 00:20:31,268
RESEARCH AND USE OF RESEARCH

545
00:20:31,268 --> 00:20:33,504
DOLLARS DEFINITELY DELIVERED

546
00:20:33,504 --> 00:20:35,072
CARE TO PIN RIDGE, HOWEVER,

547
00:20:35,072 --> 00:20:37,007
THERE WERE 2 BIG PROBLEMS WITH

548
00:20:37,007 --> 00:20:37,575
THIS PROGRAM.

549
00:20:37,575 --> 00:20:39,877
FIRST, WE HAD ONLY FUNDING TO

550
00:20:39,877 --> 00:20:43,147
STUDY CANCER AND YOU CANNOT GO

551
00:20:43,147 --> 00:20:45,416
INTO AN ENVIRONMENT LIKE PINE

552
00:20:45,416 --> 00:20:47,151
RIDGE OR SO MANY OF THESE OTHER

553
00:20:47,151 --> 00:20:48,719
PLACES WE NEED TO SERVE AND SAY,

554
00:20:48,719 --> 00:20:50,755
HEY, I'M ONLY HERE FOR CANCER.

555
00:20:50,755 --> 00:20:54,825
WE HAVE TO TAKE CARE OF ALL OF

556
00:20:54,825 --> 00:20:56,927
THEIR HEALTH RESEARCH ISSUES.

557
00:20:56,927 --> 00:20:59,096
AND THEN SECOND, WHEN THE GRANT

558
00:20:59,096 --> 00:21:04,568
WAS ENDED, WE WERE GONE.

559
00:21:04,568 --> 00:21:07,238
WE NEED SUSTAINABILITY IN THESE

560
00:21:07,238 --> 00:21:08,239
COMMUNITIES, THAT'S CRITICAL.

561
00:21:08,239 --> 00:21:10,841
SO CARE FOR HEALTH IS AN

562
00:21:10,841 --> 00:21:12,042
NIH-WIDE PROGRAM, THE RESEARCH

563
00:21:12,042 --> 00:21:13,077
COVERED WITH THE PARTICIPATION

564
00:21:13,077 --> 00:21:15,579
OF WITH ALL OF OUR INSTITUTES

565
00:21:15,579 --> 00:21:17,681
AND CENTERS WILL ENCOMPASS THE

566
00:21:17,681 --> 00:21:20,117
RANGE OF URGENT HEALTH ISSUES,

567
00:21:20,117 --> 00:21:21,952
DIABETES, OBESITY, MATERNAL

568
00:21:21,952 --> 00:21:25,389
HEALTH, SUBSTANCE ABUSE, CANCER

569
00:21:25,389 --> 00:21:26,223
SCREENING, MENTAL HEALTH,

570
00:21:26,223 --> 00:21:28,826
DEMENTIAS AND SO ON AND ALSO

571
00:21:28,826 --> 00:21:31,662
WILL BE DONE BY GIVING

572
00:21:31,662 --> 00:21:34,064
COMMUNITIES WHAT THEY NEED

573
00:21:34,064 --> 00:21:35,199
RATHER THAN ASSUMING THAT 1

574
00:21:35,199 --> 00:21:37,234
RESEARCH PROGRAM IS GOING TO FIT

575
00:21:37,234 --> 00:21:38,536
ALL BECAUSE WE ALREADY KNOW

576
00:21:38,536 --> 00:21:42,273
THAT'S NOT GOING TO WORK.

577
00:21:42,273 --> 00:21:43,774
NEXT SLIDE.

578
00:21:43,774 --> 00:21:45,476
MY SECOND PRIORITY AS DIRECTOR

579
00:21:45,476 --> 00:21:47,912
IS TO HARNESS RESEARCH AND

580
00:21:47,912 --> 00:21:48,212
HEALTH DATA.

581
00:21:48,212 --> 00:21:49,680
WE'VE BEEN TALKING ABOUT OPENING

582
00:21:49,680 --> 00:21:50,981
UP ACCESS TO BIOMEDICAL RESEARCH

583
00:21:50,981 --> 00:21:53,217
DATA FUNDED BY NIH FOR DECADES.

584
00:21:53,217 --> 00:21:54,618
TWO YEARS AGO, THIS JANUARY, WE

585
00:21:54,618 --> 00:21:57,221
MADE IT A REQUIREMENT FOR EVERY

586
00:21:57,221 --> 00:21:59,824
GRANTEE, EVERY NEW GRANTEE TO

587
00:21:59,824 --> 00:22:03,327
MAKE THEIR DATA AVAILABLE FOR

588
00:22:03,327 --> 00:22:03,561
SHARING.

589
00:22:03,561 --> 00:22:07,832
BUT WHAT WE HAVEN'T DONE IS MADE

590
00:22:07,832 --> 00:22:10,668
IT POSSIBLE TO HAVE DATA

591
00:22:10,668 --> 00:22:14,038
ACCESSIBLE TO EVERYONE WHO CAN

592
00:22:14,038 --> 00:22:16,273
-- EVERY RESEARCHER WHO NEEDS IT

593
00:22:16,273 --> 00:22:18,776
TO DO THEIR WORK.

594
00:22:18,776 --> 00:22:20,044
WE NEED TO DRAMATICALLY EXPAND

595
00:22:20,044 --> 00:22:23,547
OUR ABILITY TO MANAGE AND USE

596
00:22:23,547 --> 00:22:24,815
DATA FOR HEALTH RESEARCH.

597
00:22:24,815 --> 00:22:27,151
I THINK WE -- I WOULD LIKE US TO

598
00:22:27,151 --> 00:22:30,721
REIMAGINE THE ROLE OF NLM, BUILD

599
00:22:30,721 --> 00:22:33,190
AN OPEN SCALABLE FEDERATED

600
00:22:33,190 --> 00:22:34,859
DIGITAL ECOSYSTEM FOR ACCESS TO

601
00:22:34,859 --> 00:22:37,027
BIOMEDICAL DATA AND ANALYTICS.

602
00:22:37,027 --> 00:22:39,663
WE NEED AN NLM THAT CAN

603
00:22:39,663 --> 00:22:41,265
INTEGRATE DAT FROM ACROSS THE

604
00:22:41,265 --> 00:22:43,234
FULL SPECTRUM OF WHAT NIH DOES

605
00:22:43,234 --> 00:22:45,603
FROM BASIC AND SOCIAL SCIENCE

606
00:22:45,603 --> 00:22:48,105
RESEARCH PUBLIC HEALTH AND

607
00:22:48,105 --> 00:22:50,274
CLINICAL CARE AND SERVE AS AN

608
00:22:50,274 --> 00:22:54,111
EPICENTER FOR THE ANALYSIS OF

609
00:22:54,111 --> 00:22:57,681
THESE DATA, A FOCUS WITHIN NIH

610
00:22:57,681 --> 00:22:58,449
FOR DATA SCIENCE.

611
00:22:58,449 --> 00:23:01,318
NIH CAN ALSO BE A FRONT DOOR

612
00:23:01,318 --> 00:23:03,521
WHERE BIOMEDICAL AND CLINICAL

613
00:23:03,521 --> 00:23:05,723
RESEARCH, DOMAIN EXPERTS,

614
00:23:05,723 --> 00:23:06,457
TRAINEES, PATIENTS, ADVOCATES

615
00:23:06,457 --> 00:23:08,692
AND ANYONE ELSE SEEKING ANSWERS

616
00:23:08,692 --> 00:23:10,327
TO RESEARCH CAN GET ACCESS TO

617
00:23:10,327 --> 00:23:12,296
THE DATA AND ANALYTIC TOOLS AND

618
00:23:12,296 --> 00:23:14,398
TO ALSO SUPPORT EDUCATION ASK

619
00:23:14,398 --> 00:23:15,199
WORKFORCE DEVELOPMENT AS PART OF

620
00:23:15,199 --> 00:23:15,966
THIS EFFORT.

621
00:23:15,966 --> 00:23:20,204
I WILL TELL YOU MY VISION, WE

622
00:23:20,204 --> 00:23:22,506
WOULD LIKE THE NOBEL LAUREATE

623
00:23:22,506 --> 00:23:28,712
WHO WANTS TO STUDY SOME EXCITING

624
00:23:28,712 --> 00:23:32,650
FANTASTIC QUESTION AND REQUIRES

625
00:23:32,650 --> 00:23:32,917
 REQUIRES

626
00:23:32,917 --> 00:23:34,285
DATA FROM EVERYTHING THAT NIH

627
00:23:34,285 --> 00:23:35,986
HAS GENERATED TO BE ABLE TO GO

628
00:23:35,986 --> 00:23:37,888
TO NLM AND BE OFFERED

629
00:23:37,888 --> 00:23:39,523
INTRODUCTION TO AND ACCESS TO

630
00:23:39,523 --> 00:23:42,793
THOSE DATA AND I ALSO WANT A

631
00:23:42,793 --> 00:23:45,696
HIGH SCHOOL SCIENCE FAIR STUDENT

632
00:23:45,696 --> 00:23:47,932
TO BE ABLE TO COME TO NLM AND

633
00:23:47,932 --> 00:23:51,001
SAY, I'M INTERESTED IN SOME

634
00:23:51,001 --> 00:23:52,236
SCIENCE QUESTION THAT'S

635
00:23:52,236 --> 00:23:53,504
INTERESTING TO ME AND IT'S ALSO

636
00:23:53,504 --> 00:23:55,573
TO BE ABLE TO HELP THEM USE THE

637
00:23:55,573 --> 00:23:58,776
DATA THAT WE HAVE FOR PUBLIC

638
00:23:58,776 --> 00:23:58,943
USE.

639
00:23:58,943 --> 00:24:00,544
SO, THAT'S HOW SERIOUSLY WE ARE

640
00:24:00,544 --> 00:24:03,047
TAKING THE SCOPE OF WHAT NLM WE

641
00:24:03,047 --> 00:24:06,216
BELIEVE NEEDS TO DELIVER FOR THE

642
00:24:06,216 --> 00:24:06,850
WORLD.

643
00:24:06,850 --> 00:24:08,652
WE'RE CURRENTLY RECRUITING A NEW

644
00:24:08,652 --> 00:24:10,988
DIRECTOR FOR NLM WHO WILL JOIN

645
00:24:10,988 --> 00:24:14,291
OUR ESTABLISHED LEADERS IN DATA

646
00:24:14,291 --> 00:24:15,893
TECHNOLOGY, DATA SENTENCE AND

647
00:24:15,893 --> 00:24:16,827
PUBLIC POLICY.

648
00:24:16,827 --> 00:24:18,662
OKAY, NOW TO END.

649
00:24:18,662 --> 00:24:23,133
NEXT SLIDE.

650
00:24:23,133 --> 00:24:25,302
THE MSMRB RESTART, NIH CAN DO

651
00:24:25,302 --> 00:24:27,605
WHAT NO OTHER ENTITY CAN

652
00:24:27,605 --> 00:24:28,305
FRANKLY, PROVIDE CONSIST AND

653
00:24:28,305 --> 00:24:30,908
THEN THE WIDE RANGING SUPPORT

654
00:24:30,908 --> 00:24:32,309
FROM THE SPECTRUM FROM

655
00:24:32,309 --> 00:24:34,411
FUNDMENTAL RESEARCH TO BRINGING

656
00:24:34,411 --> 00:24:35,446
A PROBLEM-SOLVING RESEARCH

657
00:24:35,446 --> 00:24:38,182
APPROACH TO ADDRESSING HEALTH

658
00:24:38,182 --> 00:24:39,917
DISPARITIES, TO PARTNERING WITH

659
00:24:39,917 --> 00:24:42,653
ACADEMIC INSTITUTIONS TO TRAIN

660
00:24:42,653 --> 00:24:45,823
BIOMEDICAL RESEARCHERS, AND TO

661
00:24:45,823 --> 00:24:47,291
MAKE BIOMEDICAL RESEARCH DATA

662
00:24:47,291 --> 00:24:50,160
FROM EVERYWHERE AS WELL AS THE

663
00:24:50,160 --> 00:24:50,861
ANALYTIC TOOLS REQUIRED

664
00:24:50,861 --> 00:24:53,797
AVAILABLE TO THE BROADEST

665
00:24:53,797 --> 00:24:54,798
POSSIBLE RESEARCH COMMUNITY.

666
00:24:54,798 --> 00:24:58,836
SO YOUR CHARGE, AS THE SMRB IS

667
00:24:58,836 --> 00:25:02,172
TO HELP US EVALUATE THE CURRENT

668
00:25:02,172 --> 00:25:02,740
STRUCTURE OF NIH.

669
00:25:02,740 --> 00:25:04,408
LET US KNOW HOW WE CAN CHANGE

670
00:25:04,408 --> 00:25:05,809
OUR ORGANIZATION TO HELP US

671
00:25:05,809 --> 00:25:08,178
BETTER FULFILL OUR MISSION,

672
00:25:08,178 --> 00:25:09,747
CHANGE IS ALWAYS IMPORTANT.

673
00:25:09,747 --> 00:25:12,282
WE CAN ALWAYS DO BETTER.

674
00:25:12,282 --> 00:25:16,253
WE'RE ASKING YOU TO REEXAMINE

675
00:25:16,253 --> 00:25:18,656
THE 2010 SMRB REPORT

676
00:25:18,656 --> 00:25:19,590
DELIBERATING ORGANIZATIONAL

677
00:25:19,590 --> 00:25:20,791
CHANGE AND EFFECTIVENESS, SHOULD

678
00:25:20,791 --> 00:25:23,861
WE UPDATE THE CRITERIA FOR

679
00:25:23,861 --> 00:25:25,229
DETERMINING WHEN ORGANIZATIONAL

680
00:25:25,229 --> 00:25:25,929
CHANGE SHOULD BE CONSIDERED,

681
00:25:25,929 --> 00:25:28,032
WE'RE ASKING YOU TO CONSIDER

682
00:25:28,032 --> 00:25:29,867
RECENT PROPOSALS FROM CONGRESS

683
00:25:29,867 --> 00:25:32,503
FOR REORGANIZING NIH, AND TO RE,

684
00:25:32,503 --> 00:25:36,206
VALENTINEDUATE THE EXISTING

685
00:25:36,206 --> 00:25:38,442
GUIDANCE FOR DELIBERATING

686
00:25:38,442 --> 00:25:40,044
PROPOSED ORGANIZATIONAL CHANGES.

687
00:25:40,044 --> 00:25:42,012
ULTIMATELY, BASED UPON UPDATED

688
00:25:42,012 --> 00:25:43,313
CRITERIA AND PRINCIPLES, WE

689
00:25:43,313 --> 00:25:45,249
WOULD LIKE YOUR RECOMMENDATIONS

690
00:25:45,249 --> 00:25:47,051
FOR ANY CHANGES THAT WILL

691
00:25:47,051 --> 00:25:50,187
ENHANCE THE ABILITY OF OUR

692
00:25:50,187 --> 00:25:52,623
AGENCY TO FULFILL ITS

693
00:25:52,623 --> 00:25:53,891
EXCEEDINGLY IMPORTANT MISSION.

694
00:25:53,891 --> 00:25:54,425
SO NEXT SLIDE.

695
00:25:54,425 --> 00:25:56,894
THANK YOU SO MUCH AGAIN FOR

696
00:25:56,894 --> 00:25:58,228
BEING HERE TO DELIBERATE YOUR

697
00:25:58,228 --> 00:25:58,829
EXPERT HELP.

698
00:25:58,829 --> 00:26:00,364
WE NEED YOU AND I WOULD BE HAPPY

699
00:26:00,364 --> 00:26:04,868
TO TAKE ANY QUESTIONS.

700
00:26:04,868 --> 00:26:05,269
>> OKAY, MONICA.

701
00:26:05,269 --> 00:26:06,303
THANK YOU.

702
00:26:06,303 --> 00:26:08,806
WE HAVE PLENTY OF TIME FOR

703
00:26:08,806 --> 00:26:10,841
QUESTIONS WHILE WE HAVE MONICA

704
00:26:10,841 --> 00:26:17,614
HERE, SO IF ANYBODY WOULD LIKE

705
00:26:17,614 --> 00:26:18,615
TO START?

706
00:26:18,615 --> 00:26:19,349
PLEASE, JOSH.

707
00:26:19,349 --> 00:26:19,750
>> THANK YOU.

708
00:26:19,750 --> 00:26:21,051
JOHN AND I WERE TALKING ABOUT

709
00:26:21,051 --> 00:26:24,788
THIS A LITTLE BIT, SO, ON A

710
00:26:24,788 --> 00:26:27,825
BROADER SCALE IMIVEN  -- GIVEN

711
00:26:27,825 --> 00:26:30,194
THE LACK OF TRUST IN MANY

712
00:26:30,194 --> 00:26:30,794
COMMUNITIES IN SCIENCE,

713
00:26:30,794 --> 00:26:32,062
SCIENTIFIC METHOD AND SO FORTH,

714
00:26:32,062 --> 00:26:36,166
WHAT DO YOU THINK THE NIH CAN DO

715
00:26:36,166 --> 00:26:41,572
OR SHOULD DO TO TRY TO BETTER

716
00:26:41,572 --> 00:26:44,475
EDUCATE THE PUBLIC AT LARGE,

717
00:26:44,475 --> 00:26:47,544
CONGRESS AND SO FORTH?

718
00:26:47,544 --> 00:26:48,746
THIS ISN'T A POLITICAL QUESTION,

719
00:26:48,746 --> 00:26:54,651
THIS IS A QUESTION RELATED TO

720
00:26:54,651 --> 00:26:56,320
TRUST AND I JUST WONDERED WHAT

721
00:26:56,320 --> 00:26:58,589
YOUR THOUGHTS ARE MADAM

722
00:26:58,589 --> 00:26:58,856
DIRECTOR.

723
00:26:58,856 --> 00:27:00,057
>> TRUST HAS TO BE EARNED
AND IT

724
00:27:00,057 --> 00:27:02,226
HAS TO BE EARNED EVERY SINGLE

725
00:27:02,226 --> 00:27:05,395
DAY, YOU KNOW ANYTHING CAN

726
00:27:05,395 --> 00:27:06,563
DAMAGE TRUST AND SO IT'S

727
00:27:06,563 --> 00:27:10,634
SOMETHING THAT WE NEED TO PAY

728
00:27:10,634 --> 00:27:11,168
ATTENTION TO ALWAYS.

729
00:27:11,168 --> 00:27:13,904
AND THE WAYS YOU ENTRUST ARE

730
00:27:13,904 --> 00:27:18,275
FIRST AND FOREMOST DELIVERING

731
00:27:18,275 --> 00:27:20,144
WHAT PEOPLE NEED, PRODUCING,

732
00:27:20,144 --> 00:27:22,646
REALLY, MOVING THE NEEDLE ON THE

733
00:27:22,646 --> 00:27:24,114
HEALTH PROBLEMS THAT ARE

734
00:27:24,114 --> 00:27:25,983
PLAGUING PEOPLE AND MAKING IT

735
00:27:25,983 --> 00:27:28,552
VERY CLEAR AND BEING VERY CLEAR

736
00:27:28,552 --> 00:27:34,658
AND TRANSPARENT AS TO WHY AND

737
00:27:34,658 --> 00:27:36,093
HOW THE -- ALL OF THE RESULTS

738
00:27:36,093 --> 00:27:38,862
THAT COME OUT OF NIH HELP TO

739
00:27:38,862 --> 00:27:39,196
ACHIEVE THAT.

740
00:27:39,196 --> 00:27:40,697
THE OTHER 1 THOUGH, AND YOU CAN

741
00:27:40,697 --> 00:27:42,733
SEE IN THE DESIGN FOR CARE FOR

742
00:27:42,733 --> 00:27:45,936
HEALTH, I THINK THIS IS ALSO

743
00:27:45,936 --> 00:27:49,406
CRITICALLY IMPORTANT IS TO BRING

744
00:27:49,406 --> 00:27:51,575
OUR RESEARCH TO COMMUNITIES THAT

745
00:27:51,575 --> 00:27:53,744
ARE EXPERIENCING THE HIGHEST

746
00:27:53,744 --> 00:27:55,112
LEVEL OF DISTRUST AND NOT TO

747
00:27:55,112 --> 00:27:56,814
WALK IN THERE AND SAY, HEY,

748
00:27:56,814 --> 00:27:58,916
WE'RE IN THE NIH, WE KNOW WHAT

749
00:27:58,916 --> 00:28:00,517
YOU NEED, WE'RE HERE TO TELL YOU

750
00:28:00,517 --> 00:28:01,919
WHAT TO DO, BUT TO WALK IN AND

751
00:28:01,919 --> 00:28:03,453
SAY WHAT DO YOU NEED?

752
00:28:03,453 --> 00:28:06,890
WHAT ARE YOUR MOST CONCERNING

753
00:28:06,890 --> 00:28:09,226
QUESTIONS IN AND THEN DELIVER

754
00:28:09,226 --> 00:28:11,228
FOR THEM WHAT THEY'RE ASKING, SO

755
00:28:11,228 --> 00:28:14,498
THAT'S -- THAT'S THE PLAN, AND

756
00:28:14,498 --> 00:28:17,267
I'M REALLY -- IT WILL ALSO SAY

757
00:28:17,267 --> 00:28:18,535
THAT MY INTERACTIONS WITH

758
00:28:18,535 --> 00:28:21,538
MEMBERS OF CONGRESS HAVE BEEN

759
00:28:21,538 --> 00:28:24,608
VERY FAVORABLE IN THIS REGARD

760
00:28:24,608 --> 00:28:29,479
BECAUSE I THINK THIS IS  A

761
00:28:29,479 --> 00:28:31,215
POLITICAL ISSUE, BUT WE'RE

762
00:28:31,215 --> 00:28:32,950
REALLY ALLOT SAME PAGE IN TRYING

763
00:28:32,950 --> 00:28:34,451
TO MAKE THIS HAPPEN.

764
00:28:34,451 --> 00:28:37,521
>> OTHER COMMENTS OR
QUESTIONS?

765
00:28:37,521 --> 00:28:39,156
>> THANK YOU FOR THAT
EXCELLENT

766
00:28:39,156 --> 00:28:41,425
OVERVIEW, I THINK WE'RE ALL FROM

767
00:28:41,425 --> 00:28:42,359
DIFFERENT VERY DIVERSE

768
00:28:42,359 --> 00:28:43,327
SCIENTIFIC BACKGROUNDS AND THE

769
00:28:43,327 --> 00:28:46,697
PROGRAMS THAT YOU HIGHLIGHTED

770
00:28:46,697 --> 00:28:47,965
ARE OUTSTANDING BUT WE ALSO KNOW

771
00:28:47,965 --> 00:28:52,502
THAT WE LIVE IN A CONSTRAINED

772
00:28:52,502 --> 00:28:53,303
MONETARY ENVIRONMENT AND

773
00:28:53,303 --> 00:28:54,605
ALTHOUGH IT'S NOT OUR JOB ON

774
00:28:54,605 --> 00:28:56,373
THIS COMMITTEE TO LOOK AT THE

775
00:28:56,373 --> 00:28:58,408
FINANCIAL ASPECTS OF IT, IT

776
00:28:58,408 --> 00:28:59,576
WOULD BE HELPFUL TO HEAR YOUR

777
00:28:59,576 --> 00:29:01,511
OPINION AS TO HOW THE DECISION'S

778
00:29:01,511 --> 00:29:03,413
MADE TO GET TO THESE OUTSTANDING

779
00:29:03,413 --> 00:29:05,515
PROGRAMS CAN BE AFFECTED BY THE

780
00:29:05,515 --> 00:29:07,117
FUNDING SO THAT WE CAN

781
00:29:07,117 --> 00:29:09,353
INCORPORATE THAT INTO OUR

782
00:29:09,353 --> 00:29:09,686
CONVERSATIONS.

783
00:29:09,686 --> 00:29:12,923
>> YEAH, SO REALLY
CRITICAL

784
00:29:12,923 --> 00:29:13,323
QUESTION.

785
00:29:13,323 --> 00:29:16,360
SO A COUPLE THINGS ABOUT THESE

786
00:29:16,360 --> 00:29:22,699
NEW, THESE LARGE PROGRAMS.

787
00:29:22,699 --> 00:29:24,201
I'M SURE IT'S NO SURPRISE THAT,

788
00:29:24,201 --> 00:29:27,371
I MEAN I THINK THESE ARE

789
00:29:27,371 --> 00:29:28,071
CRITICALLY, CRITICALLY IMPORTANT

790
00:29:28,071 --> 00:29:33,377
PROGRAMS THAT ARE GOING TO HELP

791
00:29:33,377 --> 00:29:34,745
LEVERAGE AND AMPLIFY ALL THE

792
00:29:34,745 --> 00:29:38,916
WORK THAT'S DONE ACROSS NIH

793
00:29:38,916 --> 00:29:39,383
ALREADY.

794
00:29:39,383 --> 00:29:47,424
SO THE VALUE ADDED TO A DOLLAR

795
00:29:47,424 --> 00:29:51,061
SPENT ON A BASE -- THESE BASE

796
00:29:51,061 --> 00:29:52,229
FUNDAMENTAL PROJECT PROGRAMS FOR

797
00:29:52,229 --> 00:29:54,264
WHICH EVERY INSTITUTE AND CENTER

798
00:29:54,264 --> 00:29:56,800
CAN THEN DOCK-IN AND USE IS

799
00:29:56,800 --> 00:29:57,167
TREMENDOUS.

800
00:29:57,167 --> 00:29:59,536
SO IN TERMS OF I THINK OF WISE

801
00:29:59,536 --> 00:30:00,938
USE OF THE DOLLARS TO GET THE

802
00:30:00,938 --> 00:30:04,708
VERY MOST WE CAN OUT OF THOSE

803
00:30:04,708 --> 00:30:07,778
INVESTMENTS TO DRIVE SCIENCE

804
00:30:07,778 --> 00:30:11,148
FORWARD IS WHY THESE PARTICULAR

805
00:30:11,148 --> 00:30:12,349
PROJECTS -- BESIDES THAT THEY

806
00:30:12,349 --> 00:30:13,750
ARE RELATED TO CRITICAL NEED

807
00:30:13,750 --> 00:30:16,019
SYSTEM WHY I THINK THESE

808
00:30:16,019 --> 00:30:16,720
PARTICULAR PROJECTS ARE THE

809
00:30:16,720 --> 00:30:18,355
RIGHT WAY TO GO.

810
00:30:18,355 --> 00:30:20,791
NOW, THE OTHER THING IS THAT OUR

811
00:30:20,791 --> 00:30:22,192
INSTITUTES AND CENTERS NEED TO

812
00:30:22,192 --> 00:30:23,994
MAKE VERY DIFFICULT DECISIONS

813
00:30:23,994 --> 00:30:26,830
ALL THE TIME BUT IT IS EASIER TO

814
00:30:26,830 --> 00:30:30,000
MAKE SOME OF THOSE DIFFICULT

815
00:30:30,000 --> 00:30:32,636
DECISIONS IF THERE'S A

816
00:30:32,636 --> 00:30:35,505
COLLABORATIVE ENVIRONMENT AND

817
00:30:35,505 --> 00:30:36,640
AGAIN, LEVERAGING TRADE-OFFS,

818
00:30:36,640 --> 00:30:38,608
WORKING TOGETHER, REALLY GOES A

819
00:30:38,608 --> 00:30:42,579
LONG WAY WHEN YOU GET TO DOLLAR

820
00:30:42,579 --> 00:30:42,946
CONSTRAINTS.

821
00:30:42,946 --> 00:30:47,050
THE LAST THING I WILL SAY IS

822
00:30:47,050 --> 00:30:49,553
THAT, WE ALSO UNDERSTAND THAT

823
00:30:49,553 --> 00:30:51,855
THERE'S A VERY LARGE BIOMEDICAL

824
00:30:51,855 --> 00:30:53,557
RESEARCH COMMUNITY IN OUR

825
00:30:53,557 --> 00:30:54,524
EXTERNAL COMMUNITY THAT REALLY

826
00:30:54,524 --> 00:30:59,696
COUNTS ON THE FUNDING THAT COMES

827
00:30:59,696 --> 00:31:03,233
FROM NIH, AND MAXIMIZING OUR

828
00:31:03,233 --> 00:31:04,735
INVESTMENT IN INVESTIGATOR

829
00:31:04,735 --> 00:31:06,536
INITIATIVE SCIENCE IS ALSO A

830
00:31:06,536 --> 00:31:11,274
CORE FEATURE OF EVERYTHING WE

831
00:31:11,274 --> 00:31:11,441
DO.

832
00:31:11,441 --> 00:31:11,842
>> THANK YOU.

833
00:31:11,842 --> 00:31:15,245
THANK YOU FOR THAT.

834
00:31:15,245 --> 00:31:15,679
>> OTHER COMMENTS?

835
00:31:15,679 --> 00:31:17,681
>> THANK YOU VERY MUCH.

836
00:31:17,681 --> 00:31:18,615
VERY EXCITING.

837
00:31:18,615 --> 00:31:20,884
AI IS CHANGING EVERYTHING WE DO

838
00:31:20,884 --> 00:31:24,454
AND HOW IS THE NIH GOING TO

839
00:31:24,454 --> 00:31:27,657
INCORPORATE THIS RAPIDLY

840
00:31:27,657 --> 00:31:28,725
EXPLODING TECHNOLOGY AND ALSO

841
00:31:28,725 --> 00:31:34,431
PLAN FOR THE NEXT GENERATION OF

842
00:31:34,431 --> 00:31:34,765
INVESTIGATORS?

843
00:31:34,765 --> 00:31:36,833
>> SO, NOW MACHINE
LEARNING

844
00:31:36,833 --> 00:31:38,568
METHODS ARE EVERYWHERE NOW BUT

845
00:31:38,568 --> 00:31:40,103
THEY'RE NOT NEW TO NIH.

846
00:31:40,103 --> 00:31:42,205
AS YOU KNOW WE'VE BEEN USING

847
00:31:42,205 --> 00:31:43,807
THESE METHODS FOR DECADES

848
00:31:43,807 --> 00:31:46,977
FRANKLY, RIGHT NOW, SO THEY'RE

849
00:31:46,977 --> 00:31:50,847
NOT UNFAMILIAR TO US.

850
00:31:50,847 --> 00:31:51,748
THEY ARE UNFAMILIAR TO EVERYONE

851
00:31:51,748 --> 00:31:53,550
ELSE OUT THERE AND THERE IS ALSO

852
00:31:53,550 --> 00:31:54,317
AN EXPLOSION OF USE.

853
00:31:54,317 --> 00:31:56,953
SO WE HAVE A COUPLE CRITICAL

854
00:31:56,953 --> 00:32:00,690
THINGS THAT ARE CORE TO OUR

855
00:32:00,690 --> 00:32:02,025
STRATEGY ABOUT NEW MACHINE

856
00:32:02,025 --> 00:32:03,360
LEARNING METHODS, NUMBER 1,

857
00:32:03,360 --> 00:32:06,329
PROVIDE A FOCUS FOR THE

858
00:32:06,329 --> 00:32:08,598
BIOMEDICAL RESEARCH COMMUNITY

859
00:32:08,598 --> 00:32:11,468
FOR EDUCATION AND WORKFORCE

860
00:32:11,468 --> 00:32:14,371
SUPPORT OF THESE NEW

861
00:32:14,371 --> 00:32:15,505
TECHNOLOGIES, WHAT THEY MEAN,

862
00:32:15,505 --> 00:32:18,141
WHEN THEY SHOULD BE USED AND

863
00:32:18,141 --> 00:32:20,610
THAT WORKFORCE DEVELOPMENT HAND

864
00:32:20,610 --> 00:32:24,448
IN HAND WITH REALLY SOUND

865
00:32:24,448 --> 00:32:24,848
ETHICAL POLICY.

866
00:32:24,848 --> 00:32:27,451
SO, YOU KNOW THIS IS A GREAT

867
00:32:27,451 --> 00:32:28,618
EXAMPLE OF THE STRENGTH OF THE

868
00:32:28,618 --> 00:32:31,388
PROGRAMS WE HAVE HERE AT NIH,

869
00:32:31,388 --> 00:32:31,855
RIGHT?

870
00:32:31,855 --> 00:32:32,889
BECAUSE WE HAVE WITHIN THE

871
00:32:32,889 --> 00:32:34,858
OFFICE OF THE DIRECTOR AN

872
00:32:34,858 --> 00:32:35,959
OUTSTANDING, ALL THE PARTS AND

873
00:32:35,959 --> 00:32:37,327
PIECES WE NEED TO MAKE THAT

874
00:32:37,327 --> 00:32:37,627
HAPPEN.

875
00:32:37,627 --> 00:32:40,664
SO THAT'S THE WORKFORCE.

876
00:32:40,664 --> 00:32:42,365
NUMBER 2, THE DATA.

877
00:32:42,365 --> 00:32:44,167
THESE METHODS DON'T HAPPEN

878
00:32:44,167 --> 00:32:46,570
WITHOUT DATA TO TRAIN THEM AND

879
00:32:46,570 --> 00:32:48,205
INFORM THEM AND THAT DATA ISN'T

880
00:32:48,205 --> 00:32:54,244
1 AND DONE,, IT'S A CONTINUAL

881
00:32:54,244 --> 00:32:55,479
STREAM OF REALLY IMPORTANT,

882
00:32:55,479 --> 00:32:57,881
DIVERSE DATA THAT NEEDS TO

883
00:32:57,881 --> 00:32:59,850
INFORM THESE METHODS.

884
00:32:59,850 --> 00:33:02,085
THAT'S ANOTHER REASON WHY I

885
00:33:02,085 --> 00:33:04,521
BELIEVE WE NEED A TREMENDOUS

886
00:33:04,521 --> 00:33:07,390
UPGRADE OF OUR ACTIVITIES IN THE

887
00:33:07,390 --> 00:33:08,558
NATIONAL LIBRARY OF MEDICINE FOR

888
00:33:08,558 --> 00:33:11,761
DATA SHARING AND ALSO TO BE ABLE

889
00:33:11,761 --> 00:33:14,464
TO ACQUIRE DATA FROM PEOPLE

890
00:33:14,464 --> 00:33:17,100
ACROSS THE FULL SPECTRUM OF

891
00:33:17,100 --> 00:33:19,469
THOSE WHO LIVE IN THE UNITED

892
00:33:19,469 --> 00:33:21,938
STATES AND THOSE ARE -- THOSE

893
00:33:21,938 --> 00:33:25,575
ARE BIG EFFORTS THAT WE'LL TAKE

894
00:33:25,575 --> 00:33:28,278
-- THAT WILL BE A SIGNIFICANT

895
00:33:28,278 --> 00:33:35,418
LIFT, BUT THOSE ARE OUR HIGHEST

896
00:33:35,418 --> 00:33:35,986
PRIORITIES AS WELL.

897
00:33:35,986 --> 00:33:37,587
>> THAT WAS A GREAT

898
00:33:37,587 --> 00:33:39,089
PRESENTATION, SOMETHING TO HEAR,

899
00:33:39,089 --> 00:33:41,124
I GUESS MY QUESTION KIND OF

900
00:33:41,124 --> 00:33:43,593
RELATES TO SOME OF THE POTENTIAL

901
00:33:43,593 --> 00:33:44,628
ORGANIZATIONAL CHANGES AND

902
00:33:44,628 --> 00:33:47,564
THINGS THAT THIS COMMITTEE WOULD

903
00:33:47,564 --> 00:33:52,636
WORK ON, WHERE IT'S OBVIOUSLY SO

904
00:33:52,636 --> 00:33:54,271
LABOR INTENSIVE TO IMPLEMENT

905
00:33:54,271 --> 00:33:55,205
THOSE CHANGES, BUT MY QUESTION

906
00:33:55,205 --> 00:33:57,274
IS MORE ARK ASSESSESMENT OF HOW

907
00:33:57,274 --> 00:33:59,576
THOSE CHANGES WILL IMPACT THOSE

908
00:33:59,576 --> 00:34:01,311
OUTCOMES THAT YOU SO ELOQUENTLY

909
00:34:01,311 --> 00:34:04,014
SPOKE TO WHICH IS ALSO JUST AS

910
00:34:04,014 --> 00:34:07,117
IMPORTANT I THINK, DOWN THE ROAD

911
00:34:07,117 --> 00:34:09,386
FOR THOSE CHANGES.

912
00:34:09,386 --> 00:34:11,087
YEAH, AND TO REALLY ANSWER YOUR

913
00:34:11,087 --> 00:34:12,122
QUESTION, YOU KNOW, WE WOULD

914
00:34:12,122 --> 00:34:15,192
HAVE TO DEAL WITH THE SPECIFICS,

915
00:34:15,192 --> 00:34:17,027
RIGHT BECAUSE, YOU KNOW, ANY

916
00:34:17,027 --> 00:34:19,329
CHANGE CAN CREATE BENEFIT AND

917
00:34:19,329 --> 00:34:20,397
UNINTENDED CONSEQUENCES AND I

918
00:34:20,397 --> 00:34:22,332
THINK THE SPECIFICS REALLY,

919
00:34:22,332 --> 00:34:24,234
REALLY MATTER.

920
00:34:24,234 --> 00:34:27,070
I CAN SAY THAT AGAIN, IN THIS

921
00:34:27,070 --> 00:34:31,041
TIME WHEN WE HAVE TO BE -- WE

922
00:34:31,041 --> 00:34:32,442
HAVE TO USE EVERY DOLLAR WE GET

923
00:34:32,442 --> 00:34:34,778
FROM THE PUBLIC IN THE VERY BEST

924
00:34:34,778 --> 00:34:37,147
POSSIBLE WAY TO PRODUCE THE VERY

925
00:34:37,147 --> 00:34:38,949
BEST POSSIBLE RESEARCH.

926
00:34:38,949 --> 00:34:41,251
AND THERE ARE ALWAYS DISCUSSIONS

927
00:34:41,251 --> 00:34:43,220
OUT THERE AS TO WHAT THE

928
00:34:43,220 --> 00:34:47,724
STRATEGIES AND THE APPROACHES TO

929
00:34:47,724 --> 00:34:49,059
ACHIEVE THAT.

930
00:34:49,059 --> 00:34:50,126
SO, REALLY ANYTHING CAN BE ON

931
00:34:50,126 --> 00:34:53,196
THE TABLE WHEN IT COMES TO HOW

932
00:34:53,196 --> 00:34:55,398
WE CAN DELIVER BETTER RESEARCH

933
00:34:55,398 --> 00:34:57,667
RESULTS AND RESEARCH RESULTS

934
00:34:57,667 --> 00:35:02,572
THAT THE AMERICAN PEOPLE NEED.

935
00:35:02,572 --> 00:35:03,773
SO I GUESS WHAT I'M SAYING IS

936
00:35:03,773 --> 00:35:05,442
THAT WE NEED TO BE ABSOLUTELY

937
00:35:05,442 --> 00:35:07,611
OPEN TO THINKING ABOUT WHAT CAN

938
00:35:07,611 --> 00:35:10,614
MOVE US FORWARD BUT ALSO VERY

939
00:35:10,614 --> 00:35:13,483
MINDFUL OF THE FACT THAT WHAT

940
00:35:13,483 --> 00:35:15,218
WE'RE DOING IS WITH PRECIOUS

941
00:35:15,218 --> 00:35:16,987
DOLLARS AND WE CAN'T JUST, YOU

942
00:35:16,987 --> 00:35:19,589
KNOW, WE HAVE TO BE VERY CAREFUL

943
00:35:19,589 --> 00:35:20,924
IN MAKING ANY CHANGES TO MAKE

944
00:35:20,924 --> 00:35:23,793
SURE THAT WE DON'T DO MORE HARM

945
00:35:23,793 --> 00:35:24,327
THAN GOOD, FRANKLY.

946
00:35:24,327 --> 00:35:25,662
I GUESS THE LAST THING I WILL

947
00:35:25,662 --> 00:35:29,499
SAY VERY QUICKLY IS THAT WE HAVE

948
00:35:29,499 --> 00:35:30,900
HEARD A CALL FOR, YOU KNOW

949
00:35:30,900 --> 00:35:33,970
COLLAPSE THE INSTITUTES AND

950
00:35:33,970 --> 00:35:36,273
CENTERS, YOU KNOW, HAVE FEWER --

951
00:35:36,273 --> 00:35:40,577
I WILL JUST GIVE YOU MY PERSONAL

952
00:35:40,577 --> 00:35:41,144
IMPRESSION OF THAT.

953
00:35:41,144 --> 00:35:45,548
BEFORE I CAME TO NIH, I KIND OF

954
00:35:45,548 --> 00:35:47,117
BOUGHT INTO OH IT'S A WHOLE

955
00:35:47,117 --> 00:35:51,521
BUNCH OF SILOS AND NOBODY'S

956
00:35:51,521 --> 00:35:52,756
WORKING TOGETHER AND YOU KNOW

957
00:35:52,756 --> 00:35:54,391
WOULDN'T IT BE GREAT IF YOU

958
00:35:54,391 --> 00:35:56,893
ROLLED A FEW MORE TOGETHER

959
00:35:56,893 --> 00:35:58,194
BECAUSE OF COLLABORATION,

960
00:35:58,194 --> 00:35:58,762
ABSOLUTELY THE OPPOSITE.

961
00:35:58,762 --> 00:36:01,197
AND I THINK WHEN YOU ARE ABLE TO

962
00:36:01,197 --> 00:36:02,866
DIVE, I GAVE YOU 2 EXAMPLES BUT

963
00:36:02,866 --> 00:36:04,267
THERE ARE SO MANY AND LOOK AT

964
00:36:04,267 --> 00:36:05,335
THE CULTURE HERE, YOU WILL SEE

965
00:36:05,335 --> 00:36:07,771
THAT THAT IS NOT AN ISSUE, SO

966
00:36:07,771 --> 00:36:10,273
THAT'S NOT A REASON FOR

967
00:36:10,273 --> 00:36:10,740
CONSOLIDATING.

968
00:36:10,740 --> 00:36:11,841
OTHER REASONS MIGHT BE CAN YOU

969
00:36:11,841 --> 00:36:13,343
SAVE MORE RESOURCES WITH

970
00:36:13,343 --> 00:36:14,377
ADMINISTRATION, THIS KIND OF

971
00:36:14,377 --> 00:36:15,211
THING, YOU WILL DELIBERATE THAT

972
00:36:15,211 --> 00:36:17,080
AND LOOK AT THAT WITH THE PROPER

973
00:36:17,080 --> 00:36:18,248
DATA GIVEN TO YOU.

974
00:36:18,248 --> 00:36:19,649
THAT WILL BE 1 OF THE THINGS YOU

975
00:36:19,649 --> 00:36:25,622
WILL DO BUT THEN LAST OF ALL, I

976
00:36:25,622 --> 00:36:27,457
DO SUPPORT OUR CURRENT

977
00:36:27,457 --> 00:36:28,658
STRUCTURE, OUR CURRENT STRUCTURE

978
00:36:28,658 --> 00:36:31,428
OF INSTITUTES AND CENTERS

979
00:36:31,428 --> 00:36:34,731
BECAUSE WE ALSO NEED TO HAVE

980
00:36:34,731 --> 00:36:36,900
PEOPLE IN OUR -- PEOPLE IN THE

981
00:36:36,900 --> 00:36:38,635
COMMUNITIES, PEOPLE WE SERVE BE

982
00:36:38,635 --> 00:36:39,936
OUR PARTNERS IN THIS RESEARCH.

983
00:36:39,936 --> 00:36:41,971
WE TAKE THAT VERY SERIOUSLY.

984
00:36:41,971 --> 00:36:47,243
AND I JUST THINK IT REALLY DOES

985
00:36:47,243 --> 00:36:49,112
HELP FOR PEOPLE WHO HAVE CANCER

986
00:36:49,112 --> 00:36:51,514
TO HAVE A CANCER INSTITUTE OR

987
00:36:51,514 --> 00:36:53,850
PEOPLE WHO WORRY ABOUT KIDNEY

988
00:36:53,850 --> 00:36:54,317
DISEASE HAVE NIDDK.

989
00:36:54,317 --> 00:36:55,819
YOU SEE WHAT I MEAN AND WE

990
00:36:55,819 --> 00:36:57,320
ALREADY KIND OF SEE THIS BECAUSE

991
00:36:57,320 --> 00:37:00,523
I'LL GIVE YOU AN EXAMPLE,

992
00:37:00,523 --> 00:37:02,992
INCLUDE IS THE EXAMPLE OF A

993
00:37:02,992 --> 00:37:04,994
PROGRAM FOR PEOPLE WITH DOWNS

994
00:37:04,994 --> 00:37:06,563
SYNDROME THAT NEEDS, YOU KNOW

995
00:37:06,563 --> 00:37:09,065
THE HEART INSTITUTE, IT NEEDS

996
00:37:09,065 --> 00:37:11,401
NIDDK, IT NEEDS OUR INSTITUTE OF

997
00:37:11,401 --> 00:37:12,802
DEAFNESS AND COMMUNICATIVE

998
00:37:12,802 --> 00:37:15,839
DISORDERS, IT NEEDS ALL THOSE

999
00:37:15,839 --> 00:37:19,042
DIFFERENT ICs BUT THEIR FOCUS

1000
00:37:19,042 --> 00:37:26,015
IS THE EUNICE KENNEDY SHRIVER

1001
00:37:26,015 --> 00:37:28,651
INSTITUTE FOR CHILDHOOD

1002
00:37:28,651 --> 00:37:30,286
DEVELOPMENTAL -- SORRY, MY

1003
00:37:30,286 --> 00:37:33,923
APOLOGIES FOR FLUBBING THAT,

1004
00:37:33,923 --> 00:37:35,158
IT'S NICHD, BUT THAT'S THEIR

1005
00:37:35,158 --> 00:37:37,026
CENTER AND HOME AND THAT

1006
00:37:37,026 --> 00:37:38,328
INSTITUTE TAKES THAT VERY

1007
00:37:38,328 --> 00:37:39,629
SIRESLY AND HELPS DO ALL THE

1008
00:37:39,629 --> 00:37:40,830
COORDINATION, DO YOU SEE WHAT I

1009
00:37:40,830 --> 00:37:41,030
MEAN?

1010
00:37:41,030 --> 00:37:43,900
SO IF WE WERE TO COLLAPSE, WE

1011
00:37:43,900 --> 00:37:44,834
WOULD DEFINITELY LOSE SOMETHING

1012
00:37:44,834 --> 00:37:46,403
IN TERMS OF OUR ENGAGEMENT WITH

1013
00:37:46,403 --> 00:37:51,941
THE PUBLIC AND I THINK THAT'S

1014
00:37:51,941 --> 00:37:52,308
REALLY CRITICAL.

1015
00:37:52,308 --> 00:37:53,343
>> ANOTHER QUESTION FOR
YOU IS,

1016
00:37:53,343 --> 00:37:57,614
WHEN YOU LOOK AT THROUGHOUT ALL

1017
00:37:57,614 --> 00:38:00,483
THE 26 CENTERS THAT DOING

1018
00:38:00,483 --> 00:38:04,721
INCREDIBLE THINGS, HOW IMPORTANT

1019
00:38:04,721 --> 00:38:07,390
OR HOW PREVALENT IS THEIR FOCUS

1020
00:38:07,390 --> 00:38:08,525
ON HEALTHCARE DISPARITIES OR IS

1021
00:38:08,525 --> 00:38:10,393
THAT SOMETHING YOU'VE HEARD IN

1022
00:38:10,393 --> 00:38:12,228
YOUR TENURE HERE AND HOW SHOULD

1023
00:38:12,228 --> 00:38:12,829
WE CONSIDER THAT?

1024
00:38:12,829 --> 00:38:16,699
>> SO I THINK I CAN
HONESTLY

1025
00:38:16,699 --> 00:38:18,668
SAY, YOU KNOW, WE NEED FOR 2

1026
00:38:18,668 --> 00:38:20,970
HOURS EVERY SINGLE WEEK, ALL THE

1027
00:38:20,970 --> 00:38:23,907
DIRECTORS OF ALL THE INSTITUTES

1028
00:38:23,907 --> 00:38:26,142
AND CENTERS, AND I THINK I CAN

1029
00:38:26,142 --> 00:38:27,343
HONESTLY SAY I DON'T THINK

1030
00:38:27,343 --> 00:38:29,112
THERE'S BEEN A SINGLE MEETING

1031
00:38:29,112 --> 00:38:31,514
WHEN 2 THINGS, 2 TOPICS DON'T

1032
00:38:31,514 --> 00:38:34,484
COME UP, OUR YOUNG TRAINEES, THE

1033
00:38:34,484 --> 00:38:36,419
YOUNG GENERATION, WHO'S COMING

1034
00:38:36,419 --> 00:38:39,722
NEXT AND HEALTH DISPARITIES.

1035
00:38:39,722 --> 00:38:42,692
I MEAN IT IS JUST SO -- EVERYONE

1036
00:38:42,692 --> 00:38:43,827
UNDERSTANDS THE DEPTH OF THIS

1037
00:38:43,827 --> 00:38:48,465
ISSUE AND HOW CRITICAL NIH IS TO

1038
00:38:48,465 --> 00:38:50,433
SOLVING IT AND THOSE 2 ISSUES

1039
00:38:50,433 --> 00:39:00,844
ARE ALWAYS TOP OF MIND.

1040
00:39:02,245 --> 00:39:03,079
>> MARK?

1041
00:39:03,079 --> 00:39:04,481
>> THANKS FOR A VERY
INTERESTING

1042
00:39:04,481 --> 00:39:05,048
PRESENTATION AND I'M VERY

1043
00:39:05,048 --> 00:39:07,116
INTERESTED IN THE TARGETED

1044
00:39:07,116 --> 00:39:09,385
OUTREACH PARTICULARLY FOR

1045
00:39:09,385 --> 00:39:10,487
CLINICALLY RELEVANT GROUPS THAT

1046
00:39:10,487 --> 00:39:14,057
DEVELOP, BUT FOLLOWING UP ON

1047
00:39:14,057 --> 00:39:15,458
DR. WIN'S COMMENT ABOUT TRUST,

1048
00:39:15,458 --> 00:39:18,962
I'M WONDERING WHAT WE CAN DO

1049
00:39:18,962 --> 00:39:25,001
THAT WOULD IMPROVE TRUST ACROSS

1050
00:39:25,001 --> 00:39:26,069
THE POPULATION?

1051
00:39:26,069 --> 00:39:28,338
IF THE TAX HOLDER VIEWS

1052
00:39:28,338 --> 00:39:29,739
THEMSELVES AS SHAREHOLDERS IN

1053
00:39:29,739 --> 00:39:30,640
THEIR ORGANIZATION BECAUSE

1054
00:39:30,640 --> 00:39:33,343
THEY'RE FUNDING IT, WHAT DO WE

1055
00:39:33,343 --> 00:39:35,345
GIVE THEM IN RETURN, THE AVERAGE

1056
00:39:35,345 --> 00:39:37,480
PERSON WHO THINKS THEY'RE GOING

1057
00:39:37,480 --> 00:39:39,983
TO LIVE FOREVER, THEY DON'T NEED

1058
00:39:39,983 --> 00:39:42,685
VACCINES, THEY DON'T NEED

1059
00:39:42,685 --> 00:39:47,524
FLUORIDE, HOW DO WE EDUCATE

1060
00:39:47,524 --> 00:39:47,724
THEM?

1061
00:39:47,724 --> 00:39:48,825
CONVINCE THEM OF THE WOW OF THE

1062
00:39:48,825 --> 00:39:52,462
SCIENCE THAT'S DONE AT THE

1063
00:39:52,462 --> 00:39:55,899
INSTITUTE AND MAKE THEM MORE

1064
00:39:55,899 --> 00:39:56,900
SCIENCE LITERATE SO THAT THEY

1065
00:39:56,900 --> 00:39:58,234
WERE APPRECIATE THE MISSION OF

1066
00:39:58,234 --> 00:39:58,768
NIH.

1067
00:39:58,768 --> 00:40:01,971
YOU KNOW WHERE I SIT IN THE

1068
00:40:01,971 --> 00:40:05,275
HINTA LANDS AND WE'RE RELATIVELY

1069
00:40:05,275 --> 00:40:06,910
[INDISCERNIBLE] BUT NOT COMHOO

1070
00:40:06,910 --> 00:40:10,713
PLETELY, I  DON'T THINK THIS IS

1071
00:40:10,713 --> 00:40:13,116
AN ISSUE, I DON'T THINK ANY OF

1072
00:40:13,116 --> 00:40:13,883
MY NEIGHBORS UNDERSTAND WHAT

1073
00:40:13,883 --> 00:40:16,052
GOES ON AT THE NIH BUT THEY MAY

1074
00:40:16,052 --> 00:40:17,687
KNOW THAT THEIR TAX DOLLARS COME

1075
00:40:17,687 --> 00:40:19,455
HERE, SO HOW DO WE BRIDGE THAT

1076
00:40:19,455 --> 00:40:20,423
GAP AND IMPROVE TRUST THROUGH

1077
00:40:20,423 --> 00:40:23,927
EDUCATION AND THE WOW OF SCIENCE

1078
00:40:23,927 --> 00:40:34,370
WHICH HAS TO ACCOMPANY IT?

1079
00:40:35,905 --> 00:40:38,308
>> SO I THINK -- I DO
THINK WE

1080
00:40:38,308 --> 00:40:41,611
COULD DO MORE TO MAKE THE

1081
00:40:41,611 --> 00:40:46,816
AMERICAN PEOPLE AWARE OF THE

1082
00:40:46,816 --> 00:40:49,352
FACT THAT NOT ONLY DOES 11% OF

1083
00:40:49,352 --> 00:40:50,753
OUR PORTFOLIO FUND THE AMAZING

1084
00:40:50,753 --> 00:40:53,523
WORK DONE HERE ON THIS CAMPUS AT

1085
00:40:53,523 --> 00:40:54,691
NIH THAT'S TAKING CARE OF THE

1086
00:40:54,691 --> 00:40:58,328
RAREST OF THE RARE, REALLY

1087
00:40:58,328 --> 00:41:00,063
THINGS THAT CANNOT DO ANY PLACE

1088
00:41:00,063 --> 00:41:01,998
ELSE THAT ALSO OUR WORK FUNDS

1089
00:41:01,998 --> 00:41:03,600
RESEARCH THAT'S DONE ACROSS THE

1090
00:41:03,600 --> 00:41:04,901
ENTIRE UNITED STATES, ALL 50

1091
00:41:04,901 --> 00:41:08,938
STATES IN AND THE DISTRICT OF

1092
00:41:08,938 --> 00:41:09,806
COLUMBIA AND THAT THAT

1093
00:41:09,806 --> 00:41:11,274
UNIVERSITY THAT USUALLY PEOPLE

1094
00:41:11,274 --> 00:41:13,109
ARE VERY PROUD OF, IN THEIR

1095
00:41:13,109 --> 00:41:16,412
STATE OR THEIR HOME TOWN IS

1096
00:41:16,412 --> 00:41:20,450
FUNDED BY THE NIH TO DO A VAST

1097
00:41:20,450 --> 00:41:22,085
AMOUNT OF ITS RESEARCH.

1098
00:41:22,085 --> 00:41:23,586
I WON'T SAY MAJORITY BECAUSE

1099
00:41:23,586 --> 00:41:25,021
ALSO THERE'S -- THERE ARE MANY

1100
00:41:25,021 --> 00:41:28,891
FACTORS THAT GO INTO OUR COMPLEX

1101
00:41:28,891 --> 00:41:30,493
ECOSYSTEM BUT THAT'S 1 THING,

1102
00:41:30,493 --> 00:41:35,665
MAYBE WE COULD DO BETTER.

1103
00:41:35,665 --> 00:41:37,934
AND IS TO TIE THIS -- I COME

1104
00:41:37,934 --> 00:41:39,369
BACK TO TIE TO WHAT MATTERS TO

1105
00:41:39,369 --> 00:41:41,738
THEM AND WHAT MATTERS TO THEM IS

1106
00:41:41,738 --> 00:41:45,241
LOCAL, MORE THAN IT IS NATIONAL.

1107
00:41:45,241 --> 00:41:48,411
AND SO THE LOCAL UNIVERSITIES,

1108
00:41:48,411 --> 00:41:50,079
THE LOCAL THINGS LIKE HEALTH

1109
00:41:50,079 --> 00:41:51,481
NETWORK, THINGS LIKE MANY

1110
00:41:51,481 --> 00:41:52,749
OUTREACH PROGRAMS, YOU KNOW,

1111
00:41:52,749 --> 00:41:54,651
THAT'S NOT THE ONLY 1, YOU KNOW

1112
00:41:54,651 --> 00:41:55,718
THE HEAL INITIATIVE, MANY OF

1113
00:41:55,718 --> 00:41:57,587
THESE THINGS ARE OUT IN VERY

1114
00:41:57,587 --> 00:41:59,322
DIVERSE COMMUNITIES, MAKE IT

1115
00:41:59,322 --> 00:42:00,556
VERY CLEAR, THAT'S TAXPAYER

1116
00:42:00,556 --> 00:42:03,059
DOLLARS THAT ARE BRINGING THAT

1117
00:42:03,059 --> 00:42:03,993
WORK TO THEM.

1118
00:42:03,993 --> 00:42:04,560
IT'S ANOTHER THOUGHT.

1119
00:42:04,560 --> 00:42:08,297
AND I WOULD BE VERY HAPPY --

1120
00:42:08,297 --> 00:42:10,299
VERY, VERY OPEN TO SUGGESTIONS.

1121
00:42:10,299 --> 00:42:13,503
I WOULD SAY THAT WE ALSO TAKE

1122
00:42:13,503 --> 00:42:16,105
VERY SERIOUSLY OUR MANDATE TO BE

1123
00:42:16,105 --> 00:42:17,940
VERY ACCOUNTABLE AND VERY

1124
00:42:17,940 --> 00:42:19,542
TRANSPARENT IN WHAT WE DO AS

1125
00:42:19,542 --> 00:42:21,377
WELL AND I THINK THAT'S ANOTHER

1126
00:42:21,377 --> 00:42:27,316
IMPORTANT PART OF TRUST.

1127
00:42:27,316 --> 00:42:28,384
>> SO MONICA, MAYBE YOU
CAN

1128
00:42:28,384 --> 00:42:30,420
SHARE WITH THE GROUP YOUR RECENT

1129
00:42:30,420 --> 00:42:33,923
EXPERIENCE TALKING TO A HIGH

1130
00:42:33,923 --> 00:42:34,757
SCHOOL?

1131
00:42:34,757 --> 00:42:37,860
>> YES, I DID. 

1132
00:42:37,860 --> 00:42:42,932
I WAS VISITING ARKANSAS,

1133
00:42:42,932 --> 00:42:44,767
NORTHWEST ARKANSAS WITH CONGRESS

1134
00:42:44,767 --> 00:42:46,569
WOMACK AND SENATOR BOZMAN A

1135
00:42:46,569 --> 00:42:48,738
COUPLE WEEKS AGO AND I HAD AN

1136
00:42:48,738 --> 00:42:50,740
OPPORTUNITY TO GO TO A BIG

1137
00:42:50,740 --> 00:42:54,143
ASSEMBLY WITH 3 DIFFERENT HIGH

1138
00:42:54,143 --> 00:42:55,545
SCHOOLS AND GOT TO TAKE

1139
00:42:55,545 --> 00:42:55,878
QUESTIONS.

1140
00:42:55,878 --> 00:42:58,247
IT WAS VERY BRIEF LITTLE 2

1141
00:42:58,247 --> 00:43:00,750
MINUTE TALK ABOUT MOSTLY ABOUT

1142
00:43:00,750 --> 00:43:04,020
CAN I ANSWER YOUR QUESTIONS?

1143
00:43:04,020 --> 00:43:11,761
AND IT WAS ABSOLUTELY THRILLING.

1144
00:43:11,761 --> 00:43:13,463
I DON'T KNOW -- ANYTIME YOU GET

1145
00:43:13,463 --> 00:43:15,231
DOWN ABOUT ANYTHING IN OUR WORLD

1146
00:43:15,231 --> 00:43:17,500
IN BIOMEDICAL RESEARCH AND

1147
00:43:17,500 --> 00:43:19,268
SCIENCE, AND HEALTHCARE, JUST

1148
00:43:19,268 --> 00:43:20,503
SPENDING A LITTLE BIT OF TIME

1149
00:43:20,503 --> 00:43:21,704
WITH THE YOUNG PEOPLE WHO ARE

1150
00:43:21,704 --> 00:43:25,675
REALLY GOING TO BE THE UP AND

1151
00:43:25,675 --> 00:43:27,910
COMING, IS JUST ABSOLUTELY

1152
00:43:27,910 --> 00:43:28,711
REJUVENATING AND THRILLING.

1153
00:43:28,711 --> 00:43:30,780
I MEAN THEY ASK ME BETTER

1154
00:43:30,780 --> 00:43:32,415
QUESTIONS THAT I'VE GOTTEN OUT

1155
00:43:32,415 --> 00:43:34,517
OF ANY AUDIENCE, THEY WERE

1156
00:43:34,517 --> 00:43:39,388
INCREDIBLY WELL INFORMED AND

1157
00:43:39,388 --> 00:43:41,257
THEY NEW EXACTLY WHAT THE

1158
00:43:41,257 --> 00:43:42,925
IMPORTANCE OF RESEARCH AND

1159
00:43:42,925 --> 00:43:44,293
CAREER DEVELOPMENT AND WHAT WE

1160
00:43:44,293 --> 00:43:46,729
DO AT NIH AND IT WAS JUST

1161
00:43:46,729 --> 00:43:47,029
DELIGHTFUL.

1162
00:43:47,029 --> 00:43:50,133
SO THANK YOU FOR BRINGING THAT

1163
00:43:50,133 --> 00:43:50,867
UP LARRY.

1164
00:43:50,867 --> 00:43:52,668
IT WAS DEFINITELY THE HIGHLIGHT

1165
00:43:52,668 --> 00:43:55,037
OF PROBABLY EVERYTHING I'VE DONE

1166
00:43:55,037 --> 00:43:56,639
LAST YEAR SITTING DOWN, BEING

1167
00:43:56,639 --> 00:44:00,777
ABLE TO HAVE THAT TIME WITH

1168
00:44:00,777 --> 00:44:03,780
THOSE YOUNG PEOPLE.

1169
00:44:03,780 --> 00:44:04,247
>> NORA?

1170
00:44:04,247 --> 00:44:05,815
>> HI, MONICA THANKS A
LOT, YOU

1171
00:44:05,815 --> 00:44:07,650
STARTED THE PRESENTATION SHOWING

1172
00:44:07,650 --> 00:44:09,318
US A SLIDE WHICH INDICATES THAT

1173
00:44:09,318 --> 00:44:12,255
THE UNITED STATES ACTUAL LOW HAS

1174
00:44:12,255 --> 00:44:14,323
SOME OF THE HIGHEST INVESTMENTS

1175
00:44:14,323 --> 00:44:15,925
ON HEALTHCARE, AND WE KNOW THAT

1176
00:44:15,925 --> 00:44:20,596
AND YET WE'RE RANKING # 10,

1177
00:44:20,596 --> 00:44:22,064
WE'RE ALSO 1 OF THE COUNTRIES

1178
00:44:22,064 --> 00:44:23,366
THAT INVESTS THE MOST MONEY IN

1179
00:44:23,366 --> 00:44:25,501
SCIENCE AND HEALTH AND WE ARE

1180
00:44:25,501 --> 00:44:26,669
SEEING A DISCONNECT IN WHY WE

1181
00:44:26,669 --> 00:44:27,136
SEE IT.

1182
00:44:27,136 --> 00:44:28,704
THAT IS A MAJOR GAP, AND AS

1183
00:44:28,704 --> 00:44:29,872
WE'RE DISCUSSING THE WHOLE ISSUE

1184
00:44:29,872 --> 00:44:32,041
OF TRUST, IT ACTUALLY LED ME

1185
00:44:32,041 --> 00:44:33,676
INTO THE SCIENTIFIC QUESTION OF

1186
00:44:33,676 --> 00:44:35,678
ALSO AS NIH, AND AS SORT OF

1187
00:44:35,678 --> 00:44:37,280
DIRECTORS OF VARIOUS INSTITUTES,

1188
00:44:37,280 --> 00:44:40,216
HOW SHOULD WE BE TACKLING

1189
00:44:40,216 --> 00:44:43,085
SCIENCE TO ADDRESS WHAT APPEARS

1190
00:44:43,085 --> 00:44:46,289
TO BE THAT DISCREPANCIES IN OUR

1191
00:44:46,289 --> 00:44:48,057
ADVANCES AND OUR ABILITY OF WHAT

1192
00:44:48,057 --> 00:44:50,226
YOU SAID AT THE END HERE WHICH

1193
00:44:50,226 --> 00:44:50,893
IS THE COMMUNITY?

1194
00:44:50,893 --> 00:44:53,529
>> YEAH, THIS IS WHY I DO
KNOW

1195
00:44:53,529 --> 00:44:55,798
THAT IT IS CRITICAL FOR US TO

1196
00:44:55,798 --> 00:44:58,100
CONTINUE OUR VERY, VERY SOLID

1197
00:44:58,100 --> 00:44:58,968
CERTAINTY OF FUNDAMENTAL

1198
00:44:58,968 --> 00:44:59,202
SCIENCE.

1199
00:44:59,202 --> 00:45:01,904
THERE'S NO QUESTION. 

1200
00:45:01,904 --> 00:45:03,406
THAT'S WHERE THE NEW MIRACLE --

1201
00:45:03,406 --> 00:45:05,408
TRULY AND SOME OF THEM TRULY

1202
00:45:05,408 --> 00:45:06,042
MIRACULOUS.

1203
00:45:06,042 --> 00:45:08,144
YOU KNOW WE'VE SEEN EVEN

1204
00:45:08,144 --> 00:45:09,745
RECENTLY, SOME BREAKTHROUGHS IN

1205
00:45:09,745 --> 00:45:12,582
TREATMENT OF AUTOIMMUNE DEC, IN

1206
00:45:12,582 --> 00:45:14,450
TREATMENT OF ALS, IN TREATMENT

1207
00:45:14,450 --> 00:45:16,052
OF DIABETES, I MEAN I COULD GO

1208
00:45:16,052 --> 00:45:18,554
ON AND ON, THAT COMES FROM

1209
00:45:18,554 --> 00:45:19,589
FUNDAMENTAL SCIENCE SO WE CANNOT

1210
00:45:19,589 --> 00:45:22,225
LET UP ON THAT, BUT WHAT I'M

1211
00:45:22,225 --> 00:45:23,426
TRYING TO EMPHASIZE, BY SHOWING

1212
00:45:23,426 --> 00:45:25,828
THAT SLIDE AND ALSO BY PUTTING

1213
00:45:25,828 --> 00:45:27,330
OUT PROGRAMS LIKE CARE FOR

1214
00:45:27,330 --> 00:45:31,367
HEALTH AND LIKE HEAL AND LIKE

1215
00:45:31,367 --> 00:45:33,669
SEAL, SOME OF OUR OTHER OUTREACH

1216
00:45:33,669 --> 00:45:38,741
PROGRAMS IS THAT WE CANNOT

1217
00:45:38,741 --> 00:45:39,442
IGNORE HEALTH DELIVERY EITHER.

1218
00:45:39,442 --> 00:45:42,011
AND THAT IS AN AREA OF RESEARCH,

1219
00:45:42,011 --> 00:45:45,781
WE'RE FOCUS ON THE HEALTHCARE

1220
00:45:45,781 --> 00:45:48,384
DELIVERY SYSTEM, BUT WE NEED TO

1221
00:45:48,384 --> 00:45:53,522
UNDERSTAND WHY PEOPLE'S HEALTH

1222
00:45:53,522 --> 00:45:54,991
IS WORSE.

1223
00:45:54,991 --> 00:45:57,960
THE COMPONENTS OF IT I BELIEVE

1224
00:45:57,960 --> 00:45:59,362
ARE DELIVERY SYSTEM, TO A

1225
00:45:59,362 --> 00:46:00,296
CERTAIN DEGREE ACCESS TO CARE.

1226
00:46:00,296 --> 00:46:02,865
I GREW UP IN A RURAL LOCATION, I

1227
00:46:02,865 --> 00:46:04,367
GREW UP 98-MILES FROM THE

1228
00:46:04,367 --> 00:46:05,301
DOCTORS OFFICE.

1229
00:46:05,301 --> 00:46:07,603
I KNOW HOW CHALLENGING IT IS FOR

1230
00:46:07,603 --> 00:46:08,571
RURAL COMMUNITIES TO HAVE ACCESS

1231
00:46:08,571 --> 00:46:12,808
TO CARE AND I KNOW THAT HURTS

1232
00:46:12,808 --> 00:46:13,643
THEIR HEALTH OUTCOMES.

1233
00:46:13,643 --> 00:46:17,713
SO IT'S ACCESS TO CARE, BUT IT'S

1234
00:46:17,713 --> 00:46:19,081
ALSO, ALL SO MANY SOCIAL AND

1235
00:46:19,081 --> 00:46:20,349
ENVIRONMENTAL THINGS THAT ARE

1236
00:46:20,349 --> 00:46:21,918
DIFFERENT IN EVERY COMMUNITY,

1237
00:46:21,918 --> 00:46:24,587
YOU KNOW, WHAT THE DIET IS, WHAT

1238
00:46:24,587 --> 00:46:26,656
THE -- YOU KNOW EFFECTS OF

1239
00:46:26,656 --> 00:46:27,256
CLIMATE CHANGE.

1240
00:46:27,256 --> 00:46:29,659
YOU CAN THINK OF MANY OTHER

1241
00:46:29,659 --> 00:46:31,594
SOCIETAL AND SOCIAL FACTORS AND

1242
00:46:31,594 --> 00:46:33,429
THAT'S GOT TO BE SOMETHING WE

1243
00:46:33,429 --> 00:46:39,035
PAY ATTENTION TO AND THAT MEANS

1244
00:46:39,035 --> 00:46:39,669
AND THAT'S REALLY IMPORTANT

1245
00:46:39,669 --> 00:46:44,473
RESEARCH IN THOSE AREAS.

1246
00:46:44,473 --> 00:46:47,376
ANY ADDITIONAL COMMENTS OR

1247
00:46:47,376 --> 00:46:48,244
QUESTION?

1248
00:46:48,244 --> 00:46:50,613
MIKE? 

1249
00:46:50,613 --> 00:46:51,547
>> MONICA, THANK YOU.

1250
00:46:51,547 --> 00:46:52,715
I WAS WONDERING IF YOU COULD

1251
00:46:52,715 --> 00:46:57,820
SPEAK TO WHAT WILL HAPPEN TO THE

1252
00:46:57,820 --> 00:46:58,688
SMRB REPORT.

1253
00:46:58,688 --> 00:46:59,722
LIKE FOR EXAMPLE, I'M REALLY

1254
00:46:59,722 --> 00:47:01,157
WONDERING WHO THE AUDIENCE FOR

1255
00:47:01,157 --> 00:47:03,292
THE REPORT WILL BE AND HOW WILL

1256
00:47:03,292 --> 00:47:04,593
THE REPORT TIE INTO EVERYTHING

1257
00:47:04,593 --> 00:47:07,930
ELSE THAT WE'RE HEARING IN THE

1258
00:47:07,930 --> 00:47:09,131
NEWS ABOUT?

1259
00:47:09,131 --> 00:47:12,601
>> SO THIS IS OUR -- THIS
IS A

1260
00:47:12,601 --> 00:47:13,102
FACA COMMITTEE, CORRECT?

1261
00:47:13,102 --> 00:47:19,208
THIS IS A FACA COMMITTEE WHICH

1262
00:47:19,208 --> 00:47:21,043
IS WONDERFUL BECAUSE THIS -- THE

1263
00:47:21,043 --> 00:47:22,211
PRODUCTIVITY OF THIS COMMITTEE

1264
00:47:22,211 --> 00:47:24,714
WILL BE AVAILABLE TO THE PUBLIC,

1265
00:47:24,714 --> 00:47:26,582
IT WILL BE TRANSPARENT, IT WILL

1266
00:47:26,582 --> 00:47:29,752
BE -- AS WELL AS OUR

1267
00:47:29,752 --> 00:47:33,122
DELIBERATIONS AND RESPONSES AND

1268
00:47:33,122 --> 00:47:34,290
SO, I PERSONALLY VIEW EVERY

1269
00:47:34,290 --> 00:47:37,259
SINGLE 1 OF THESE COMMITTEES AS

1270
00:47:37,259 --> 00:47:41,831
OUR OPPORTUNITY TO REALLY ENGAGE

1271
00:47:41,831 --> 00:47:42,498
THOUGHTFULLY, WITH

1272
00:47:42,498 --> 00:47:45,768
REPRESENTATIVES OF THE PEOPLE WE

1273
00:47:45,768 --> 00:47:47,570
SERVE TO MAKE SURE THAT YOU KNOW

1274
00:47:47,570 --> 00:47:50,673
WE GET THE VERY BEST ADVICE THAT

1275
00:47:50,673 --> 00:47:53,109
WE CAN HAVE TO DO OUR WORK

1276
00:47:53,109 --> 00:47:53,442
BETTER.

1277
00:47:53,442 --> 00:47:56,645
SO I THINK THESE -- THAT'S WHY

1278
00:47:56,645 --> 00:47:59,181
THIS IS CRITICAL AND YOU ALL,

1279
00:47:59,181 --> 00:48:00,449
AGAIN, I THANK YOU SO MUCH

1280
00:48:00,449 --> 00:48:02,418
BECAUSE YOU ARE OUR

1281
00:48:02,418 --> 00:48:07,023
REPRESENTATIVES OF THE PEOPLE WE

1282
00:48:07,023 --> 00:48:07,223
SERVE.

1283
00:48:07,223 --> 00:48:12,728
NOKAY, ANY FINAL QUESTIONS?

1284
00:48:12,728 --> 00:48:13,396
YES, PLEASE?

1285
00:48:13,396 --> 00:48:15,398
>> SO THAT REPORT THAT YOU

1286
00:48:15,398 --> 00:48:17,666
QUOTED, AND SHOWED US, WAS NOT

1287
00:48:17,666 --> 00:48:23,005
THE FIRST ITERATION OF IT I

1288
00:48:23,005 --> 00:48:24,206
REMEMBER IT WAS 5 PRIOR OR

1289
00:48:24,206 --> 00:48:25,941
SOMETHING LIKE THAT AND THINGS

1290
00:48:25,941 --> 00:48:26,976
HAVEN'T CHANGED.

1291
00:48:26,976 --> 00:48:27,743
>> THEY'VE GOTTEN WORSE.

1292
00:48:27,743 --> 00:48:28,044
>> YEAH.

1293
00:48:28,044 --> 00:48:32,615
SO WHATEVER WE'RE DOING DOESN'T

1294
00:48:32,615 --> 00:48:33,616
-- WE COLLECTIVELY DOESN'T SEEM

1295
00:48:33,616 --> 00:48:35,351
TO BE GETTING THE DESIRED

1296
00:48:35,351 --> 00:48:37,319
OUTCOME, HOW DO WE CHANGE THAT?

1297
00:48:37,319 --> 00:48:38,687
>> WELL, SO I THINK CARE
FOR

1298
00:48:38,687 --> 00:48:40,823
HEGHT IS A BIG PART OF IT.

1299
00:48:40,823 --> 00:48:42,625
WE NEED TO BRING IN THESE

1300
00:48:42,625 --> 00:48:43,059
COMMUNITIES.

1301
00:48:43,059 --> 00:48:44,293
WE NEED TO BRING RESEARCH, IT

1302
00:48:44,293 --> 00:48:46,996
WILL IMPROVE THEIR CARE AND WE

1303
00:48:46,996 --> 00:48:49,732
WILL START TO ADDRESS SOME OF

1304
00:48:49,732 --> 00:48:51,133
THE CORE PROBLEMS BEHIND THIS

1305
00:48:51,133 --> 00:48:51,467
ISSUE.

1306
00:48:51,467 --> 00:48:53,069
I WILL GIVE YOU ANOTHER 1 THEY

1307
00:48:53,069 --> 00:48:55,805
REALLY CARE ABOUT A LOT, OUR

1308
00:48:55,805 --> 00:48:57,306
DATA AREN'T AS GOOD AS THEY NEED

1309
00:48:57,306 --> 00:48:57,907
TO BE.

1310
00:48:57,907 --> 00:49:00,543
AND WHAT I'M TALKING ABOUT ARE

1311
00:49:00,543 --> 00:49:02,011
DATA FROM THE CLINICAL CARE

1312
00:49:02,011 --> 00:49:02,311
ENVIRONMENT.

1313
00:49:02,311 --> 00:49:06,982
ONE OF THE THINGS I DEARLY WANT

1314
00:49:06,982 --> 00:49:11,720
TO FIX IS A CHALLENGE WITH DATA

1315
00:49:11,720 --> 00:49:12,488
FROM THESE ENVIRONMENTS.

1316
00:49:12,488 --> 00:49:15,791
OKAY, SO I WILL GIVE YOU A VERY

1317
00:49:15,791 --> 00:49:16,759
CONCRETE EXAMPLE.

1318
00:49:16,759 --> 00:49:18,828
THE SEER REGISTRY, THE RECARD WE

1319
00:49:18,828 --> 00:49:22,198
GET EVERY YEAR ABOUT HOW ARE WE

1320
00:49:22,198 --> 00:49:24,300
DOING FOR OUTCOMES IN CANCER,

1321
00:49:24,300 --> 00:49:27,269
BECAUSE OF THE DATA SYSTEMS WE

1322
00:49:27,269 --> 00:49:29,238
HAVE TO RELY ON RIGHT NOW, THAT

1323
00:49:29,238 --> 00:49:31,240
DAT IS 3 YEARS OLD BEFORE WE

1324
00:49:31,240 --> 00:49:33,142
EVER EACH GET TO SEE IT.

1325
00:49:33,142 --> 00:49:35,778
NOW I KNOW THAT THERE ARE SOME

1326
00:49:35,778 --> 00:49:37,913
THINGS, I THINK DR. VOLKOW CAN

1327
00:49:37,913 --> 00:49:40,516
GIVE YOU EXAMPLES LATER ABOUT

1328
00:49:40,516 --> 00:49:42,685
HOW WE KNOW THAT SOME OF THE

1329
00:49:42,685 --> 00:49:44,487
THINGS SEEM TO BE -- WE SEEM TO

1330
00:49:44,487 --> 00:49:47,890
BE MAKING SOME HEAD WAY IN SOME

1331
00:49:47,890 --> 00:49:50,559
AREAS BUT WE DO HAVE THIS REALLY

1332
00:49:50,559 --> 00:49:51,827
LONG DATA LAG, AND IT WOULD BE

1333
00:49:51,827 --> 00:49:53,362
REALLY NICE TO BE ABLE TO

1334
00:49:53,362 --> 00:49:55,898
RESPOND TO THINGS IN A MORE

1335
00:49:55,898 --> 00:50:00,069
TIMELY MANNER, THAT'S GOING TO

1336
00:50:00,069 --> 00:50:03,539
TAKE A REALLY BROAD ALL OF

1337
00:50:03,539 --> 00:50:04,607
GOVERNMENT APPROACH TO BEING

1338
00:50:04,607 --> 00:50:07,543
ABLE TO ACHIEVE BETTER

1339
00:50:07,543 --> 00:50:08,244
UNDERSTANDING JUST OF WHAT'S

1340
00:50:08,244 --> 00:50:12,114
GOING OUT THERE IN MORE

1341
00:50:12,114 --> 00:50:12,715
REALTIME.

1342
00:50:12,715 --> 00:50:13,916
>> GREAT.

1343
00:50:13,916 --> 00:50:15,784
JUST MAKING SURE THAT ALBERT,

1344
00:50:15,784 --> 00:50:18,387
JAMES OR LINDE DON'T HAVE ANY

1345
00:50:18,387 --> 00:50:19,121
COMMENTS BECAUSE SOMETIMES WHEN

1346
00:50:19,121 --> 00:50:22,324
THEY'RE NOT IN THE ROOM -- YES,

1347
00:50:22,324 --> 00:50:22,992
JAMES, PLEASE.

1348
00:50:22,992 --> 00:50:27,129
NSO THANK YOU LARRY AND THANK

1349
00:50:27,129 --> 00:50:28,564
YOU DR. BERTAGNOLLI FOR A GREAT

1350
00:50:28,564 --> 00:50:29,298
PRESENTATION EMPLOY I JUST WANT

1351
00:50:29,298 --> 00:50:30,099
TO INCREASE THE NUMBER OF EXAMS

1352
00:50:30,099 --> 00:50:32,801
OUT THAT IF WE'RE TALKING ABOUT

1353
00:50:32,801 --> 00:50:34,803
HEALTH, ONLY ABOUT 10-15% OF 1'S

1354
00:50:34,803 --> 00:50:36,505
HEALTH IS ATTRIBUTABLE TO ACCESS

1355
00:50:36,505 --> 00:50:39,842
TO HEALTHCARE WHICH TRANSLATES

1356
00:50:39,842 --> 00:50:40,876
TO ACCESS TO DRUGS.

1357
00:50:40,876 --> 00:50:42,711
THE REST OF IT IS SOCIAL

1358
00:50:42,711 --> 00:50:45,514
DETERMINANTS OF HEALTH WHICH

1359
00:50:45,514 --> 00:50:46,148
MONICA'S ALREADY MENTIONED AND

1360
00:50:46,148 --> 00:50:48,784
IF YOU LOOK AT THE FUNDING OF

1361
00:50:48,784 --> 00:50:50,452
THE INSTITUTES AND CENTERS AT

1362
00:50:50,452 --> 00:50:52,321
THE NIH, THOSE THAT ARE FOCUSED

1363
00:50:52,321 --> 00:50:53,789
ON SOCIAL DETERMINANTS OF HEALTH

1364
00:50:53,789 --> 00:50:55,191
ARE THE SMALLEST BUBBLES OR

1365
00:50:55,191 --> 00:50:56,492
LEAST AMOUNT OF FUNDING AND

1366
00:50:56,492 --> 00:50:58,894
THOSE DOING THE FUNDAMENTAL

1367
00:50:58,894 --> 00:51:01,463
RESEARCH AT LEAST TO DRUGS GET

1368
00:51:01,463 --> 00:51:04,033
MOST OF THE FUNDING SO IF YOU'RE

1369
00:51:04,033 --> 00:51:08,304
GOING TO ADDRESS HEALTH AS AN

1370
00:51:08,304 --> 00:51:09,004
INSTITUTION, THE FUNDING

1371
00:51:09,004 --> 00:51:10,739
DISTRIBUTION TO THOSE CENTERS,

1372
00:51:10,739 --> 00:51:11,907
FOCUS ON SERM DETERMINANTS OF

1373
00:51:11,907 --> 00:51:13,776
HEALTH SHOULD BE A LOT MORE THAN

1374
00:51:13,776 --> 00:51:14,109
IT IS NOW.

1375
00:51:14,109 --> 00:51:15,411
LET ME ALSO POINT OUT THAT OUR

1376
00:51:15,411 --> 00:51:17,613
HELT CARE SYSTEM IS A SICK CARE

1377
00:51:17,613 --> 00:51:18,280
SYSTEM.

1378
00:51:18,280 --> 00:51:20,049
WE'RE NOT DOING ANYTHING TO

1379
00:51:20,049 --> 00:51:20,716
PROMOTE HEALTH, WE'RE JUST

1380
00:51:20,716 --> 00:51:22,384
TREATING PEOPLE WHO ARE SICK AND

1381
00:51:22,384 --> 00:51:24,720
THOSE ARE 2 VERY DIFFERENT

1382
00:51:24,720 --> 00:51:28,257
THINGS AND MY SERVICE ON

1383
00:51:28,257 --> 00:51:29,358
PRESIDENT BIDEN'S HEALTH EQUITY

1384
00:51:29,358 --> 00:51:30,759
TASK FORCE TAUGHT ME THAT WE'RE

1385
00:51:30,759 --> 00:51:32,294
THE ONLY COUNTRY THAT SPENDS

1386
00:51:32,294 --> 00:51:34,563
TRILLIONS OF DOLLARS ON HELT

1387
00:51:34,563 --> 00:51:35,965
CARE WHERE PUBLIC HEALTH AND

1388
00:51:35,965 --> 00:51:37,733
HEALTHCARE ARE THOUGHT OF AS 2

1389
00:51:37,733 --> 00:51:38,434
SEPARATE THINGS.

1390
00:51:38,434 --> 00:51:39,935
IN ORDER TO FOR US TO ACHIEVE

1391
00:51:39,935 --> 00:51:41,503
THE BEST HEALTH OF ALL OF OUR

1392
00:51:41,503 --> 00:51:43,105
CITIZEN, THOSE 2 THINGS HAVE TO

1393
00:51:43,105 --> 00:51:44,206
BE BROUGHT BACK TOGETHER AND

1394
00:51:44,206 --> 00:51:45,207
MAYBE THAT'S 1 THING WE CAN

1395
00:51:45,207 --> 00:51:49,178
THINK ABOUT AS WE TALK THROUGH

1396
00:51:49,178 --> 00:51:50,746
THESE ISSUES SURROUNDING NIH AND

1397
00:51:50,746 --> 00:51:51,880
FUNDING FOR HEALTH.

1398
00:51:51,880 --> 00:51:53,616
THANK YOU, LARRY NSO, THANK YOU.

1399
00:51:53,616 --> 00:51:54,550
I REALLY APPRECIATE YOUR

1400
00:51:54,550 --> 00:51:55,517
COMMENTS ISSUES THE ONLY THING I

1401
00:51:55,517 --> 00:51:58,787
WOULD ASK YOU TO CONSIDER, AND I

1402
00:51:58,787 --> 00:52:02,725
BELIEVE YOU WILL PROBABLY GET

1403
00:52:02,725 --> 00:52:04,026
BETTER INFORMATION ON THIS AS

1404
00:52:04,026 --> 00:52:08,163
THIS BOARD GOES ON IS THAT IT IS

1405
00:52:08,163 --> 00:52:10,332
NOT THE CASE THAT ALL OF THE

1406
00:52:10,332 --> 00:52:12,868
FUNDING THAT GOES TO ADDRESSING

1407
00:52:12,868 --> 00:52:14,870
SOCIAL DETERMINANTS OF HEALTH IS

1408
00:52:14,870 --> 00:52:18,040
JUST IN THOSE INSTITUTES AND

1409
00:52:18,040 --> 00:52:20,876
CENTERS SEEM TO HAVE IT ON THEIR

1410
00:52:20,876 --> 00:52:25,481
MAST HEAD, YOU KNOW, FAR FROM

1411
00:52:25,481 --> 00:52:28,417
IT. 

1412
00:52:28,417 --> 00:52:29,718
I, YOU KNOW PARTICULARLY -- AND

1413
00:52:29,718 --> 00:52:36,925
THAT'S NOT JUST IN TERMS OF THE

1414
00:52:36,925 --> 00:52:38,494
CLINICAL SCIENCES AND

1415
00:52:38,494 --> 00:52:42,498
TRANSLATIONAL SCIENCES, IT ALSO

1416
00:52:42,498 --> 00:52:43,499
IMPACTS OUR FUNDAMENTAL RESEARCH

1417
00:52:43,499 --> 00:52:44,466
AS WELL.

1418
00:52:44,466 --> 00:52:46,235
HAVING FUNDAMENTAL DATA SETS

1419
00:52:46,235 --> 00:52:48,370
INSURING IF WE HAVE A GENOMIC

1420
00:52:48,370 --> 00:52:49,305
CATASET AND UNDERSTANDING THE

1421
00:52:49,305 --> 00:52:52,007
AMERICAN PEOPLE, IT HAS TO

1422
00:52:52,007 --> 00:52:53,876
INCLUDE ALL THE PEOPLE, WHO FOR

1423
00:52:53,876 --> 00:52:54,710
RECENTS OF SOCIAL DETERMINANTS

1424
00:52:54,710 --> 00:52:56,478
OF HEALTH HAVE BEEN LEFT OUT.

1425
00:52:56,478 --> 00:52:57,413
IT'S AN ENORMOUS CONTRIBUTION OF

1426
00:52:57,413 --> 00:52:59,014
THE ALL OF US PROGRAM THAT IS

1427
00:52:59,014 --> 00:53:01,750
BEING BUILT ON BY OTHER THINGS

1428
00:53:01,750 --> 00:53:04,820
-- BUILT ON TODAY.

1429
00:53:04,820 --> 00:53:06,255
BUT THE OTHER 1 EVERY SINGLE

1430
00:53:06,255 --> 00:53:08,524
INSTITUTE AND CENTER IN SOME WAY

1431
00:53:08,524 --> 00:53:10,993
CONTRIBUTES IN THEIR CLINICAL

1432
00:53:10,993 --> 00:53:14,596
ACTIVITY TO ADDRESSING ISSUES OF

1433
00:53:14,596 --> 00:53:19,435
NOT JUST ACCESS, ALSO, THE TYPE

1434
00:53:19,435 --> 00:53:22,338
OF CARE, BUT ALSO ALL OF THE

1435
00:53:22,338 --> 00:53:23,272
SOCIETAL FACTORS, SOCIAL

1436
00:53:23,272 --> 00:53:24,740
DETERMINANTS OF HEALTH THAT ARE

1437
00:53:24,740 --> 00:53:26,575
SOABT WIDE POOR OUTCOMES, SO

1438
00:53:26,575 --> 00:53:28,544
IT'S ANOTHER EXAMPLE, DON'T LOOK

1439
00:53:28,544 --> 00:53:31,046
AT THESE PLACES AS SILOS BECAUSE

1440
00:53:31,046 --> 00:53:32,781
WHEN YOU START DRILLING DOWN AND

1441
00:53:32,781 --> 00:53:35,084
LOOK WHAT THEY'RE REALLY DOING,

1442
00:53:35,084 --> 00:53:37,052
THEY ARE MOST CERTAINLY NOT.

1443
00:53:37,052 --> 00:53:39,021
>> WELL, I RESPECT WHAT
YOU'RE

1444
00:53:39,021 --> 00:53:41,457
SAYING, MONICA BUT THE

1445
00:53:41,457 --> 00:53:42,958
FUNDAMENTAL TRUTH IS THAT WHEN

1446
00:53:42,958 --> 00:53:47,796
YOU LOOK AT THE SPENDING OR

1447
00:53:47,796 --> 00:53:50,933
FUNDING OF SOCIAL  DETERMINANTS

1448
00:53:50,933 --> 00:53:52,701
OF HEALTH AT NIH, IT IS NOT WHAT

1449
00:53:52,701 --> 00:53:54,737
IT NEEDS TO BE.

1450
00:53:54,737 --> 00:53:56,472
AND 1 THING WE WERE LEARN ABOUT

1451
00:53:56,472 --> 00:53:58,774
TRUST, 1 LESSON WE LEARNED IN

1452
00:53:58,774 --> 00:53:59,575
THE PANDEMIC, IF YOU DON'T HAVE

1453
00:53:59,575 --> 00:54:00,409
PEOPLE WHO COME FROM THE

1454
00:54:00,409 --> 00:54:01,710
COMMUNITIES YOU WANT TO HELP,

1455
00:54:01,710 --> 00:54:03,746
THEY'RE GOING TO BE DISTRUSTING

1456
00:54:03,746 --> 00:54:08,250
BECAUSE WE NOW KNOW FOR SURE

1457
00:54:08,250 --> 00:54:10,152
THAT WHEN PHYSICIANS WHO TAKE

1458
00:54:10,152 --> 00:54:12,221
CARE OF COMMUNITIES ARE

1459
00:54:12,221 --> 00:54:13,288
CULTURALLY, RACIALLY AND

1460
00:54:13,288 --> 00:54:14,456
OTHERWISE CONNECTED TO THOSE

1461
00:54:14,456 --> 00:54:16,425
COMMUNITIES, OUTCOMES ARE BETTER

1462
00:54:16,425 --> 00:54:17,926
AND WE DID NOT TURN THINGS

1463
00:54:17,926 --> 00:54:21,063
AROUND IN THE PANDEMIC IN TERMS

1464
00:54:21,063 --> 00:54:22,865
OF MINORITY COMMUNITIES UNTIL

1465
00:54:22,865 --> 00:54:27,936
MINORITY INVESTIGATORS, MINORITY

1466
00:54:27,936 --> 00:54:28,937
LEADERS GOT INVOLVED.

1467
00:54:28,937 --> 00:54:30,839
SO TRUST HAS TO BE EARNED OR IT

1468
00:54:30,839 --> 00:54:32,408
CAN BE CHANNELED THROUGH THOSE

1469
00:54:32,408 --> 00:54:33,675
WHO CAN BE TRUSTED, THE LAST

1470
00:54:33,675 --> 00:54:35,144
THINK THIS I WILL SAY AND THEN I

1471
00:54:35,144 --> 00:54:37,112
WILL SHUT UP, THE ORGANIZATIONS

1472
00:54:37,112 --> 00:54:39,014
WHO GET FUNDING TO DO THE SOCIAL

1473
00:54:39,014 --> 00:54:40,582
DETERMINANTS OF HEALTH ARE THE

1474
00:54:40,582 --> 00:54:41,450
USUAL PLAYER WHO IS QUITE

1475
00:54:41,450 --> 00:54:44,586
HONESTLY IF YOU LOOK AT THEIR

1476
00:54:44,586 --> 00:54:45,521
RECORD OF DIVERSITY AND WHAT

1477
00:54:45,521 --> 00:54:46,655
THEY DO IN COMMUNITIES IS NOT

1478
00:54:46,655 --> 00:54:47,723
VERY GOOD.

1479
00:54:47,723 --> 00:54:49,625
SO 1 THAT CAN BE DONE WOULD BE

1480
00:54:49,625 --> 00:54:50,993
TO FUND THOSE ORGANIZATIONS BEST

1481
00:54:50,993 --> 00:54:52,494
ABLE TO DO THE WORK BECAUSE

1482
00:54:52,494 --> 00:54:53,462
THEY'RE A PART OF THOSE

1483
00:54:53,462 --> 00:54:54,530
COMMUNITIES AND YOU KNOW THAT'S

1484
00:54:54,530 --> 00:54:57,299
JUST A FACT WE HAVE TO DEAL

1485
00:54:57,299 --> 00:54:57,499
WITH.

1486
00:54:57,499 --> 00:54:58,367
>> WELL, THE LAST THINK
THIS I

1487
00:54:58,367 --> 00:54:59,868
WILL SAY TO ADDRESS YOUR

1488
00:54:59,868 --> 00:55:01,737
CONCERNS IS, I URGE YOU TO TAKE

1489
00:55:01,737 --> 00:55:05,374
A REALLY DEEP LOOK INTO THE CARE

1490
00:55:05,374 --> 00:55:06,408
FOR HEALTH INITIATIVE AND GIVE

1491
00:55:06,408 --> 00:55:08,610
US YOUR OPINION ON THE -- YOU

1492
00:55:08,610 --> 00:55:11,480
KNOW I DIDN'T HAVE TIME TO

1493
00:55:11,480 --> 00:55:13,015
REALLY GO INTO THE VERY DEEP

1494
00:55:13,015 --> 00:55:14,516
DETAILS OF THAT AND I URGE YOU

1495
00:55:14,516 --> 00:55:18,387
TO TAKE A LOOK AT THAT

1496
00:55:18,387 --> 00:55:19,488
INITIATIVE AND GIVE US FEEDBACK

1497
00:55:19,488 --> 00:55:20,589
ON WHETHER YOU THINK THAT MIGHT

1498
00:55:20,589 --> 00:55:23,859
HIT IN OF THE THINGS THAT YOU'VE

1499
00:55:23,859 --> 00:55:24,660
BROUGHT UP HERE.

1500
00:55:24,660 --> 00:55:27,229
>> OKAY, WE O WILL HAVE
DEBAND

1501
00:55:27,229 --> 00:55:28,564
THEN ELBA, WE WILL LET YOU HAVE

1502
00:55:28,564 --> 00:55:32,234
THE LAST WORD ON THIS TOPIC.

1503
00:55:32,234 --> 00:55:32,801
SO DEB?

1504
00:55:32,801 --> 00:55:34,203
>> THANK YOU, YOU MAY BE
GETTING

1505
00:55:34,203 --> 00:55:37,840
INTO THIS LATE BUTIME JUST

1506
00:55:37,840 --> 00:55:39,007
WONDERING PROCEDURALLY, HOW THIS

1507
00:55:39,007 --> 00:55:40,943
BOARD WILL DECIDE WHAT QUESTIONS

1508
00:55:40,943 --> 00:55:42,377
TO ADDRESS BECAUSE A HUGE NUMBER

1509
00:55:42,377 --> 00:55:44,480
OF QUESTIONS HAVE BEEN RAISED

1510
00:55:44,480 --> 00:55:48,750
THAT ARE SO IMPORTANT AND TO

1511
00:55:48,750 --> 00:55:50,719
WHAT EXTENT WILL WE BE

1512
00:55:50,719 --> 00:55:52,087
SPECIFICALLY ADDRESSING FOR

1513
00:55:52,087 --> 00:55:52,688
EXAMPLE, THE CONGRESSIONAL

1514
00:55:52,688 --> 00:55:53,789
RECOMMENDATIONS AND I THINK THIS

1515
00:55:53,789 --> 00:55:55,724
PLAYS INTO MIKE'S QUESTION ABOUT

1516
00:55:55,724 --> 00:55:58,560
WHO THE AUDIENCE IS?

1517
00:55:58,560 --> 00:56:00,462
>> I THINK IF WE COULD PUT
A PIN

1518
00:56:00,462 --> 00:56:02,731
ON THAT AND REVISIT THAT TOWARDS

1519
00:56:02,731 --> 00:56:04,066
THE END OF THE DAY, I THINK WE

1520
00:56:04,066 --> 00:56:06,168
ARE GOING TO SPEND ALET TIME

1521
00:56:06,168 --> 00:56:07,569
TALKING ABOUT THOSE ELEMENTS

1522
00:56:07,569 --> 00:56:09,705
ISSUES OBVIOUSLY VERY CRITICAL.

1523
00:56:09,705 --> 00:56:12,207
OKAY, ELBA, LAST WORD?

1524
00:56:12,207 --> 00:56:13,542
>> MY COMMENT IS RELATED
TO THE

1525
00:56:13,542 --> 00:56:14,676
PREVIOUS 1 AND FIRST OF ALL

1526
00:56:14,676 --> 00:56:16,245
THANK YOU FOR THIS PRESENTATION,

1527
00:56:16,245 --> 00:56:21,083
IT'S VERY EXCITING AND

1528
00:56:21,083 --> 00:56:21,483
INFORMATIVE.

1529
00:56:21,483 --> 00:56:22,284
I GUESS MY QUESTION TO YOU IS

1530
00:56:22,284 --> 00:56:24,653
WHEN YOU LOOK AT THE PORTFOLIO

1531
00:56:24,653 --> 00:56:27,289
OF NIH EXTRAMURAL FUNDING, IS IT

1532
00:56:27,289 --> 00:56:28,657
AS REPRESENTATIVE AND DIVERSE AS

1533
00:56:28,657 --> 00:56:32,127
IT COULD BE WITH REGARD NOT JUST

1534
00:56:32,127 --> 00:56:32,861
TO REGIONAL REPRESENTATION, BUT

1535
00:56:32,861 --> 00:56:39,001
ALSO TO THE TYPES OF ENTITIES,

1536
00:56:39,001 --> 00:56:40,135
NOT FOR PROVEIS, PRIVATE SECTOR

1537
00:56:40,135 --> 00:56:42,271
AND SO ON, WHEN THE MAP OF WHERE

1538
00:56:42,271 --> 00:56:46,341
WE SEE THE SHORTER LIFE SPAN IS

1539
00:56:46,341 --> 00:56:47,342
POSSIBLY, POSSIBLY CORRELATED

1540
00:56:47,342 --> 00:56:53,682
WITH THE PRESENCE OF NIH FUNDING

1541
00:56:53,682 --> 00:56:55,551
AND PROJECTS GOING DIRECTLY TO

1542
00:56:55,551 --> 00:56:56,451
THOSE COMMUNITIES.

1543
00:56:56,451 --> 00:56:59,855
CURIOUS YOUR HOW THES ON THAT.

1544
00:56:59,855 --> 00:57:01,290
>> NO, WE'RE NOT WHERE WE
WANT

1545
00:57:01,290 --> 00:57:05,027
TO BE, THAT BEING SAID, THERE

1546
00:57:05,027 --> 00:57:08,230
ARE DEDICATED EFFORTS TO ACHIEVE

1547
00:57:08,230 --> 00:57:08,564
THAT.

1548
00:57:08,564 --> 00:57:11,833
I CAN -- THE IDEA STATES

1549
00:57:11,833 --> 00:57:14,836
PROGRAM, FOR 1, EXPANDING

1550
00:57:14,836 --> 00:57:18,674
NETWORK OUTREACHES OF THE

1551
00:57:18,674 --> 00:57:24,846
CTSAs, LET'S SEE I CAN KEEP

1552
00:57:24,846 --> 00:57:25,180
GOING.

1553
00:57:25,180 --> 00:57:26,715
THROUGHOUT ALL OF NIH, THERE ARE

1554
00:57:26,715 --> 00:57:28,216
QUITE -- A LARGE NUMBER OF

1555
00:57:28,216 --> 00:57:29,518
PROJECTS THAT SEEK TO DO EXACTLY

1556
00:57:29,518 --> 00:57:32,588
THAT EMPLOY ARE WE MAKING

1557
00:57:32,588 --> 00:57:32,955
PROGRESS?

1558
00:57:32,955 --> 00:57:33,121
YES.

1559
00:57:33,121 --> 00:57:35,591
IS IT TOO SLOW?

1560
00:57:35,591 --> 00:57:38,393
YES. 

1561
00:57:38,393 --> 00:57:40,128
BUT SOME OF THAT AN

1562
00:57:40,128 --> 00:57:41,964
INFRASTRUCTURE ISSUE IS SOME OF

1563
00:57:41,964 --> 00:57:43,765
IT FRANKLY IS A FUNDING ISSUE AS

1564
00:57:43,765 --> 00:57:43,966
WELL.

1565
00:57:43,966 --> 00:57:46,001
WE'VE BEEN IN A PRETTY TIGHT

1566
00:57:46,001 --> 00:57:48,570
FUNDING ENVIRONMENT OVER THE

1567
00:57:48,570 --> 00:57:50,806
LAST YEAR AND HAVE -- I HAVE TO

1568
00:57:50,806 --> 00:57:52,741
HONESTLY SAY MADE A LITTLE BIT

1569
00:57:52,741 --> 00:57:53,709
LESS PROGRESS THAN WE HAVE LIKED

1570
00:57:53,709 --> 00:57:57,679
TO ON SOME OF OUR NEW OUTREACH

1571
00:57:57,679 --> 00:57:57,913
EFFORTS.

1572
00:57:57,913 --> 00:57:59,648
>> OKAY ACCIDENT BEFORE
YOU GIVE

1573
00:57:59,648 --> 00:58:05,287
YOUR -- THANK YOU SO MUCH.

1574
00:58:05,287 --> 00:58:07,022
>> FEEL FREE TO GIVE YOUR

1575
00:58:07,022 --> 00:58:08,991
REMARKS, I'VE BEEN TAKING NOTES

1576
00:58:08,991 --> 00:58:09,591
AND THROUGHOUT THE AFTERNOON,

1577
00:58:09,591 --> 00:58:13,629
WHEN WE GET TO THE END OF THE

1578
00:58:13,629 --> 00:58:15,030
DAY, AS HOW WE MOVE FORWARD,

1579
00:58:15,030 --> 00:58:16,164
WHAT KIND OF SUBCOMMITTEES WE

1580
00:58:16,164 --> 00:58:17,666
WANT AND WE WANT TO ADDRESS HOW

1581
00:58:17,666 --> 00:58:19,234
MANY MEETINGS WE WANT TO HAVE,

1582
00:58:19,234 --> 00:58:21,703
THE LENGTH OF THE MEETINGS, ET

1583
00:58:21,703 --> 00:58:23,105
CETERA, SO, AND HOPEFULLY I WILL

1584
00:58:23,105 --> 00:58:25,407
BE ABLE TO SUMMARIZE AT THE END

1585
00:58:25,407 --> 00:58:27,275
TO REMIND YOU WHAT WE TALKED

1586
00:58:27,275 --> 00:58:31,146
ABOUT AT 12:00 WHEN WE GET TO 4

1587
00:58:31,146 --> 00:58:41,289
OR 5:00.

1588
00:58:44,593 --> 00:58:51,199
>> OKAY, SO IF WE CAN PULL
UP MY

1589
00:58:51,199 --> 00:58:51,600
-- THANKS.

1590
00:58:51,600 --> 00:58:53,135
IF YOU GO TO THE NEXT SLIDE,

1591
00:58:53,135 --> 00:58:53,402
PLEASE.

1592
00:58:53,402 --> 00:58:55,604
SO WHAT I WOULD LIKE TO DO IS

1593
00:58:55,604 --> 00:58:57,873
JUST TALK A LITTLE BIT ABOUT THE

1594
00:58:57,873 --> 00:59:01,410
RESTART, WHAT LED TO IT, GO

1595
00:59:01,410 --> 00:59:04,446
THROUGH THE CHARTER IN SOME

1596
00:59:04,446 --> 00:59:05,480
DETAIL BECAUSE WITHIN THAT ARE

1597
00:59:05,480 --> 00:59:07,449
SOME OF THE ANSWERS TO SOME OF

1598
00:59:07,449 --> 00:59:08,950
THE QUESTIONS THAT YOU HAVE

1599
00:59:08,950 --> 00:59:11,787
RAISED, AT LEAST THE FRAMEWORK

1600
00:59:11,787 --> 00:59:13,889
TO HELP GUIDE US, TALK A LITTLE

1601
00:59:13,889 --> 00:59:16,692
BIT ABOUT SUBCOMMITTEES AND THEN

1602
00:59:16,692 --> 00:59:18,493
THE REPORTS.

1603
00:59:18,493 --> 00:59:21,830
SO IN 2024 WE RECEIVED

1604
00:59:21,830 --> 00:59:23,131
APPROPRIATIONS REPORT LANGUAGE

1605
00:59:23,131 --> 00:59:25,500
DIRECTING NIH TO RECONVENE THIS

1606
00:59:25,500 --> 00:59:30,272
BODY WITHIN 1 YEAR OF ENACTMENT.

1607
00:59:30,272 --> 00:59:32,641
AND WE HAVE DONE THAT.

1608
00:59:32,641 --> 00:59:35,510
WE HAVE MET THAT DEDICATED TO

1609
00:59:35,510 --> 00:59:37,979
LINE AND AGAIN I WANT TO THANK

1610
00:59:37,979 --> 00:59:40,315
ALL MEMBERS OF THE BOARD FOR

1611
00:59:40,315 --> 00:59:41,717
AGREEING SO QUICKLY TO

1612
00:59:41,717 --> 00:59:43,118
PARTICIPATE AND FOR FILLING OUT

1613
00:59:43,118 --> 00:59:44,286
ALL THE RELEVANT PAPERWORK SO

1614
00:59:44,286 --> 00:59:48,890
THAT WE COULD ENGAGE WITH YOU AS

1615
00:59:48,890 --> 00:59:54,596
FULL MEMBERS OF THIS BOARD.

1616
00:59:54,596 --> 00:59:56,698
AS YOU KNOW SEE BEFORE YOU, THIS

1617
00:59:56,698 --> 01:00:01,236
IS A GROUP COMPOSED ATYPICALLY

1618
01:00:01,236 --> 01:00:04,339
OF NIH STAFF, DIRECTORS OF NIH

1619
01:00:04,339 --> 01:00:07,042
INSTITUTE ANDS CENTERS AS WELL

1620
01:00:07,042 --> 01:00:10,712
AS THOSE OF YOU, ARE PARTNERS

1621
01:00:10,712 --> 01:00:15,650
FROM OUTSIDE ORGANIZATIONS, AND

1622
01:00:15,650 --> 01:00:18,487
THIS BOARD WILL PROVIDE ITS

1623
01:00:18,487 --> 01:00:19,421
ADVISE AND RECOMMENDATIONS TO

1624
01:00:19,421 --> 01:00:21,123
THE REPORTS TO THE NIH DIRECTOR

1625
01:00:21,123 --> 01:00:22,758
WHO IN TURN WILL PROVIDE THAT TO

1626
01:00:22,758 --> 01:00:25,594
THE SECRETARY OF HHS, BUT

1627
01:00:25,594 --> 01:00:27,629
EVERYBODY'S WATCHING AND SO,

1628
01:00:27,629 --> 01:00:30,465
THIS INFORMATION NO DOUBT WILL

1629
01:00:30,465 --> 01:00:33,935
ALSO FIND ITS WAY OUT TO THE

1630
01:00:33,935 --> 01:00:37,072
GENERAL PUBLIC, LEGISLATORS AND

1631
01:00:37,072 --> 01:00:38,874
SO FORTH FELT SO WHAT YOU DO AND

1632
01:00:38,874 --> 01:00:41,877
SAY WILL BE WIDELY AND BROADLY

1633
01:00:41,877 --> 01:00:43,512
DISSEMINATED, AND THAT WAS THE

1634
01:00:43,512 --> 01:00:46,515
WHOLE POINT, THAT'S WHAT FACA'S

1635
01:00:46,515 --> 01:00:47,916
ALL ABOUT QUITE FRANKLY.

1636
01:00:47,916 --> 01:00:48,950
THE AUTHORITY IS LISTED HERE AND

1637
01:00:48,950 --> 01:00:51,286
AS YOU HEARD THIS MORNING DURING

1638
01:00:51,286 --> 01:00:55,123
OUR SORT OF ORIENTATION SESSION,

1639
01:00:55,123 --> 01:00:58,994
THIS IS GOVERNED BY THE FEDERAL

1640
01:00:58,994 --> 01:01:00,028
ADVISORY COMMITTEE ACT.

1641
01:01:00,028 --> 01:01:03,331
SO, AGAIN, JUST A FOCUS IN ON

1642
01:01:03,331 --> 01:01:06,535
WHAT THIS IS SUPPOSED TO BE

1643
01:01:06,535 --> 01:01:09,938
LOOKING AT, THE USE OF AGENCY

1644
01:01:09,938 --> 01:01:11,873
ORGANIZATIONAL AUTHORITIES TO

1645
01:01:11,873 --> 01:01:13,942
ESTABLISH OR ABOLISH INSTITUTES

1646
01:01:13,942 --> 01:01:15,143
AND CENTERS, THE REORGANIZATION

1647
01:01:15,143 --> 01:01:17,913
OF OFFICES WITHIN THE OFFICE OF

1648
01:01:17,913 --> 01:01:19,848
THE DIRECTOR, AND MONICA, YOU

1649
01:01:19,848 --> 01:01:22,517
KNOW SHOWED YOU A SERIES OF

1650
01:01:22,517 --> 01:01:24,686
SLIDES DISPLAYING THAT, AND THEN

1651
01:01:24,686 --> 01:01:25,854
FINALLY TO REORGANIZE WITHIN AND

1652
01:01:25,854 --> 01:01:31,626
ACROSS  INSTITUTES AND CENTERS.

1653
01:01:31,626 --> 01:01:33,395
IT'S A VERY BROAD MANDATE AND

1654
01:01:33,395 --> 01:01:34,329
OBVIOUSLY WOULD REQUIRE MANY,

1655
01:01:34,329 --> 01:01:38,667
MANY YEARS TO DO ALL, EACH AND

1656
01:01:38,667 --> 01:01:40,035
ALL OF THESE JUSTICE BUT THAT

1657
01:01:40,035 --> 01:01:42,237
WILL BE THE ART OF THIS IS TO

1658
01:01:42,237 --> 01:01:49,010
FOCUS IN ON THE SEMINOLE

1659
01:01:49,010 --> 01:01:49,611
QUESTIONS.

1660
01:01:49,611 --> 01:01:53,648
SO WE HAVE SPECIFIC DUTIES,

1661
01:01:53,648 --> 01:01:54,816
CONVEYED THROUGH REPORTS OUR

1662
01:01:54,816 --> 01:01:56,785
ADVICE WILL BE MADE TO THE NIH

1663
01:01:56,785 --> 01:01:58,720
DIRECTOR AND THE HHS SECRETARY

1664
01:01:58,720 --> 01:02:00,589
AND NOT LESS THAN ONCE EVERY 7

1665
01:02:00,589 --> 01:02:02,090
YEARS THE BOARD WILL ISSUE A

1666
01:02:02,090 --> 01:02:06,328
REPORT TO THE NIH DIRECTOR

1667
01:02:06,328 --> 01:02:08,597
ET AL, TO DETERMINE WHETHER AND

1668
01:02:08,597 --> 01:02:09,898
TO WHAT EXTENT ORGANIZATIONAL

1669
01:02:09,898 --> 01:02:15,070
AUTHORITY SHOULD BE USED AND

1670
01:02:15,070 --> 01:02:16,738
PROVIDE REGARDING USE OF THOSE

1671
01:02:16,738 --> 01:02:18,073
ORGANIZATIONAL AUTHORITIES AND

1672
01:02:18,073 --> 01:02:19,774
THEN THE RATIONAL BEHIND

1673
01:02:19,774 --> 01:02:20,408
WHATEVER RECOMMENDATIONS ARE

1674
01:02:20,408 --> 01:02:23,011
MADE BY THIS GROUP.

1675
01:02:23,011 --> 01:02:24,412
THE ACTIVITIES OF THE BOARD WITH

1676
01:02:24,412 --> 01:02:27,115
RESPECT TO A SPECIFIC REPORT

1677
01:02:27,115 --> 01:02:29,985
WILL REQUIRE A REVIEW OF THE

1678
01:02:29,985 --> 01:02:32,220
RESEARCH PORTFOLIO OF THE NIH

1679
01:02:32,220 --> 01:02:33,154
DETERMINE THE PROGRESS AND

1680
01:02:33,154 --> 01:02:34,689
EFFECTIVENESS OF THE VALUE OF

1681
01:02:34,689 --> 01:02:36,791
THE PORTFOLIO AND THE ALLOCATION

1682
01:02:36,791 --> 01:02:37,959
AMONG THE PORTFOLIO ACTIVITIES

1683
01:02:37,959 --> 01:02:41,696
OF THE RESOURCES OF NIH.

1684
01:02:41,696 --> 01:02:42,998
SO THE PRECEDING DISCUSSION THAT

1685
01:02:42,998 --> 01:02:45,200
YOU HAD WITH MONICA WAS SPOT ON.

1686
01:02:45,200 --> 01:02:47,469
IT'S EXACTLY THIS SORT OF THING

1687
01:02:47,469 --> 01:02:52,173
THAT WILL ULTIMATELY LEAD YOU TO

1688
01:02:52,173 --> 01:02:53,541
THAT PARTICULAR EFFORT YOU KNOW

1689
01:02:53,541 --> 01:02:56,177
LOOKING AT THAT PORTFOLIO,

1690
01:02:56,177 --> 01:02:57,212
DEEPLY, UNDERSTANDING HOW AND

1691
01:02:57,212 --> 01:03:01,182
WHERE IT IS SUPPORTED AND

1692
01:03:01,182 --> 01:03:02,617
ORGANIZATIONALLY ARE THERE WAYS

1693
01:03:02,617 --> 01:03:03,852
OF SUPPORTING IT BETTER.

1694
01:03:03,852 --> 01:03:06,054
SO THIS IS NOT ABOUT MORE MONEY,

1695
01:03:06,054 --> 01:03:08,456
IT'S ABOUT HOW DO YOU MOVE THE

1696
01:03:08,456 --> 01:03:11,593
RESOURCES AROUND IN THE MOST

1697
01:03:11,593 --> 01:03:12,661
EFFECTIVE WAY POSSIBLE.

1698
01:03:12,661 --> 01:03:14,429
AND THEN FINALLY TO DETERMINE

1699
01:03:14,429 --> 01:03:15,630
THE PENDING SCIENTIFIC

1700
01:03:15,630 --> 01:03:19,467
OPPORTUNITIES AND PUBLIC HEALTH

1701
01:03:19,467 --> 01:03:22,304
NEEDS, SO, THIS ALL ANTICIPATED

1702
01:03:22,304 --> 01:03:24,940
THIS MARRIAGE THAT SEVERAL

1703
01:03:24,940 --> 01:03:27,208
SPEAKERS REFERRED TO, YOU KNOW,

1704
01:03:27,208 --> 01:03:29,744
SCIENCE AND PUBLIC HEALTH NEEDS,

1705
01:03:29,744 --> 01:03:30,745
MARRYING THOSE TOGETHER PERHAPS,

1706
01:03:30,745 --> 01:03:33,682
YOU KNOW A BIT MORE STRONGLY

1707
01:03:33,682 --> 01:03:37,218
THAN IS TYPICALLY THOUGHT OF.

1708
01:03:37,218 --> 01:03:38,687
AND AGAIN, CONTINUING ON WHAT

1709
01:03:38,687 --> 01:03:41,690
NEEDS TO BE WITH THESE SPECIFIC

1710
01:03:41,690 --> 01:03:44,426
REPORTS FOR ANY PROPOSAL FOR

1711
01:03:44,426 --> 01:03:46,695
ORGANIZATIONAL CHANGES TO WHICH

1712
01:03:46,695 --> 01:03:47,862
THE BOARD GIVES SIGNIFICANT

1713
01:03:47,862 --> 01:03:49,297
CONSIDERATION, THE BOARD HAS TO

1714
01:03:49,297 --> 01:03:50,832
ANALYZE THE BUDGETAR EXPE

1715
01:03:50,832 --> 01:03:54,836
OPERATIONAL CONSEQUENCES OF THE

1716
01:03:54,836 --> 01:03:55,503
PROPOSED CHANGE.

1717
01:03:55,503 --> 01:03:58,006
NOT NECESSARILY FOR THIS MOMENT

1718
01:03:58,006 --> 01:03:59,774
BUT WE DO HAVE HISTORY WHERE WE

1719
01:03:59,774 --> 01:04:02,844
HAVE ATTEMPTED TO MERGE

1720
01:04:02,844 --> 01:04:03,144
INSTITUTES.

1721
01:04:03,144 --> 01:04:05,146
ONE OF US SPENT A LOT OF TIME

1722
01:04:05,146 --> 01:04:09,317
TRYING TO MANAGE THAT EFFORT AND

1723
01:04:09,317 --> 01:04:11,886
IT IS -- FOR THOSE OF YOU IN

1724
01:04:11,886 --> 01:04:13,154
ACADEMIC HEALTH CENTERS, THINK

1725
01:04:13,154 --> 01:04:16,224
ABOUT A MERGER OF 2 OF YOUR

1726
01:04:16,224 --> 01:04:17,625
HOSPITALS, GOES VERY WELL, VERY

1727
01:04:17,625 --> 01:04:20,195
QUICKLY AND THEN THAT'S SORT OF

1728
01:04:20,195 --> 01:04:21,963
THE SCALE OF THE SORTS OF THING

1729
01:04:21,963 --> 01:04:23,264
THAT YOU'RE LOOKING AT HERE BUT

1730
01:04:23,264 --> 01:04:27,502
IT CAN BE DONE IF IT'S

1731
01:04:27,502 --> 01:04:27,869
APPROPRIATE.

1732
01:04:27,869 --> 01:04:30,338
RIGHT SO YOU SHOULD BE DISSUADED

1733
01:04:30,338 --> 01:04:31,840
BY THE MAGNITUDE OF THE EFFORT

1734
01:04:31,840 --> 01:04:32,874
THAT'S REQUIRED BECAUSE AT THE

1735
01:04:32,874 --> 01:04:35,010
END YOU MAY COME UP WITH

1736
01:04:35,010 --> 01:04:35,643
SOMETHING THAT'S BETTER.

1737
01:04:35,643 --> 01:04:38,113
AND THEN OF COURSE, TO TAKE INTO

1738
01:04:38,113 --> 01:04:40,949
ACCOUNT THE HISTORICAL FUNDING

1739
01:04:40,949 --> 01:04:43,618
AND SUPPORT FOR THE RESEARCH

1740
01:04:43,618 --> 01:04:44,552
ACTIVITIES, THE SLIDE THAT

1741
01:04:44,552 --> 01:04:47,055
MONICA SHOWED YOU WITH THE

1742
01:04:47,055 --> 01:04:49,257
BUBBLES, ACTUALLY, YOU KNOW IN

1743
01:04:49,257 --> 01:04:51,226
ADDITION TO SHOWING YOU THE

1744
01:04:51,226 --> 01:04:52,694
AMOUNT OF FUNDING, IT ALSO

1745
01:04:52,694 --> 01:04:53,795
SHOWED YOU WHEN EACH INSTITUTE

1746
01:04:53,795 --> 01:04:55,063
AND CENTER WAS CREATED.

1747
01:04:55,063 --> 01:04:57,165
SO FROM THE LEFT TO THE RIGHT,

1748
01:04:57,165 --> 01:04:58,233
YOU KNOW NCI WAS THE FIRST AND

1749
01:04:58,233 --> 01:05:00,902
THEN IF YOU GO INTO THE INNER

1750
01:05:00,902 --> 01:05:01,836
CIRCLE, NCATS WAS THE LAST

1751
01:05:01,836 --> 01:05:04,672
CREATED AND SO IT DOES GIVE YOU

1752
01:05:04,672 --> 01:05:07,542
A SENSE OF WHAT DOES THE VALUE

1753
01:05:07,542 --> 01:05:09,878
OF TIME HAVE VIS A VIS THE

1754
01:05:09,878 --> 01:05:10,678
ALLOCATION OF RESOURCES.

1755
01:05:10,678 --> 01:05:11,880
YOU HAVE TO ESTIMATE THE LEVEL

1756
01:05:11,880 --> 01:05:13,982
OF RESOURCES THAT WILL BE NEEDED

1757
01:05:13,982 --> 01:05:15,850
TO LIMP EMENT THE PROPOSED

1758
01:05:15,850 --> 01:05:17,252
CHANGES AND WE HAVE DATA NOW

1759
01:05:17,252 --> 01:05:18,853
THAT WE CAN DRAW UPON BECAUSE WE

1760
01:05:18,853 --> 01:05:21,890
HAVE GONE THROUGH THIS EXERCISE

1761
01:05:21,890 --> 01:05:23,658
BEFORE YOU HAVE ASSUME THE

1762
01:05:23,658 --> 01:05:24,993
PROPOSED CHANGES WILL BE MADE

1763
01:05:24,993 --> 01:05:26,628
AND MAKE A RECOMMENDATION FOR

1764
01:05:26,628 --> 01:05:28,329
THE ALLOCATION OF THE RESOURCES

1765
01:05:28,329 --> 01:05:30,065
GOING FORWARD AND THEN ANALYZE

1766
01:05:30,065 --> 01:05:30,965
THE CONSEQUENCES FOR THE

1767
01:05:30,965 --> 01:05:33,068
PROGRESS OF RESEARCH IN THE

1768
01:05:33,068 --> 01:05:35,303
AREAS AFFECTED BY THE PROPOSED

1769
01:05:35,303 --> 01:05:37,172
CHANGES AND THOSE CONSEQUENCES

1770
01:05:37,172 --> 01:05:40,642
CAN BE FAVORABLE OR THEY CAN BE

1771
01:05:40,642 --> 01:05:41,342
DISFAVORRABLE AND AGAIN THE

1772
01:05:41,342 --> 01:05:43,611
BOARD WILL HAVE TO CONSIDER

1773
01:05:43,611 --> 01:05:47,048
WHICH, AND THE LIKELY ANSWER IS

1774
01:05:47,048 --> 01:05:47,615
BOTH.

1775
01:05:47,615 --> 01:05:49,451
BECAUSE IT'S RARELY ALL OR NONE.

1776
01:05:49,451 --> 01:05:51,186
THE LIKELY ANSWER IS BOTH AND

1777
01:05:51,186 --> 01:05:53,455
THEN IT'S A BALANCE TO WHICH

1778
01:05:53,455 --> 01:05:54,856
MAKES THE MOST SENSE.

1779
01:05:54,856 --> 01:05:57,092
WHEN YOU'RE ISSUING A REPORT

1780
01:05:57,092 --> 01:06:00,061
WITH 1 OR MORE CONTEMPLATED

1781
01:06:00,061 --> 01:06:00,862
ORGANIZATIONAL ISSUES, WE NEED

1782
01:06:00,862 --> 01:06:02,197
TO CONSULT WITH INSTITUTE AND

1783
01:06:02,197 --> 01:06:03,998
CENTER DIRECTORS WHO ARE NOT

1784
01:06:03,998 --> 01:06:06,401
MEMBERS OF THE BOARD, OTHER

1785
01:06:06,401 --> 01:06:08,703
SCIENTIFIC LEADERS, WHO ARE AT

1786
01:06:08,703 --> 01:06:10,138
NIH AND ARE NOT MEMBERS OF THE

1787
01:06:10,138 --> 01:06:10,672
BOARD.

1788
01:06:10,672 --> 01:06:13,808
WE HAVE TO CONSULT WITH ALL THE

1789
01:06:13,808 --> 01:06:14,943
ADVISORY COUNCILS OF THE

1790
01:06:14,943 --> 01:06:17,812
INSTITUTES AND CENTERS, WE HAVE

1791
01:06:17,812 --> 01:06:19,881
TO CONSULT WITH ORGANIZATIONS

1792
01:06:19,881 --> 01:06:20,582
REPRESENTING THE SCIENTIFIC

1793
01:06:20,582 --> 01:06:21,516
COMMUNITY AND THEN FINALLY WE

1794
01:06:21,516 --> 01:06:23,685
HAVE TO CONSULT WITH

1795
01:06:23,685 --> 01:06:24,219
ORGANIZATIONS REPRESENTING

1796
01:06:24,219 --> 01:06:24,486
PATIENTS.

1797
01:06:24,486 --> 01:06:26,588
SO THE GOOD NEWS IS THAT THERE'S

1798
01:06:26,588 --> 01:06:29,224
GOING TO BE BROAD OUTREACH AND A

1799
01:06:29,224 --> 01:06:31,626
VERY DEEP AND THOROUGH ANALYSIS

1800
01:06:31,626 --> 01:06:33,695
OF THE FEEDBACK THAT WE RECEIVE

1801
01:06:33,695 --> 01:06:35,597
FROM ALL OF THESE DIFFERENT

1802
01:06:35,597 --> 01:06:36,464
STAKEHOLDER GROUPS.

1803
01:06:36,464 --> 01:06:38,867
BUT THAT WILL TAKE TIME AND

1804
01:06:38,867 --> 01:06:40,869
ENERGY, HENS THE BRIEF

1805
01:06:40,869 --> 01:06:42,370
CONVERSATION QUEE HAD ABOUT

1806
01:06:42,370 --> 01:06:45,206
WORKING GROUPS BECAUSE IF WE

1807
01:06:45,206 --> 01:06:46,508
ENABLED AND INSISTED THAT ALL OF

1808
01:06:46,508 --> 01:06:48,910
THIS WORK BE JUST DONE BY THIS

1809
01:06:48,910 --> 01:06:50,411
GROUP, IT WILL BE A VERY LONG

1810
01:06:50,411 --> 01:06:52,447
TIME BEFORE WE ARE ABLE TO COME

1811
01:06:52,447 --> 01:06:55,350
UP WITH FINAL ANYTHING IN THE

1812
01:06:55,350 --> 01:06:58,920
WAY OF RECOMMENDATIONS BUT IF

1813
01:06:58,920 --> 01:07:00,889
WE'RE ABLE TO JUDICIOUSLY

1814
01:07:00,889 --> 01:07:03,158
EMPOWER CERTAIN WORKING GROUPS,

1815
01:07:03,158 --> 01:07:06,694
ET CETERA, THAT WILL ALLOW US TO

1816
01:07:06,694 --> 01:07:07,996
LEVERAGE THE EXPERTISE OF THIS

1817
01:07:07,996 --> 01:07:10,565
GROUP WITH OTHER INDIVIDUALS WHO

1818
01:07:10,565 --> 01:07:12,700
CAN AT LEAST HELP AS LONG AS IT

1819
01:07:12,700 --> 01:07:15,603
IS BROUGHT BACK TO THIS GROUP

1820
01:07:15,603 --> 01:07:17,005
AND DISCUSSED IN DETAIL IN AWE

1821
01:07:17,005 --> 01:07:18,540
PUBLIC SESSION, SO THAT THE

1822
01:07:18,540 --> 01:07:20,942
PUBLIC CAN HEAR WHAT WE HAVE

1823
01:07:20,942 --> 01:07:25,113
LEARNED AND WHAT WE ARE THINKING

1824
01:07:25,113 --> 01:07:25,446
ABOUT.

1825
01:07:25,446 --> 01:07:29,417
YOU'VE HEARD ABOUT THE NUMBER OF

1826
01:07:29,417 --> 01:07:29,884
VOTING MEMBERS.

1827
01:07:29,884 --> 01:07:31,553
WE STILL HAVE A FEW MEMBERS TO

1828
01:07:31,553 --> 01:07:32,353
GO.

1829
01:07:32,353 --> 01:07:33,855
WE ARE NOT COMPLETELY AT FULL

1830
01:07:33,855 --> 01:07:36,824
NUMBER YET ALTHOUGH WE DO HAVE A

1831
01:07:36,824 --> 01:07:41,062
QUORUM AND THE MEMBERS OF COURSE

1832
01:07:41,062 --> 01:07:43,264
ARE SELECTED, RECOMMENDED BY THE

1833
01:07:43,264 --> 01:07:46,801
DIRECTOR OF NIH, AND ULTIMATELY,

1834
01:07:46,801 --> 01:07:48,536
YOU KNOW THE SECRETARY OF HHS

1835
01:07:48,536 --> 01:07:49,871
HAS FINAL SAY.

1836
01:07:49,871 --> 01:07:52,173
SO HERE IS THE VOTING MEMBERSHIP

1837
01:07:52,173 --> 01:07:55,009
RULES AND SO FORTH.

1838
01:07:55,009 --> 01:07:58,313
THE IC DIRECTORS WERE PICKED IN

1839
01:07:58,313 --> 01:08:02,183
ORDER TO FULFILL THE OBLIGATIONS

1840
01:08:02,183 --> 01:08:04,285
THAT ARE LISTED HERE.

1841
01:08:04,285 --> 01:08:05,753
IT'S PRETTY PRESCRIPTIVE.

1842
01:08:05,753 --> 01:08:07,388
SO BUDGETS ARE SUBSTANTIAL

1843
01:08:07,388 --> 01:08:11,960
RELATIVE TO A MAJORITY OF THE

1844
01:08:11,960 --> 01:08:12,894
OTHER INSTITUTES, INSTITUTES

1845
01:08:12,894 --> 01:08:14,429
WHO'S BUDGETS ARE SMALL,

1846
01:08:14,429 --> 01:08:17,732
RELATIVE AND SO FORTH, AND YOU

1847
01:08:17,732 --> 01:08:19,000
ALL KNOW WHO YOU ARE AND WE

1848
01:08:19,000 --> 01:08:28,409
DON'T HAVE TO GO THROUGH THAT,

1849
01:08:28,409 --> 01:08:31,379
THOSE INTUITIES THAT HAVE BEEN

1850
01:08:31,379 --> 01:08:34,415
AROUND FOR A WHILE CAN WITHOUT

1851
01:08:34,415 --> 01:08:36,517
SUBSTANTIVE CHANGE AND FOR MORE,

1852
01:08:36,517 --> 01:08:37,785
AND THERE'S A REASON WHY YOU

1853
01:08:37,785 --> 01:08:39,454
WERE SELECTED IN CASE YOU WERE

1854
01:08:39,454 --> 01:08:39,721
WONDERING.

1855
01:08:39,721 --> 01:08:40,855
IT WASN'T THAT YOU DID SOMETHING

1856
01:08:40,855 --> 01:08:43,591
WE DIDN'T LIKE AND YOU KNOW WE

1857
01:08:43,591 --> 01:08:46,027
PUT YOU HERE, IT WAS TO FILL THE

1858
01:08:46,027 --> 01:08:50,898
NEEDS THAT ARE OUTLINED HERE.

1859
01:08:50,898 --> 01:08:51,766
AND THEN THE NONFEDERAL MEMBERS

1860
01:08:51,766 --> 01:08:53,368
OF THE BOARD, YOU KNOW WHY YOU

1861
01:08:53,368 --> 01:08:55,903
ARE HERE, YOU'RE ALL SGEs,

1862
01:08:55,903 --> 01:08:59,207
WE'VE APPOINTED YOU TO SERVE,

1863
01:08:59,207 --> 01:09:01,676
OVERLAPPING TERMS SO THAT WE

1864
01:09:01,676 --> 01:09:05,613
DON'T LOSE THE CONTINUITY BUT

1865
01:09:05,613 --> 01:09:07,682
DON'T SENTENCE YOU FOREVER AND

1866
01:09:07,682 --> 01:09:12,186
AS YOU KNOW, WE DO HAVE TO HAVE

1867
01:09:12,186 --> 01:09:13,621
A QUORUM BEFORE WE CAN PUT

1868
01:09:13,621 --> 01:09:16,324
ANYTHING TO A VOTE ALTHOUGH MUCH

1869
01:09:16,324 --> 01:09:18,660
OF OUR WORK WILL LIKELY BE WITH

1870
01:09:18,660 --> 01:09:19,727
THE SENSE OF THE BUT THERE WILL

1871
01:09:19,727 --> 01:09:20,995
BE CERTAIN THINGS THAT I'M SURE

1872
01:09:20,995 --> 01:09:23,798
THE CHAIR WILL WANT A SPECIFIC

1873
01:09:23,798 --> 01:09:25,033
VOTE ON.

1874
01:09:25,033 --> 01:09:27,335
AS POINTED OUT EARLIER, WE CAN

1875
01:09:27,335 --> 01:09:28,803
USE SUBCOMMITTEE, THESE CAN BE

1876
01:09:28,803 --> 01:09:29,404
EXTREMELY IMPORTANT.

1877
01:09:29,404 --> 01:09:31,739
THIS IS HOW WE CAN REACH OUT TO

1878
01:09:31,739 --> 01:09:34,108
VERY, VERY BUSY PEOPLE IN

1879
01:09:34,108 --> 01:09:35,009
INDUSTRY, WHO PROBABLY WOULDN'T

1880
01:09:35,009 --> 01:09:36,911
WANT TO SERVE ON A COMMITTEE AS

1881
01:09:36,911 --> 01:09:41,716
DEDICATED AS ALL OF YOU ARE

1882
01:09:41,716 --> 01:09:46,854
BECAUSE OF THEIR OTHER

1883
01:09:46,854 --> 01:09:48,389
COMMITMENTS WHICH IS AND WHERE

1884
01:09:48,389 --> 01:09:54,829
WE CAN GET THAT EXPERTISE, THOSE

1885
01:09:54,829 --> 01:09:56,030
FROM THE NOT FOR PROVEIS SECTOR

1886
01:09:56,030 --> 01:09:58,166
AND AS WELL AS OTHER AREAS OF

1887
01:09:58,166 --> 01:10:01,402
EXPERTISE AND MANAGEMENT

1888
01:10:01,402 --> 01:10:01,936
ORGANIZATIONAL SPECIALIST,

1889
01:10:01,936 --> 01:10:02,870
ECONOMICS, FOLKS AND SO FORTH,

1890
01:10:02,870 --> 01:10:04,138
ALL OF THIS IS FAIR GAME AND WE

1891
01:10:04,138 --> 01:10:06,808
WILL BE ABLE TO DRAW UPON ANY

1892
01:10:06,808 --> 01:10:07,942
AND ALL OF THESE FOLKS IN

1893
01:10:07,942 --> 01:10:11,913
PARTICULARLY THROUGH THE USE OF

1894
01:10:11,913 --> 01:10:12,747
SUBCOMMITTEES ANYTHING THAT'S

1895
01:10:12,747 --> 01:10:13,881
DONE TO THE SUBCOMMITTEE COMES

1896
01:10:13,881 --> 01:10:15,583
BA BEING TO THE COMMITTEE AS A

1897
01:10:15,583 --> 01:10:26,060
WHOLE, FULL PRESENTATION AND

1898
01:10:31,332 --> 01:10:33,334
DISCUSSIONS, COMMITTEE ON THE

1899
01:10:33,334 --> 01:10:35,636
ENERGY AND COMMERCE AND

1900
01:10:35,636 --> 01:10:36,371
COMMITTEE ON APPROPRIATIONS OF

1901
01:10:36,371 --> 01:10:37,972
THE HOUSE OF REPRESENTATIVES,

1902
01:10:37,972 --> 01:10:39,941
AND COMMITTEE OF HEALTH,

1903
01:10:39,941 --> 01:10:41,309
EDUCATION, LABOR, PENS PENSIONS

1904
01:10:41,309 --> 01:10:43,611
AND COMMITTEE ON PROARPGS OF THE

1905
01:10:43,611 --> 01:10:45,246
SENATE, THE SECRETARY, AND

1906
01:10:45,246 --> 01:10:47,315
OFFICIALS WITH ORGANIZATIONAL

1907
01:10:47,315 --> 01:10:48,583
AUTHENTICS OTHER THAN ANY

1908
01:10:48,583 --> 01:10:50,985
OFFICIAL ON THE BOARD.

1909
01:10:50,985 --> 01:10:52,620
AGAIN, OKAY, SO I THINK I MADE

1910
01:10:52,620 --> 01:10:54,455
BACK THE TIME.

1911
01:10:54,455 --> 01:10:57,992
I WANTED YOU ALL TO HAVE

1912
01:10:57,992 --> 01:10:59,093
COMPLETE AVAILABILITY FOR MONICA

1913
01:10:59,093 --> 01:11:02,063
TO ANSWER YOUR QUESTIONS BUT AT

1914
01:11:02,063 --> 01:11:04,165
THAT -- LET'S OPEN THIS 1 UP IF

1915
01:11:04,165 --> 01:11:05,800
THERE'S ANY QUESTIONS ON THIS

1916
01:11:05,800 --> 01:11:07,068
TOPIC.

1917
01:11:07,068 --> 01:11:07,769
>> THANK YOU LARRY.

1918
01:11:07,769 --> 01:11:09,370
BEFORE WE TART INTO THE

1919
01:11:09,370 --> 01:11:10,538
QUESTIONS, THESE SLIDES WILL BE

1920
01:11:10,538 --> 01:11:12,640
MADE AVAILABLE TO ALL OF US?

1921
01:11:12,640 --> 01:11:12,974
>> YES.

1922
01:11:12,974 --> 01:11:18,079
THE SLIDES SHOULD BE ON THE

1923
01:11:18,079 --> 01:11:20,882
WEBSITE, POSTED AFTER THE 

1924
01:11:20,882 --> 01:11:23,718
MEETING AND WE CAN ALSO SEND

1925
01:11:23,718 --> 01:11:25,019
THEM TYRONE, DIRECTLY TO ALL THE

1926
01:11:25,019 --> 01:11:26,554
MEMBERS SO THAT THEY HAVE THEM.

1927
01:11:26,554 --> 01:11:27,955
>> YES, BECAUSE I THINK WE
WILL

1928
01:11:27,955 --> 01:11:29,457
NEED TO REFER TO THEM FROM TIME

1929
01:11:29,457 --> 01:11:35,096
TO TIME. 

1930
01:11:35,096 --> 01:11:35,763
>> YES OF COURSE.

1931
01:11:35,763 --> 01:11:36,964
ANY COMMENTS OR QUESTIONS.

1932
01:11:36,964 --> 01:11:38,833
I KNOW I'M THE ONLY THING

1933
01:11:38,833 --> 01:11:44,038
STANDING BETWEEN YOU AND LUNCH.

1934
01:11:44,038 --> 01:11:47,575
YEAH, JOANY GO AHEAD.

1935
01:11:47,575 --> 01:11:49,944
>> THERE'S' QUESTION
ONLINE!

1936
01:11:49,944 --> 01:11:51,412
>> LINDE IS IT?

1937
01:11:51,412 --> 01:11:52,213
>> YES, THANK YOU.

1938
01:11:52,213 --> 01:11:54,882
THANK YOU MONICA AND LARRY, THAT

1939
01:11:54,882 --> 01:11:56,017
WAS SUPER HELPFUL.

1940
01:11:56,017 --> 01:11:57,418
I AM WONDERING IF YOU CAN

1941
01:11:57,418 --> 01:12:00,087
CLARIFY A BIT MORE ABOUT THE

1942
01:12:00,087 --> 01:12:00,455
REPORTS.

1943
01:12:00,455 --> 01:12:02,190
I HEARD FOR EXAMPLE THAT THIS

1944
01:12:02,190 --> 01:12:04,292
BODY HAS TO PRODUCE A REPORT AT

1945
01:12:04,292 --> 01:12:05,793
LEAST EVERY, I THINK IT'S 7 YEAR

1946
01:12:05,793 --> 01:12:08,429
ANDS THAT THERE HAS TO BE 5

1947
01:12:08,429 --> 01:12:11,499
MEETINGS IN RELATION TO ANY

1948
01:12:11,499 --> 01:12:14,202
REPORT BUT SINCE THERE'S BEEN

1949
01:12:14,202 --> 01:12:16,404
SOME GAP IN TERMS OF WHEN THIS

1950
01:12:16,404 --> 01:12:17,772
GROUP HAS WEIGHED IN ON SOME OF

1951
01:12:17,772 --> 01:12:21,342
THESE ISSUES AND WE HAVE AT

1952
01:12:21,342 --> 01:12:31,686
LEAST 2 REPORTS WITH

1953
01:12:33,521 --> 01:12:34,222
CONGRESSIONAL BODIES TO TAKE A

1954
01:12:34,222 --> 01:12:35,790
LOOK AT.

1955
01:12:35,790 --> 01:12:37,225
WHEN ARE YOU FIRST REPAIRING TO

1956
01:12:37,225 --> 01:12:39,393
DO THE FIRST REPORT?

1957
01:12:39,393 --> 01:12:40,761
>> WELL, AGAIN, THIS WILL
DEPEND

1958
01:12:40,761 --> 01:12:43,764
PART ON THE CADENCE OF MEETINGS

1959
01:12:43,764 --> 01:12:47,401
THAT THIS GROUP AGREES TO AND WE

1960
01:12:47,401 --> 01:12:50,037
HAVE TALKED ABOUT THIS A BIT AND

1961
01:12:50,037 --> 01:12:53,374
WE WOULD LIKE TO BE ABLE TO MEET

1962
01:12:53,374 --> 01:12:55,977
A TOTAL OF 5 TIMES THIS YEAR,

1963
01:12:55,977 --> 01:13:00,748
BUT THE EXPECTATION WOULD BE

1964
01:13:00,748 --> 01:13:02,216
THAT --

1965
01:13:02,216 --> 01:13:03,484
>> NEXT CALENDAR --

1966
01:13:03,484 --> 01:13:05,419
>> NEXT CALENDAR -- NI
DIDN'T

1967
01:13:05,419 --> 01:13:06,988
WANT TO SCARE ANYBODY SINCE

1968
01:13:06,988 --> 01:13:10,725
WE'RE NEAR DECEMBER NWE THINK IN

1969
01:13:10,725 --> 01:13:13,261
TERMS OF FEDERAL CALENDAR, BUT

1970
01:13:13,261 --> 01:13:15,563
YEAH, 25 CALENDAR YEAR, BUT, WE

1971
01:13:15,563 --> 01:13:18,533
WOULD NOT HAVE ALL OF THESE

1972
01:13:18,533 --> 01:13:20,668
MEETINGS IN PERSON.

1973
01:13:20,668 --> 01:13:22,436
WE WOULD LIKELY HAVE EITHER 2 OR

1974
01:13:22,436 --> 01:13:25,873
3 MEETINGS IN PERSON AND THE

1975
01:13:25,873 --> 01:13:29,176
REST WOULD BE VIRTUAL.

1976
01:13:29,176 --> 01:13:32,680
AND THAT WILL BE OF COURSE

1977
01:13:32,680 --> 01:13:39,287
SUPPLEMENTED BY WORKING GROUPS,

1978
01:13:39,287 --> 01:13:40,688
SO HOPEFULLY BY THIS TIME NEXT

1979
01:13:40,688 --> 01:13:46,294
YEAR, THE GROUP WOULD BE ABLE TO

1980
01:13:46,294 --> 01:13:47,695
PRODUCE ITS -- IF NOT FIRST

1981
01:13:47,695 --> 01:13:49,597
REPORT, AT LEAST A GOOD WORKING

1982
01:13:49,597 --> 01:13:51,399
DRAFT SO THAT PEOPLE CAN

1983
01:13:51,399 --> 01:13:53,768
UNDERSTAND WHAT IS COMING.

1984
01:13:53,768 --> 01:13:55,436
THE ACTUAL WRITING SOMETIMES

1985
01:13:55,436 --> 01:13:58,906
TAKES A LITTLE TIME TO POLISH.

1986
01:13:58,906 --> 01:14:00,541
>> YEAH, SEXER SENTIA WILY
A

1987
01:14:00,541 --> 01:14:03,077
YEAR AND -- YEAH, ESSENTIALLY A

1988
01:14:03,077 --> 01:14:05,680
YEAR AND BEEN THE T MEETINGS WE

1989
01:14:05,680 --> 01:14:06,981
SHOULD ANTICIPATE A SIGNIFICANT

1990
01:14:06,981 --> 01:14:08,649
AMOUNT OF HOME WORK SO TO SPEAK.

1991
01:14:08,649 --> 01:14:10,785
THERE WILL BE A LOT OF

1992
01:14:10,785 --> 01:14:12,653
ASSIMILATING INFORMATION WE'VE

1993
01:14:12,653 --> 01:14:14,555
SEEN, ASSIMILATING DATA, COMING

1994
01:14:14,555 --> 01:14:16,257
UP WITH PROPOSALS SO THAT WHEN

1995
01:14:16,257 --> 01:14:17,892
WE UTILIZE THE TIME WE HAVE AT

1996
01:14:17,892 --> 01:14:19,860
THE MEETINGS IN A WAY THAT IS

1997
01:14:19,860 --> 01:14:23,297
VERY, VERY PRODUCTIVE AND WE CAN

1998
01:14:23,297 --> 01:14:24,665
HEAR EVERYONE'S THOUGHTS SO EVEN

1999
01:14:24,665 --> 01:14:27,335
THOUGH IT'S ONLY 5 MEETINGS IN A

2000
01:14:27,335 --> 01:14:28,402
CALENDAR YEAR, BY NOVEMBER OF

2001
01:14:28,402 --> 01:14:31,238
NEXT YEAR, WE HOPE TO HAVE A

2002
01:14:31,238 --> 01:14:33,541
PRODUCT THAT WE CAN AT LEAST A

2003
01:14:33,541 --> 01:14:36,477
DRAFT OF THE PRODUCT THAT WE CAN

2004
01:14:36,477 --> 01:14:37,144
BE EXCITED ABOUT.

2005
01:14:37,144 --> 01:14:43,851
>> I'VE GOT NORA AND THEN
JA,

2006
01:14:43,851 --> 01:14:44,518
NNE.

2007
01:14:44,518 --> 01:14:45,319
>> YEAH, LARRY, THANKS, MY

2008
01:14:45,319 --> 01:14:46,787
QUESTION TO YOU IS BECAUSE WE

2009
01:14:46,787 --> 01:14:48,556
BOTH WENT THROUGH THAT PROCESS

2010
01:14:48,556 --> 01:14:49,991
OF THE REORGANIZATION, THAT WHEN

2011
01:14:49,991 --> 01:14:52,293
THE MSRB CAME UP WITH THE

2012
01:14:52,293 --> 01:14:54,695
RECOMMENDATION THAT NIDPRKSA AND

2013
01:14:54,695 --> 01:14:57,098
THE NDAA, SHOULD BE BROUGHT

2014
01:14:57,098 --> 01:15:00,167
TOGETHER BECAUSE SIGNIFICANTLY

2015
01:15:00,167 --> 01:15:03,738
BOTH ORGANIZATIONS ARE

2016
01:15:03,738 --> 01:15:06,607
ADDRESSING SCIENCE, BECAUSE WE

2017
01:15:06,607 --> 01:15:07,775
-- SO THE QUESTION IS IF YOU

2018
01:15:07,775 --> 01:15:09,577
WERE TO LOOK AT IT

2019
01:15:09,577 --> 01:15:11,145
RETROSPECTIVELY, HOW ARE THINGS

2020
01:15:11,145 --> 01:15:12,780
DIFFERENT NOW THAN THEY WERE 14

2021
01:15:12,780 --> 01:15:16,217
YEARS AGO WHERE WE ARE NOW AGAIN

2022
01:15:16,217 --> 01:15:17,485
RECONSIDERING ARE THERE

2023
01:15:17,485 --> 01:15:19,520
REORGANIZATION OF THE INSTITUTES

2024
01:15:19,520 --> 01:15:22,089
AND HOW DO WE INSURE, WHAT ARE

2025
01:15:22,089 --> 01:15:24,358
THE OUTLOOKS TO OUR

2026
01:15:24,358 --> 01:15:25,926
RECOMMENDATION THAT WILL BE

2027
01:15:25,926 --> 01:15:27,895
HAVING AN IMPACT AS OPPOSED TO

2028
01:15:27,895 --> 01:15:31,532
ENDING AT JUST LIKE A

2029
01:15:31,532 --> 01:15:32,033
RECOMMENDATION?

2030
01:15:32,033 --> 01:15:34,168
>> WELL, I THINK WITH THE

2031
01:15:34,168 --> 01:15:38,339
BENEFIT OF THAT EXPERIENCE, WE

2032
01:15:38,339 --> 01:15:45,813
WILL HAVE TO DO A BETTER JOB IN

2033
01:15:45,813 --> 01:15:46,647
DESCRIBING THE RATIONAL BEHIND

2034
01:15:46,647 --> 01:15:48,849
WHAT IT IS THAT THE GROUP

2035
01:15:48,849 --> 01:15:51,719
ULTIMATELY PROPOSES AND WILL

2036
01:15:51,719 --> 01:15:53,788
HAVE TO PAY A BIT MORE ATTENTION

2037
01:15:53,788 --> 01:15:57,992
TO SOME OF THE REALITIES BY

2038
01:15:57,992 --> 01:16:00,161
CONSULTING WITH A BROADER RANGE

2039
01:16:00,161 --> 01:16:03,064
OF GROUPS TO INSURE THAT

2040
01:16:03,064 --> 01:16:07,668
WHATEVER IT IS THAT THE GROUP

2041
01:16:07,668 --> 01:16:11,205
COMES UP WITH, DOESN'T FAIL

2042
01:16:11,205 --> 01:16:13,474
BECAUSE OF SOMETHING THAT WE

2043
01:16:13,474 --> 01:16:16,410
TALKED ABOUT, BUT PERHAPS DIDN'T

2044
01:16:16,410 --> 01:16:17,912
CONSIDER AS CAREFULLY AS WE

2045
01:16:17,912 --> 01:16:20,748
SHOULD HAVE THE LAST TIME.

2046
01:16:20,748 --> 01:16:23,117
AND SO I THINK IT MEANS A BIT

2047
01:16:23,117 --> 01:16:28,889
MORE OUTREACH TO DIFFERENT

2048
01:16:28,889 --> 01:16:39,300
STAKEHOLDER GROUPS AND I

2049
01:16:43,137 --> 01:16:44,805
CERTAINLY, WE DON'T WANT TO FAIL

2050
01:16:44,805 --> 01:16:46,474
OPPORTUNITY OR EFFORT DEPENDING

2051
01:16:46,474 --> 01:16:49,210
ON HOW YOU LOOK AT IT BUT WE

2052
01:16:49,210 --> 01:16:50,945
SHOULD BE MINDFUL OF ENGAGING

2053
01:16:50,945 --> 01:16:52,913
MORE BROADLY WITH THE DIFFERENT

2054
01:16:52,913 --> 01:16:54,949
STAKEHOLDER GROUPS, SO THAT AT

2055
01:16:54,949 --> 01:16:58,486
THE END BEFORE WE MAKE THAT

2056
01:16:58,486 --> 01:17:02,790
FINAL DECISION, FOR THE CHAIR

2057
01:17:02,790 --> 01:17:04,391
SIGNS HER NAME ON THE REPORT, WE

2058
01:17:04,391 --> 01:17:07,194
HAVE A MORE REALISTIC ASSESSMENT

2059
01:17:07,194 --> 01:17:09,497
OF THE LIKELIHOOD OF IT, YOU

2060
01:17:09,497 --> 01:17:16,303
KNOW BEING SUSTAINED OR NOT.

2061
01:17:16,303 --> 01:17:18,072
>> I AGREE LARRY BECAUSE
WHEN

2062
01:17:18,072 --> 01:17:20,474
THE SMRB WAS RECOMMENDING THIS

2063
01:17:20,474 --> 01:17:22,143
IN 2010, OF COURSE EVERYBODY WAS

2064
01:17:22,143 --> 01:17:23,878
COMING FROM THE PERSPECTIVE, IT

2065
01:17:23,878 --> 01:17:25,212
MAKES SCIENTIFIC SCIENCE IS NOW

2066
01:17:25,212 --> 01:17:26,647
WE'RE IN 2024 AND WE FIND

2067
01:17:26,647 --> 01:17:28,382
OURSELVES IT DIDN'T HAPPEN AND

2068
01:17:28,382 --> 01:17:30,351
YET THE ALLOT OF VERY POSITIVE

2069
01:17:30,351 --> 01:17:32,353
THINGS HAVE HAPPENED BY KEEPING

2070
01:17:32,353 --> 01:17:34,522
THE INNSITUTES SEPARATED SO,

2071
01:17:34,522 --> 01:17:35,356
UNDERSTANDING THE LESSONS

2072
01:17:35,356 --> 01:17:38,359
LEARNED FROM IT IS ALSO

2073
01:17:38,359 --> 01:17:39,593
VALUABLE, SO, A PRIORITY WOULD

2074
01:17:39,593 --> 01:17:42,897
HAVE SAID IT MAKES A LOT OF

2075
01:17:42,897 --> 01:17:45,099
SCIENCE, BUT GENERATE AND MODEL

2076
01:17:45,099 --> 01:17:50,938
ORGANIZATION MAKE ITS VISIBLE

2077
01:17:50,938 --> 01:17:53,107
WHAT THE GOAL WAS.

2078
01:17:53,107 --> 01:17:56,443
>> AND AGAIN, AND WE'VE
DONE AN

2079
01:17:56,443 --> 01:17:59,146
EXPERIMENT AND WE MAKE THE

2080
01:17:59,146 --> 01:18:00,181
OBSERVATIONS FROM THAT

2081
01:18:00,181 --> 01:18:03,217
EXPERIENCE AND YOU HAVE TO TAKE

2082
01:18:03,217 --> 01:18:04,718
TAKE PROS AND CONS BASED UPON

2083
01:18:04,718 --> 01:18:10,224
THE OBSERVATIONS THAT YOU MAKE.

2084
01:18:10,224 --> 01:18:14,695
AND THAT WILL REQUIRE SOME

2085
01:18:14,695 --> 01:18:15,863
ADDITIONAL THOUGHT AND NOT THAT

2086
01:18:15,863 --> 01:18:17,498
ANYBODY'S ON THIS COMMITTEE WILL

2087
01:18:17,498 --> 01:18:18,766
BE BASHFUL BUT EVERYBODY'S GOING

2088
01:18:18,766 --> 01:18:20,267
TO HAVE TO SPEAK THEIR MIND

2089
01:18:20,267 --> 01:18:22,803
EMPLOY THE GROUPS WE ENGAGE

2090
01:18:22,803 --> 01:18:24,205
WITH, AS PART OF WORKING GROUPS

2091
01:18:24,205 --> 01:18:27,074
THEY WILL HAVE TO SPEAK THEIR

2092
01:18:27,074 --> 01:18:30,344
MINDS AND SO FORTH, BECAUSE,

2093
01:18:30,344 --> 01:18:31,846
I'VE NEVER SEEN AN ORGANIZATION

2094
01:18:31,846 --> 01:18:33,514
THAT CAN'T BE ENHANCED SOMEHOW,

2095
01:18:33,514 --> 01:18:35,015
BUT OF COURSE, THE QUESTION IS,

2096
01:18:35,015 --> 01:18:38,118
YOU KNOW HOW BEST TO DO IT,

2097
01:18:38,118 --> 01:18:40,788
OKAY, LET'S GO TO JEANNE AND

2098
01:18:40,788 --> 01:18:41,822
THEN MIKE.

2099
01:18:41,822 --> 01:18:43,791
>> THANKS LARRY AND MONICA
FOR

2100
01:18:43,791 --> 01:18:44,525
THOSE HELPFUL PRESENTATIONS,

2101
01:18:44,525 --> 01:18:45,993
JUST A QUESTION ABOUT THE

2102
01:18:45,993 --> 01:18:47,728
FEEDBACK FROM THE COMMUNITIES,

2103
01:18:47,728 --> 01:18:50,431
SO THE LAST 2 BULLETS YOU HAVE,

2104
01:18:50,431 --> 01:18:51,465
ORGANIZATIONS REPRESENTING THE

2105
01:18:51,465 --> 01:18:53,133
SCIENTIFIC COMMITTEE AND

2106
01:18:53,133 --> 01:18:53,701
ORGANIZATIONS REPRESENTING

2107
01:18:53,701 --> 01:18:57,338
PATIENTS, THERE ARE SO MANY.

2108
01:18:57,338 --> 01:18:58,739
SO IS THERE ANY GUIDANCE ABOUT

2109
01:18:58,739 --> 01:19:01,609
HOW WE DO ENGAGE WITH THE GROUPS

2110
01:19:01,609 --> 01:19:11,018
THAT ARE GOING TO BE MOST

2111
01:19:11,018 --> 01:19:11,585
IMPORTANT?

2112
01:19:11,585 --> 01:19:14,321
>> FORTUNATELY WE ARE NOW
MORE

2113
01:19:14,321 --> 01:19:15,522
COMFORTABLE FOR THINGS LIKE

2114
01:19:15,522 --> 01:19:17,791
WEBINARS WHICH ALLOW FOR VERY,

2115
01:19:17,791 --> 01:19:19,426
VERY BROAD ENGAGEMENT AND YOU

2116
01:19:19,426 --> 01:19:20,828
PUT A FEDERAL REGISTER NOTICE

2117
01:19:20,828 --> 01:19:23,230
OUT, WE WILL HOLD THE WEBINAR ON

2118
01:19:23,230 --> 01:19:26,100
SUCH AND SUCH ABOUT THUS AND

2119
01:19:26,100 --> 01:19:28,168
THUS AND AS YOU ALL KNOW BECAUSE

2120
01:19:28,168 --> 01:19:29,770
EVERY INSTITUTE AND CENTER HAS

2121
01:19:29,770 --> 01:19:33,307
DONE THIS, YOU GET INCREDIBLY

2122
01:19:33,307 --> 01:19:35,376
BROAD PARTICIPATION AND ROBUST

2123
01:19:35,376 --> 01:19:36,143
PARTICIPATION.

2124
01:19:36,143 --> 01:19:38,379
SO I DON'T ENVISION US GOING TO

2125
01:19:38,379 --> 01:19:40,748
EACH AND EVERY OFFICE OF EACH

2126
01:19:40,748 --> 01:19:44,885
AND EVERY, YOU KNOW SOCIETY ET

2127
01:19:44,885 --> 01:19:49,223
CETERA BUT I CAN ENVISION A

2128
01:19:49,223 --> 01:19:51,825
NUMBER OF WEBINARS, WHERE YOU

2129
01:19:51,825 --> 01:19:55,763
CAN REACH, YOU KNOW LITERALLY

2130
01:19:55,763 --> 01:19:56,964
THOUSANDS OF PEOPLE AND WE'VE

2131
01:19:56,964 --> 01:19:58,666
DONE IT, WE'VE ALL HAD THAT

2132
01:19:58,666 --> 01:20:00,834
EXPERIENCE, I THINK THAT WILL

2133
01:20:00,834 --> 01:20:03,237
BEENTIOUS FICIENT, AND I THINK

2134
01:20:03,237 --> 01:20:04,305
-- WILL BE EFFICIENT AND I THINK

2135
01:20:04,305 --> 01:20:07,975
WE WILL LEARN A GREAT DEAL IN

2136
01:20:07,975 --> 01:20:11,412
THAT WAY.

2137
01:20:11,412 --> 01:20:11,745
MIKE?

2138
01:20:11,745 --> 01:20:12,746
>> LARRY, I JUST HAVE 2

2139
01:20:12,746 --> 01:20:14,515
QUESTIONS THAT ARE RELATED.

2140
01:20:14,515 --> 01:20:17,551
THE FIRST 1 IS THAT EVERY DAY I

2141
01:20:17,551 --> 01:20:18,719
FEEL LIKE WE'RE HEARING REPORTS

2142
01:20:18,719 --> 01:20:20,587
ABOUT YOU KNOW WANTING TO REFORM

2143
01:20:20,587 --> 01:20:23,691
THE HEALTHCARE AND THE RESEARCH

2144
01:20:23,691 --> 01:20:24,291
ECOSYSTEM, AND I'M JUST

2145
01:20:24,291 --> 01:20:25,726
WONDERING WHAT IS YOUR ADVICE

2146
01:20:25,726 --> 01:20:28,095
ABOUT THE TIMING OF THIS REPORT

2147
01:20:28,095 --> 01:20:30,831
ALONG THOSE LINES OF, I THINK

2148
01:20:30,831 --> 01:20:32,933
IT'LL BE GOOD TO NOT SUBMIT A

2149
01:20:32,933 --> 01:20:35,502
REPORT THAT'S TOO LATE TO HAVE

2150
01:20:35,502 --> 01:20:36,236
IMPACT, AND THE SECOND QUESTION

2151
01:20:36,236 --> 01:20:40,541
IS THAT IF YOU HAVE ADVICE ABOUT

2152
01:20:40,541 --> 01:20:42,142
STRATEGIZING ABOUT THIS REPORT,

2153
01:20:42,142 --> 01:20:44,111
ARE WE BETTER OFF ORGANIZING IT

2154
01:20:44,111 --> 01:20:47,881
IN RESPONSE TO THESE 2

2155
01:20:47,881 --> 01:20:48,682
CONGRESSIONAL REPORTS VERSUS

2156
01:20:48,682 --> 01:20:50,985
ANYTHING BACK TO FIRST

2157
01:20:50,985 --> 01:20:52,252
PRINCIPLES AND STARTING FROM

2158
01:20:52,252 --> 01:20:57,925
GOALS AND SO, IF YOU COULD JUST

2159
01:20:57,925 --> 01:21:04,798
ADVISE ABOUT THAT?

2160
01:21:04,798 --> 01:21:06,200
>> MY OPINION, OKAY, IS
THAT WE

2161
01:21:06,200 --> 01:21:07,234
SHOULD AT LEAST TAKE SOME TIME

2162
01:21:07,234 --> 01:21:11,038
TO LOOK AT THE PREVIOUS REPORTS

2163
01:21:11,038 --> 01:21:12,539
BECAUSE IT COULD VERY WELL BE

2164
01:21:12,539 --> 01:21:15,542
THAT SOME OF THE PRINCIPLES THAT

2165
01:21:15,542 --> 01:21:17,144
ARE ARTICULATED STILL HOLD TRUE.

2166
01:21:17,144 --> 01:21:19,580
I THINK THAT IT WILL BE EASIER

2167
01:21:19,580 --> 01:21:23,217
AND MORE EFFICIENT TO REVISE AND

2168
01:21:23,217 --> 01:21:27,788
IN PARTICULAR THE REPORT THAT

2169
01:21:27,788 --> 01:21:29,723
I'LL DESCRIBE THIS AFTERNOON,

2170
01:21:29,723 --> 01:21:34,361
THEN TARTING DE NOVO.

2171
01:21:34,361 --> 01:21:38,599
THE TIMING, YOU HAVE TO MEET 5

2172
01:21:38,599 --> 01:21:42,936
TIMES, EMPLOY THAT'S  -- TIMES.

2173
01:21:42,936 --> 01:21:44,171
THAT'S WILL RULES THAT GOVERN

2174
01:21:44,171 --> 01:21:45,005
THIS COMMITTEE BUT THE

2175
01:21:45,005 --> 01:21:48,409
DELIBERATIONS ARE ALL PUBLIC.

2176
01:21:48,409 --> 01:21:50,144
AND SO WHILST THIS MEETING IS IN

2177
01:21:50,144 --> 01:21:51,912
PART SORT OF GETTING TO KNOW YOU

2178
01:21:51,912 --> 01:21:54,515
AND SETTING THE LANDSCAPE,

2179
01:21:54,515 --> 01:21:57,718
EVERYTHING THAT IS SAID IS

2180
01:21:57,718 --> 01:22:00,754
PUBLIC AND PRESUMABLY, THE

2181
01:22:00,754 --> 01:22:02,356
DISCUSSION EVEN DURING ITS

2182
01:22:02,356 --> 01:22:08,062
INTERIM OR ITERATIVE FORM, CAN

2183
01:22:08,062 --> 01:22:09,463
BE HOPEFULLY BENEFICIAL TO

2184
01:22:09,463 --> 01:22:10,764
WHOMEVER IS INTERESTED IN THESE

2185
01:22:10,764 --> 01:22:13,167
ISSUES, SO, THE FACT THAT THE

2186
01:22:13,167 --> 01:22:14,802
FINAL REPORT, YOU KNOW MAY NOT

2187
01:22:14,802 --> 01:22:18,439
BE DONE BECAUSE OF ALL THE

2188
01:22:18,439 --> 01:22:19,339
FRANKLY CONSTRAINTS THAT WE HAVE

2189
01:22:19,339 --> 01:22:21,241
AND BECAUSE OF THE COMPLEXITY OF

2190
01:22:21,241 --> 01:22:23,310
THE ISSUES THAT WE'RE DEALING

2191
01:22:23,310 --> 01:22:25,546
WITH, THAT DOESN'T MEAN THAT ALL

2192
01:22:25,546 --> 01:22:28,749
OF THE INTERIM EFFORT WILL GO

2193
01:22:28,749 --> 01:22:31,452
UNNOTICED AND MY HOPE IS THAT WE

2194
01:22:31,452 --> 01:22:33,520
WILL HAVE VERY SUBSTANTIVE

2195
01:22:33,520 --> 01:22:36,290
DISCUSSIONS INFORMED BY DATA AND

2196
01:22:36,290 --> 01:22:39,226
ANALYSIS, AND THAT THAT WILL

2197
01:22:39,226 --> 01:22:41,829
HELP DURING THIS INTERIM TIME

2198
01:22:41,829 --> 01:22:45,599
BEFORE A REPORT EVEN IN DRAFT IS

2199
01:22:45,599 --> 01:22:46,033
AVAILABLE.

2200
01:22:46,033 --> 01:22:47,968
>> I AND THINK ALSO, MIKE,
WE'RE

2201
01:22:47,968 --> 01:22:50,504
ALL GOING TO READ THE PREVIOUS

2202
01:22:50,504 --> 01:22:50,737
REPORT.

2203
01:22:50,737 --> 01:22:52,606
THAT WAS 1 THING I WAS GOING TO

2204
01:22:52,606 --> 01:22:53,974
REMIND US BEFORE THE END OF THE

2205
01:22:53,974 --> 01:22:55,943
MEETING IS THAT WE SHOULD ALL BE

2206
01:22:55,943 --> 01:22:56,944
FAMILIAR WITH THE PREVIOUS

2207
01:22:56,944 --> 01:22:58,545
REPORT NOT JUST THE CONTENT BUT

2208
01:22:58,545 --> 01:23:01,648
THE STRUCTURE AND HOW THEY HAVE

2209
01:23:01,648 --> 01:23:02,449
UNDERLYING PRINCIPLES AND THEN

2210
01:23:02,449 --> 01:23:04,651
THEY HAVE BUILT ON THAT, OKAY,

2211
01:23:04,651 --> 01:23:06,186
EVERYTHING HAS TO BE IN LINE

2212
01:23:06,186 --> 01:23:08,122
WITH THE MISSION, ET CETERA, ET

2213
01:23:08,122 --> 01:23:09,756
CETERA SO MAYBE NOT SO MUCH FOR

2214
01:23:09,756 --> 01:23:11,492
THE CONTENT BECAUSE YOU DON'T --

2215
01:23:11,492 --> 01:23:13,260
WE MAY NOT WANT TO REPEAT THE

2216
01:23:13,260 --> 01:23:14,795
CONTENT, OR WE MAY, IF WE SEE

2217
01:23:14,795 --> 01:23:16,630
SOMETHING IN THERE THAT IS STILL

2218
01:23:16,630 --> 01:23:18,732
AN ISSUE BUT THE STRUCTURE

2219
01:23:18,732 --> 01:23:22,136
WILLIVE US A GUIDE AS TO HOW TO

2220
01:23:22,136 --> 01:23:24,471
GET THAT FORMED IN AN EFFICIENT

2221
01:23:24,471 --> 01:23:24,805
WAY.

2222
01:23:24,805 --> 01:23:28,108
>> OKAY, ANY OTHER
COMMENTS OR

2223
01:23:28,108 --> 01:23:29,643
CONCERNS, QUESTIONS, THAT PEOPLE

2224
01:23:29,643 --> 01:23:29,910
HAVE?

2225
01:23:29,910 --> 01:23:32,045
I KNOW THE BLOOD SUGAR LEVELS

2226
01:23:32,045 --> 01:23:33,680
ARE DROPPING, BUT IT'S -- BUT

2227
01:23:33,680 --> 01:23:37,417
IT'S GOING TO BE OKAY.

2228
01:23:37,417 --> 01:23:37,751
YEAH.

2229
01:23:37,751 --> 01:23:39,920
OKAY, SO I THINK WE'VE LANDED

2230
01:23:39,920 --> 01:23:42,956
THE PLANE ON TIME SO BACK TO THE

2231
01:23:42,956 --> 01:23:43,624
CHAIR.

2232
01:23:43,624 --> 01:23:45,592
>> OKAY, SO WE HAVE A
BREAK NOW,

2233
01:23:45,592 --> 01:23:49,029
WE HAVE LUNCH NOW, AT 12:45.

2234
01:23:49,029 --> 01:23:54,790
WE SHOULD BE BACK HERE BY ABOUT
1:40.

2235
01:23:54,790 --> 01:23:57,993
SO MY NAME'S NEAL SHAPIRO, I'VE

2236
01:23:57,993 --> 01:24:00,596
BEEN THE BUDGET DIRECTOR HERE AT

2237
01:24:00,596 --> 01:24:03,832
NIH SINCE 2010 AND I WILL GIVE A

2238
01:24:03,832 --> 01:24:05,667
CAVEAT THAT THIS OVERVIEW WILL

2239
01:24:05,667 --> 01:24:08,437
NOAOF THELY BE DIRECTED TOWARDS

2240
01:24:08,437 --> 01:24:11,139
THE NONNIH MEMBERS OF THE SMRB,

2241
01:24:11,139 --> 01:24:12,741
BUT PERHAPS WE WILL SEE MAYBE

2242
01:24:12,741 --> 01:24:14,509
THERE WILL BE SOMETHING OF

2243
01:24:14,509 --> 01:24:20,048
INTEREST TO OUR DIRECTORS AS

2244
01:24:20,048 --> 01:24:21,350
WELL.

2245
01:24:21,350 --> 01:24:21,617
NEXT.

2246
01:24:21,617 --> 01:24:25,120
SO THIS SLIDE SHOWS SORT OF THE

2247
01:24:25,120 --> 01:24:27,756
VISUAL DEPICTION OF THE NIH

2248
01:24:27,756 --> 01:24:31,159
BUDGET BY INSTITUTE AND CENTER,

2249
01:24:31,159 --> 01:24:33,862
SO, THE LARGER CIRCLES HAVE

2250
01:24:33,862 --> 01:24:36,598
LARGER BUDGETS AND YOU CAN SEE

2251
01:24:36,598 --> 01:24:39,935
THE LARGEST OF THESE IS NCI.

2252
01:24:39,935 --> 01:24:41,236
ON THE OPPOSITE END OF THE AGING

2253
01:24:41,236 --> 01:24:43,171
INSTITUTE HAS BEEN GROWING

2254
01:24:43,171 --> 01:24:45,374
RAPIDLY IN RECENT YEARS, THAT'S

2255
01:24:45,374 --> 01:24:48,443
NOW 1 OF THE LARGEST AS WELL,

2256
01:24:48,443 --> 01:24:51,413
AND WE HAVE QUITE A RANGE OF

2257
01:24:51,413 --> 01:24:53,382
SIZES AND THEN IN THE LIGHTER

2258
01:24:53,382 --> 01:24:56,084
BLUE RIGHT BELOW THE OFFICE OF

2259
01:24:56,084 --> 01:24:57,185
THE DIRECTOR, WE HAVE THE

2260
01:24:57,185 --> 01:24:59,688
CENTERS THAT DON'T HAVE DIRECT

2261
01:24:59,688 --> 01:25:01,723
APPROPRIATIONS, THEY RECEIVE

2262
01:25:01,723 --> 01:25:03,058
THEIR FUNDING THE INSTITUTE ANDS

2263
01:25:03,058 --> 01:25:07,429
CENTERS THAT DO HAVE DIRECT

2264
01:25:07,429 --> 01:25:07,996
APPROPRIATIONS.

2265
01:25:07,996 --> 01:25:10,098
SO, YOUR INTEGRATED POLICIES AND

2266
01:25:10,098 --> 01:25:11,033
INFRASTRUCTURE, SO WE'RE

2267
01:25:11,033 --> 01:25:12,434
INTEGRATED IN THAT FINANCIAL

2268
01:25:12,434 --> 01:25:14,736
SENSE THAT THOSE SENATORS ARE

2269
01:25:14,736 --> 01:25:16,805
FUNDED INTERNALLY AND WE ALSO

2270
01:25:16,805 --> 01:25:18,407
HAVE CENTRAL SERVICES THAT ARE

2271
01:25:18,407 --> 01:25:20,375
PROVIDED LARGELY BY THE OFFICE

2272
01:25:20,375 --> 01:25:22,878
OF THE DIRECTOR THAT ALSO GET

2273
01:25:22,878 --> 01:25:24,179
FUNDED COOPERATIVELY, SO SORT OF

2274
01:25:24,179 --> 01:25:27,783
THE SERVICES THAT ARE BEING

2275
01:25:27,783 --> 01:25:29,418
PROVIDED TO THE INSTITUTES AND

2276
01:25:29,418 --> 01:25:31,286
CENTERS CAN BE FUNDED FROM THEM,

2277
01:25:31,286 --> 01:25:34,956
THROUGH A CENTRAL SERVICES

2278
01:25:34,956 --> 01:25:36,725
PROCESS, WHICH DR. ROGERS CO

2279
01:25:36,725 --> 01:25:40,462
CHAIRS AND THAT'S ALSO PART OF

2280
01:25:40,462 --> 01:25:44,866
HOW WE IMPLEMENT OUR

2281
01:25:44,866 --> 01:25:45,233
APPROPRIATIONS.

2282
01:25:45,233 --> 01:25:46,835
THE 47.4 BILLION FIGURE, THAT'S

2283
01:25:46,835 --> 01:25:48,603
A TOTAL AND I WILL SHOW IN A

2284
01:25:48,603 --> 01:25:52,574
MOMENT HOW WE ADD UP TO THAT

2285
01:25:52,574 --> 01:25:54,976
THAT DOES NOT INCLUDE ARP A-H

2286
01:25:54,976 --> 01:25:57,446
WHICH IS PART OF NIH BUT

2287
01:25:57,446 --> 01:25:58,213
INDEPENDENT AND REPORTING

2288
01:25:58,213 --> 01:25:59,281
DIRECTLY TO THE SECRETARY SO

2289
01:25:59,281 --> 01:26:01,249
THEY HAVE THEIR OWN BUDGET AS

2290
01:26:01,249 --> 01:26:01,483
WELL.

2291
01:26:01,483 --> 01:26:04,753
GO TO THE NEXT SLIDE.

2292
01:26:04,753 --> 01:26:08,056
SO THIS IS SORT OF A HIGH LEVEL

2293
01:26:08,056 --> 01:26:09,758
LOOK AT WHAT COMPOSES THE NIH

2294
01:26:09,758 --> 01:26:11,593
BUDGET, IT AM CANS FROM A COUPLE

2295
01:26:11,593 --> 01:26:13,395
DIFFERENT SOURCES THAT ADD UP TO

2296
01:26:13,395 --> 01:26:14,896
THAT TOTAL.

2297
01:26:14,896 --> 01:26:18,900
THE LARGEST 1 HERE IN THE FIRST

2298
01:26:18,900 --> 01:26:19,935
LINE LABOR/HHS BUDGET AUTHORITY,

2299
01:26:19,935 --> 01:26:23,105
THAT IS THE FUNDING FROM OUR

2300
01:26:23,105 --> 01:26:25,140
APPROPRIATIONS SUBCOMMITTEE, SO

2301
01:26:25,140 --> 01:26:26,608
THERE'S MULTIPLE SUBCOMMITTEES

2302
01:26:26,608 --> 01:26:28,110
THAT HANDLE CONGRESSIONAL

2303
01:26:28,110 --> 01:26:29,177
APPROPRIATIONS, WE'RE PART OF A

2304
01:26:29,177 --> 01:26:31,179
GROUP THAT ALSO INCLUDES THE

2305
01:26:31,179 --> 01:26:33,515
LABOR DEPARTMENT, THE EDUCATION

2306
01:26:33,515 --> 01:26:36,418
DEPARTMENT, AS WELL AS HHS AND

2307
01:26:36,418 --> 01:26:37,986
OTHER INDEPENDENT SMALLER

2308
01:26:37,986 --> 01:26:39,421
AGENCIES AS WELL, SO THAT'S HOW

2309
01:26:39,421 --> 01:26:41,923
WE GET THE BULK OF OUR FUNDING

2310
01:26:41,923 --> 01:26:43,992
THROUGH THE ANNUAL

2311
01:26:43,992 --> 01:26:45,160
APPROPRIATIONS PROCESS, THAT IS

2312
01:26:45,160 --> 01:26:47,996
CALLED ON THE RIGHT SIDE, YOU

2313
01:26:47,996 --> 01:26:49,264
SEE DISCRETIONARY FUNDING WHICH

2314
01:26:49,264 --> 01:26:51,666
MEANS, IT'S IN AN APPROPRIATIONS

2315
01:26:51,666 --> 01:26:53,769
BILL AS OPPOSE TO AN

2316
01:26:53,769 --> 01:26:55,237
AUTHORIZATION BILL, DIFFERENT

2317
01:26:55,237 --> 01:26:57,639
KIND OF BILL, DIFFERENT

2318
01:26:57,639 --> 01:27:00,709
COMMITTEE THAT ORIGINATES THAT

2319
01:27:00,709 --> 01:27:03,345
LEGISLATION AND SO IN SOME

2320
01:27:03,345 --> 01:27:04,246
CASES, WHICH SUBCOMMITTEE THE

2321
01:27:04,246 --> 01:27:06,314
AGENCY IS IN CAN HAVE AN IMPACT

2322
01:27:06,314 --> 01:27:11,319
IN TERMS OF HOW FUNDS ARE

2323
01:27:11,319 --> 01:27:11,920
DIVIDED BY CONGRESS.

2324
01:27:11,920 --> 01:27:13,789
SO IF THE APPROPRIATIONS

2325
01:27:13,789 --> 01:27:15,590
COMMITTEE ALLOCATES A CERTAIN

2326
01:27:15,590 --> 01:27:17,826
AMOUNT TO EACH SUBCOMMITTEE, AND

2327
01:27:17,826 --> 01:27:18,994
THEN OUR PARTICULAR SUBCOMMITTEE

2328
01:27:18,994 --> 01:27:21,997
IN THIS CASE WOULD BE DIVIDING

2329
01:27:21,997 --> 01:27:24,065
FUNDS BETWEEN HHS, LABOR

2330
01:27:24,065 --> 01:27:24,633
DEPARTMENT, EDUCATION

2331
01:27:24,633 --> 01:27:28,203
DEPARTMENT, AND THEN WITHIN HHS,

2332
01:27:28,203 --> 01:27:30,372
SO, SOMETIMES WHICH SUBCOMMITTEE

2333
01:27:30,372 --> 01:27:31,873
IS HANDLING YOUR BUDGET CAN HAVE

2334
01:27:31,873 --> 01:27:34,876
AN IMPACT IN TERMS OF SOME

2335
01:27:34,876 --> 01:27:37,312
COMPETITION AMONGST AGENCIES FOR

2336
01:27:37,312 --> 01:27:38,947
FUNDING, TYPICALLY, YOU SEE MORE

2337
01:27:38,947 --> 01:27:41,116
MOVEMENT WITHIN A SUBCOMMITTEE

2338
01:27:41,116 --> 01:27:42,517
THAN ACROSS SUBCOMMITTEES WHEN

2339
01:27:42,517 --> 01:27:44,519
CONGRESS MAKES ITS ALLOCATIONS,

2340
01:27:44,519 --> 01:27:46,087
BUT IT ALL DEPENDS ON THE

2341
01:27:46,087 --> 01:27:47,689
SPECIFICS OF ANY INDIVIDUAL

2342
01:27:47,689 --> 01:27:48,723
YEAR.

2343
01:27:48,723 --> 01:27:50,792
THE SECOND LINE THERE INTERIOR

2344
01:27:50,792 --> 01:27:52,093
BUDGET AUTHORITY, SO THAT IS

2345
01:27:52,093 --> 01:27:54,362
COMING FROM A DIFFERENT

2346
01:27:54,362 --> 01:27:56,231
SUBCOMMITTEE, THE INTERIOR

2347
01:27:56,231 --> 01:27:56,832
SUBCOMMITTEE.

2348
01:27:56,832 --> 01:28:00,335
IT ONLY INCLUDES THE NIEHS

2349
01:28:00,335 --> 01:28:01,136
SUPERFUND PROGRAM.

2350
01:28:01,136 --> 01:28:03,405
THE REASON IT'S COMING FROM THE

2351
01:28:03,405 --> 01:28:05,307
INTERIOR SUBCOMMITTEE IS THAT

2352
01:28:05,307 --> 01:28:07,375
THEY HANDLE THE EPA BUDGET,

2353
01:28:07,375 --> 01:28:11,813
THAT'S PART OF THE INTERIOR BILL

2354
01:28:11,813 --> 01:28:15,517
AND THIS PARTICULAR PROGRAM AT

2355
01:28:15,517 --> 01:28:16,818
NIEHS ORIGINATED IN SUPERFUND

2356
01:28:16,818 --> 01:28:17,719
LEGISLATION, WHICH IS BROADLY

2357
01:28:17,719 --> 01:28:20,021
MOST OF IT MANAGED BY EPA, SO

2358
01:28:20,021 --> 01:28:21,189
THE FUNDING FOR THAT COMES FROM

2359
01:28:21,189 --> 01:28:24,759
THE SAME BILL THAT DOES THE EPA

2360
01:28:24,759 --> 01:28:25,794
BUDGET.

2361
01:28:25,794 --> 01:28:29,297
SO SMALL AMOUNT, BUT IT REQUIRES

2362
01:28:29,297 --> 01:28:30,966
THAT WE TRACK THAT BILL AS WELL

2363
01:28:30,966 --> 01:28:33,368
AS THE LABOR HHS BILL.

2364
01:28:33,368 --> 01:28:36,238
THEN THE NEXT ITEM, TIME 1

2365
01:28:36,238 --> 01:28:36,972
DIABETES, THIS IS MANDATORY

2366
01:28:36,972 --> 01:28:39,040
FUNDING SO IT'S CONSIDERED

2367
01:28:39,040 --> 01:28:39,875
AUGUST RISING LEGISLATION, NOT

2368
01:28:39,875 --> 01:28:42,677
PART OF THE ANNUAL APPROPRIATION

2369
01:28:42,677 --> 01:28:45,981
BILL, ALTHOUGH SOMETIMES THE 2

2370
01:28:45,981 --> 01:28:47,883
CAN GET COMBINED IN SOME

2371
01:28:47,883 --> 01:28:53,688
RESPECTS BUT WHEN THEY DO GET

2372
01:28:53,688 --> 01:28:55,390
COMBINED, THIS FUNDING WOULD BE

2373
01:28:55,390 --> 01:28:58,927
IN A SET PROVISION OR AN

2374
01:28:58,927 --> 01:28:59,728
AUTHORIZATION, AN AMENDMENT TO

2375
01:28:59,728 --> 01:29:01,296
THE BILL TO EXTEND THE FUNDING.

2376
01:29:01,296 --> 01:29:02,597
THIS WAS INCREASED IN THE PAST

2377
01:29:02,597 --> 01:29:04,332
YEAR, IT HAD BEEN AT 150 MILLION

2378
01:29:04,332 --> 01:29:06,468
FOR A LONG TIME.

2379
01:29:06,468 --> 01:29:09,337
IT WAS BUMPED UP THIS PAST YEAR

2380
01:29:09,337 --> 01:29:12,340
TO 195, PART OF THAT WAS

2381
01:29:12,340 --> 01:29:14,142
INTENDED TO COVER THE BEGINNING

2382
01:29:14,142 --> 01:29:16,811
OF 2025, SO IT'S MORE LIKE

2383
01:29:16,811 --> 01:29:18,680
160 MILLION SORT OF ON

2384
01:29:18,680 --> 01:29:20,982
ANNUALIZED BASIS BUT THAT IS

2385
01:29:20,982 --> 01:29:24,753
COMING FROM THIS DIFFERENT POT

2386
01:29:24,753 --> 01:29:27,255
CONSIDERED MANDATORY SEPARATE

2387
01:29:27,255 --> 01:29:29,090
FROM DIGS CRETIONARY FUNDING --

2388
01:29:29,090 --> 01:29:29,958
DISCRETIONARY FUNDING AND

2389
01:29:29,958 --> 01:29:30,759
SOMETIMES BECAUSE IT'S SEPARATE

2390
01:29:30,759 --> 01:29:34,129
IT CAN BE SUBJECT TO SEQUESTER.

2391
01:29:34,129 --> 01:29:35,730
THERE ARE PROVISIONS, THE MOST

2392
01:29:35,730 --> 01:29:38,433
COMMON SEQUESTER YOU MAY HAVE

2393
01:29:38,433 --> 01:29:40,802
HEARD OF HAPPENED UNDER FORMER

2394
01:29:40,802 --> 01:29:42,971
DISCRETIONARY CAPS, THOSE NO

2395
01:29:42,971 --> 01:29:45,240
LONGER HANDLE SEQUESTRATION, BUT

2396
01:29:45,240 --> 01:29:46,808
ON THE MANDATORY SIDE WHICH

2397
01:29:46,808 --> 01:29:49,144
SOMETIMES INCLUDES THIS TYPE 1

2398
01:29:49,144 --> 01:29:51,012
DIABETES FUNDS, THERE CAN STILL

2399
01:29:51,012 --> 01:29:52,514
BE A SEQUESTER SO IN SOME YEARS

2400
01:29:52,514 --> 01:29:55,016
WE'VE HAD TO GIVE UP A SMALL

2401
01:29:55,016 --> 01:29:58,553
PORTION OF THOSE FUNDS AND IT

2402
01:29:58,553 --> 01:30:00,488
USUALLY DEPENDS ON THE TIMING OF

2403
01:30:00,488 --> 01:30:01,556
WHEN THE LEGISLATION PASSES AS

2404
01:30:01,556 --> 01:30:04,192
TO WHETHER OR NOT THAT HAPPENS.

2405
01:30:04,192 --> 01:30:07,095
THEN THE NEXT ITEM, PROGRAM

2406
01:30:07,095 --> 01:30:09,030
EVALUATION FINANCING, THIS IS

2407
01:30:09,030 --> 01:30:11,099
GOING ENTIRELY TO NIGMS, JUST AS

2408
01:30:11,099 --> 01:30:15,470
THE TYPE 1 DIABETES IS ALL IN

2409
01:30:15,470 --> 01:30:18,974
NIDDK, AND THESE FUNDS ARE

2410
01:30:18,974 --> 01:30:20,308
COMING FROM ALL OF THE DIFFERENT

2411
01:30:20,308 --> 01:30:23,745
PARTS OF HHS THAT ARE UNDER THE

2412
01:30:23,745 --> 01:30:25,113
PUBLIC HEALTH SERVICE.

2413
01:30:25,113 --> 01:30:26,081
CONGRESS PASSES A PROVISION

2414
01:30:26,081 --> 01:30:27,882
TYPICALLY THAT WILL ESTABLISH A

2415
01:30:27,882 --> 01:30:30,218
PERCENTAGE OF THE AMOUNTS TAKEN

2416
01:30:30,218 --> 01:30:31,353
FROM THOSE APPROPRIATIONS FOR

2417
01:30:31,353 --> 01:30:33,188
THIS PURPOSE IN RECENT YEARS,

2418
01:30:33,188 --> 01:30:35,623
IT'S BEEN 2 AND HALF%, AND SO

2419
01:30:35,623 --> 01:30:38,126
THAT GETS SPREAD ACROSS THE

2420
01:30:38,126 --> 01:30:40,395
BOARD THROUGHOUT HHS FOR THOSE

2421
01:30:40,395 --> 01:30:42,063
PARTICULAR AGENCIES.

2422
01:30:42,063 --> 01:30:43,698
AND THEN, INCLUDING NIH AND THEN

2423
01:30:43,698 --> 01:30:46,801
IT GOES TO NIGMS.

2424
01:30:46,801 --> 01:30:48,770
SO OF THAT 1.4 BILLION DOLLARS,

2425
01:30:48,770 --> 01:30:51,539
THE MAIORITY OF THAT IS COMING

2426
01:30:51,539 --> 01:30:58,179
FROM WITHIN NIH, SO OTHER

2427
01:30:58,179 --> 01:30:59,481
INSTITUTES INCLUDING NIGMS, ARE

2428
01:30:59,481 --> 01:31:00,215
CONTRIBUTING TO THAT AMOUNT BUT

2429
01:31:00,215 --> 01:31:03,084
A PORTION OF THAT IS ALSO COMING

2430
01:31:03,084 --> 01:31:06,821
INTO NIH FROM OTHER PARTS OF

2431
01:31:06,821 --> 01:31:10,125
HHS, SO, IT'S A WAY THAT

2432
01:31:10,125 --> 01:31:13,962
CONGRESS CAN DECIDE TO SORT OF

2433
01:31:13,962 --> 01:31:15,830
REALLOCATE FUNDS WITHIN THEIR

2434
01:31:15,830 --> 01:31:16,031
BILL.

2435
01:31:16,031 --> 01:31:18,199
TYPICALLY THE AMOUNT THAT IS

2436
01:31:18,199 --> 01:31:20,135
GOING INTO AN AGENCY LIKE NIGMS,

2437
01:31:20,135 --> 01:31:23,938
WHICH IS THE LARGEST RECIPIENT,

2438
01:31:23,938 --> 01:31:25,173
IS DETERMINED BY CONGRESS, WHERE

2439
01:31:25,173 --> 01:31:27,242
THE FUNDS COME FROM, TYPICALLY

2440
01:31:27,242 --> 01:31:29,077
HAS TO BE CALCULATED THROUGHOUT

2441
01:31:29,077 --> 01:31:31,746
HHS IN EACH YEAR AND UNDER A C.

2442
01:31:31,746 --> 01:31:34,315
R. TO DETERMINE HOW MUCH IS

2443
01:31:34,315 --> 01:31:36,418
GOING AT ANY PARTICULAR TIME.

2444
01:31:36,418 --> 01:31:38,720
SO THAT'S A MORE COMPLICATED

2445
01:31:38,720 --> 01:31:40,922
FORM OF FUNDING THAT WE HAVE AND

2446
01:31:40,922 --> 01:31:46,294
THOSE LINES ADD UP TO WHAT WE

2447
01:31:46,294 --> 01:31:48,396
CALL THE PROGRAM LEVEL WHICH

2448
01:31:48,396 --> 01:31:49,964
INCLUDES ALL THE VARIOUS

2449
01:31:49,964 --> 01:31:50,965
MANDATORY AND FUNDING MECHANISMS

2450
01:31:50,965 --> 01:31:56,237
AND THEN AS I MENTIONED, HERE IS

2451
01:31:56,237 --> 01:31:57,439
ARP A-H HAS 1.5 BILLION DOLLARS.

2452
01:31:57,439 --> 01:31:58,740
WE CAN GO TO THE NEXT SLIDE

2453
01:31:58,740 --> 01:32:00,475
EMPLOY I WANTED TO EXPLAIN THE

2454
01:32:00,475 --> 01:32:00,875
OPERATING PLAN.

2455
01:32:00,875 --> 01:32:02,310
THIS IS SOMETHING CONGRESS

2456
01:32:02,310 --> 01:32:03,278
REQUIRES WE PROVIDE TO THEM

2457
01:32:03,278 --> 01:32:05,780
EVERY YEAR AND WE UPDATE DURING

2458
01:32:05,780 --> 01:32:07,315
THE YEAR AS NECESSARY AND IT

2459
01:32:07,315 --> 01:32:11,086
BREAKS DOWN THE BUDGET BY

2460
01:32:11,086 --> 01:32:12,554
INDIVIDUAL APPROPRIATIONS AS

2461
01:32:12,554 --> 01:32:15,457
WELL AS PROGRAM PROJECT OR

2462
01:32:15,457 --> 01:32:19,794
ACTIVITY OFTEN CALLED PPA AS THE

2463
01:32:19,794 --> 01:32:20,228
ABBREVIATION.

2464
01:32:20,228 --> 01:32:23,131
AND AT NIH, A LOT OF THE

2465
01:32:23,131 --> 01:32:23,865
INSTITUTES AND CENTERS HAVE A

2466
01:32:23,865 --> 01:32:26,434
SINGLE LINE IN THE OPERATING

2467
01:32:26,434 --> 01:32:28,069
PLAN OF THE INSTITUTES AND

2468
01:32:28,069 --> 01:32:30,205
CENTERS, NONE HAVE MORE THAN 5

2469
01:32:30,205 --> 01:32:31,106
LINES, THE OFFICE OF THE

2470
01:32:31,106 --> 01:32:34,976
DIRECTOR HAS A LOT MORE BECAUSE

2471
01:32:34,976 --> 01:32:35,977
OF SPECIFIC PROGRAMS AND OTHER

2472
01:32:35,977 --> 01:32:37,412
THINGS THAT CONGRESS WANTS TO

2473
01:32:37,412 --> 01:32:38,813
SPECIFY, SO THE OPERATING PLAN

2474
01:32:38,813 --> 01:32:41,182
IS BASICALLY THE WAY THAT

2475
01:32:41,182 --> 01:32:43,451
CONGRESS CAN LAY OUT THEIR

2476
01:32:43,451 --> 01:32:44,719
INTENTIONS FOR THE

2477
01:32:44,719 --> 01:32:46,988
APPROPRIATIONS AT A HIGHER LEVEL

2478
01:32:46,988 --> 01:32:51,226
OF DETAIL THAN JUST THE

2479
01:32:51,226 --> 01:32:52,160
APPROPRIATION BY APPROPRIATION.

2480
01:32:52,160 --> 01:32:53,495
THEY'RE DETERMINED IN BOTH BILL

2481
01:32:53,495 --> 01:32:55,797
AND REPORT LANGUAGE, THEY APPLY

2482
01:32:55,797 --> 01:32:58,500
TO SPECIFIC PROGRAMS, SO I GAVE

2483
01:32:58,500 --> 01:33:03,738
AN EXAMPLE HERE FOR NCI, THIS IS

2484
01:33:03,738 --> 01:33:05,807
1 WHERE THERE ARE 3 SPECIFIC

2485
01:33:05,807 --> 01:33:07,976
LINES AND THEN AN ALL OTHER

2486
01:33:07,976 --> 01:33:10,078
WHICH IS A REMINDER OF THE NCI

2487
01:33:10,078 --> 01:33:10,478
TOTAL.

2488
01:33:10,478 --> 01:33:15,350
I CHOSE THIS 1 BECAUSE THE LAST

2489
01:33:15,350 --> 01:33:16,217
LINE REPAIRS IMPROVEMENT AND

2490
01:33:16,217 --> 01:33:17,785
THAT COMES FROM BILLING AND THE

2491
01:33:17,785 --> 01:33:20,788
OTHER 2 LINES ABOVE IT THE

2492
01:33:20,788 --> 01:33:21,623
CHILDHOOD CANCER DATA INITIATIVE

2493
01:33:21,623 --> 01:33:25,593
AND THE STAR ACT, THOSE ARE BOTH

2494
01:33:25,593 --> 01:33:26,494
IN REPORT LANGUAGE.

2495
01:33:26,494 --> 01:33:30,398
SO ALL OF THOSE BOTH THE BILL

2496
01:33:30,398 --> 01:33:32,400
AND REPORT LANGUAGE PP As GET

2497
01:33:32,400 --> 01:33:34,402
INCLUDED IN THE ANNUAL OPERATING

2498
01:33:34,402 --> 01:33:36,371
PLAN, NOW THE MEETING OF ALL

2499
01:33:36,371 --> 01:33:38,606
THIS, THERE ARE A NUMBER OF

2500
01:33:38,606 --> 01:33:39,541
THINGS THAT IT CAN DETERMINE.

2501
01:33:39,541 --> 01:33:42,744
ONE THING YOU CAN SEE, THE ALL

2502
01:33:42,744 --> 01:33:45,480
OTHER NCI LINE IS OVER 7 BILLION

2503
01:33:45,480 --> 01:33:45,847
DOLLARS.

2504
01:33:45,847 --> 01:33:50,818
SO IN THAT RESPECT NIH HAS A

2505
01:33:50,818 --> 01:33:51,986
GREAT DOLE OF FLEXIBILITY IN

2506
01:33:51,986 --> 01:33:53,922
TERMS OF HOW WE SPEND THE ANNUAL

2507
01:33:53,922 --> 01:33:54,589
BUDGET.

2508
01:33:54,589 --> 01:33:56,791
IN MANY AGENCIES, YOU WON'T SEE

2509
01:33:56,791 --> 01:33:58,526
LINES THAT LARGE, 7 BILLION

2510
01:33:58,526 --> 01:33:59,994
DOLLARS, IS BIGGER THAN WHOLE

2511
01:33:59,994 --> 01:34:02,463
AGENCIES IN MANY CASES.

2512
01:34:02,463 --> 01:34:04,666
SO HAVING LARGE LINES LIKE THAT

2513
01:34:04,666 --> 01:34:07,669
GIVE US A LOT OF FLEXIBILITY, OF

2514
01:34:07,669 --> 01:34:10,205
COURSE IN RETURN, WE HAVE A LOT

2515
01:34:10,205 --> 01:34:11,506
OF TRANSPARENCY IN TERMS OF HOW

2516
01:34:11,506 --> 01:34:14,375
WE SPEND THAT MONEY, SO WE'RE

2517
01:34:14,375 --> 01:34:17,412
REPORTING AT VERY DETAILED

2518
01:34:17,412 --> 01:34:19,047
LEVELS ON INDIVIDUAL GRANTS, ALL

2519
01:34:19,047 --> 01:34:20,582
SORTS OF THINGS WE MAKE PUBLIC,

2520
01:34:20,582 --> 01:34:22,684
WE POST ON OUR WEBSITE, SO WE'RE

2521
01:34:22,684 --> 01:34:23,785
VERY TRANSPARENT IN TERMS OF

2522
01:34:23,785 --> 01:34:25,553
WHERE THE MONEY IS GOING, BUT WE

2523
01:34:25,553 --> 01:34:28,556
DO HAVE THE BENEFIT OF SOME OF

2524
01:34:28,556 --> 01:34:30,291
THESE LARGE LINES THAT GIVE US

2525
01:34:30,291 --> 01:34:32,460
SOME FLEXIBILITY IN TERMS OF HOW

2526
01:34:32,460 --> 01:34:34,829
WE SPEND THOSE FUNDS IN THE

2527
01:34:34,829 --> 01:34:37,398
SENSE THAT CONGRESS IS NOT

2528
01:34:37,398 --> 01:34:38,967
EXPLICITLY TELLING US WHAT TO DO

2529
01:34:38,967 --> 01:34:42,270
WITHIN THOSE INDIVIDUAL LINES.

2530
01:34:42,270 --> 01:34:43,805
NOW THERE IS SOME FLEXIBILITY

2531
01:34:43,805 --> 01:34:45,506
BETWEEN LINES IN SOME CASES AND

2532
01:34:45,506 --> 01:34:46,908
THAT CAN DEPEND ON WHETHER

2533
01:34:46,908 --> 01:34:49,644
THEY'RE IN REPORT LANGUAGE OR

2534
01:34:49,644 --> 01:34:51,112
BILL LANGUAGE.

2535
01:34:51,112 --> 01:34:52,480
IN REPORT LANGUAGE, IF FOR

2536
01:34:52,480 --> 01:34:55,683
EXAMPLE, WE WERE TRYING TO

2537
01:34:55,683 --> 01:34:57,285
REALLOCATE FUNDS BETWEEN SOME OF

2538
01:34:57,285 --> 01:34:59,687
THESE LINES, WE WOULD NEED TO

2539
01:34:59,687 --> 01:35:04,359
HAVE THE SUPPORT OF HHS, AND

2540
01:35:04,359 --> 01:35:06,894
OMB, WE WOULD NEED TO REPORT TO

2541
01:35:06,894 --> 01:35:08,429
THE APPROPRIATIONS COMMITTEE IN

2542
01:35:08,429 --> 01:35:09,130
ADVANCE BEFORE WE MAKE CHANGES

2543
01:35:09,130 --> 01:35:13,167
LAKE THAT AND THAT CAN HAPPEN ON

2544
01:35:13,167 --> 01:35:13,601
OCCASION.

2545
01:35:13,601 --> 01:35:14,569
TYPICALLY BECAUSE EVEN IF IT'S

2546
01:35:14,569 --> 01:35:16,237
COMING FROM REPORT LANGUAGE,

2547
01:35:16,237 --> 01:35:18,072
NIH'S GOAL IS ALWAYS TO

2548
01:35:18,072 --> 01:35:18,640
IMPLEMENT THE CONGRESSIONAL

2549
01:35:18,640 --> 01:35:20,875
INTENT TO THE GREATEST EXTENT

2550
01:35:20,875 --> 01:35:22,443
POSSIBLE, BUT SOMETIMES IT MIGHT

2551
01:35:22,443 --> 01:35:26,247
NOT BE POSSIBLE, FOR EXAMPLE, IF

2552
01:35:26,247 --> 01:35:27,982
CONGRESS TOLD US TO START A NEW

2553
01:35:27,982 --> 01:35:29,017
PROGRAM AND WE FOUND OUT ABOUT

2554
01:35:29,017 --> 01:35:31,719
THAT LATE IN THE YEAR AND THERE

2555
01:35:31,719 --> 01:35:34,222
WASN'T ENOUGH TIME TO SPEND ALL

2556
01:35:34,222 --> 01:35:35,490
THE FUNDS CONGRESS INTENDED THAT

2557
01:35:35,490 --> 01:35:36,758
PARTICULAR YEAR, WE WOULD BE

2558
01:35:36,758 --> 01:35:39,527
ABLE TO REPORT TO THEM, IN TERMS

2559
01:35:39,527 --> 01:35:41,362
OF WHAT ADJUSTMENTS WE MIGHT

2560
01:35:41,362 --> 01:35:43,331
NEED TO MAKE THAT YEAR IN ORDER

2561
01:35:43,331 --> 01:35:45,566
TO DEAL WITH THE TIMING ISSUES.

2562
01:35:45,566 --> 01:35:48,970
SO THERE ARE PROVISIONS IN THE

2563
01:35:48,970 --> 01:35:49,937
STATUTE WHICH GIVE US

2564
01:35:49,937 --> 01:35:55,176
FLEXIBILITY IN TAKEN--THEY

2565
01:35:55,176 --> 01:35:56,577
RESPECT WHETHER IT'S BETWEEN

2566
01:35:56,577 --> 01:35:58,446
REPORT LANGUAGE LINES OR BETWEEN

2567
01:35:58,446 --> 01:35:59,681
BILL LANGUAGE LINES OR BETWEEN

2568
01:35:59,681 --> 01:36:01,482
PROARPGS, THERE IS A MUCH MORE

2569
01:36:01,482 --> 01:36:03,651
LIMITED ABILITY IF WE ACTUALLY

2570
01:36:03,651 --> 01:36:06,754
HAVE TO MAKE SOME CHANGES

2571
01:36:06,754 --> 01:36:08,323
BETWEEN APPROPRIATION LINES, THE

2572
01:36:08,323 --> 01:36:11,926
BILL LANGUAGE, BUT IT'S MUCH

2573
01:36:11,926 --> 01:36:13,461
MORE LIMITED THAN IF IT'S NOT,

2574
01:36:13,461 --> 01:36:15,363
IF IT'S ONLY IN REPORT LANGUAGE.

2575
01:36:15,363 --> 01:36:17,932
NOW AS I SAID, WE WOULD STILL

2576
01:36:17,932 --> 01:36:20,635
TRY TO IMPLEMENT IT TO THE

2577
01:36:20,635 --> 01:36:21,235
GREATEST EXTENT POSSIBLE.

2578
01:36:21,235 --> 01:36:22,904
AND THE NEXT SLIDE.

2579
01:36:22,904 --> 01:36:27,575
SO, AT THE RISK OF GETTING A

2580
01:36:27,575 --> 01:36:28,843
LITTLE CONFUSING, THIS IS

2581
01:36:28,843 --> 01:36:32,980
ANOTHER WAY OF LOOKING AT THE

2582
01:36:32,980 --> 01:36:34,549
OVERALL NIH BUNLET, AGAIN THAT

2583
01:36:34,549 --> 01:36:35,817
WE CALCULATE, REPORT PUBLICLY

2584
01:36:35,817 --> 01:36:36,784
AND UPDATE THROUGHOUT THE YEAR,

2585
01:36:36,784 --> 01:36:39,253
THIS IS WHAT WE CALL THE BUDGET

2586
01:36:39,253 --> 01:36:42,357
MECHANISMS, AND THIS IS LOOKING

2587
01:36:42,357 --> 01:36:46,194
AT THAT SAME 47 BILLION DOLLARS

2588
01:36:46,194 --> 01:36:48,096
BUT IN TERMS OF BROADLY

2589
01:36:48,096 --> 01:36:49,764
SPEAKING, WHERE THE MONEY IS

2590
01:36:49,764 --> 01:36:51,566
GOING.

2591
01:36:51,566 --> 01:36:53,968
SO THESE LINES, THE FIRST

2592
01:36:53,968 --> 01:36:57,038
SEVERAL LINES, ARE EXTRAMURAL

2593
01:36:57,038 --> 01:36:58,673
SPENDING, STARTING WITH THE

2594
01:36:58,673 --> 01:37:01,175
LARGEST CATEGORY, THE RESEARCH

2595
01:37:01,175 --> 01:37:04,579
PROJECTS, RESEARCH PROJECT

2596
01:37:04,579 --> 01:37:06,981
GRANTS, THEN SBIR/STTR, SMALL

2597
01:37:06,981 --> 01:37:08,383
BUSINESS, THESE ARE AGAIN

2598
01:37:08,383 --> 01:37:10,218
RESEARCH GRANTS, RESEARCH

2599
01:37:10,218 --> 01:37:12,520
CENTERS, TYPICALLY LARGER GRANTS

2600
01:37:12,520 --> 01:37:17,992
TO INDIVIDUAL CENTERS THAT SOME

2601
01:37:17,992 --> 01:37:19,961
INSTITUTES HAVE, OTHER EFFORTS

2602
01:37:19,961 --> 01:37:22,130
FOR ADDITIONAL EXTRAMURAL AWARDS

2603
01:37:22,130 --> 01:37:25,967
AND THE TRAINING GRANTS THAT WE

2604
01:37:25,967 --> 01:37:28,703
MAKE TO OTHER OR INSTITUTIONAL

2605
01:37:28,703 --> 01:37:30,738
AWARDS FOR TRAINING SCIENTISTS,

2606
01:37:30,738 --> 01:37:31,606
RESEARCH SCIENTISTS.

2607
01:37:31,606 --> 01:37:35,009
THEN THE NEXT LINE, THE R&D

2608
01:37:35,009 --> 01:37:36,844
CONTRACTS STILL EXTRAMURAL BUT

2609
01:37:36,844 --> 01:37:41,048
THESE ARE CONTRACTS AS OPPOSED

2610
01:37:41,048 --> 01:37:41,582
TO GRANTS.

2611
01:37:41,582 --> 01:37:44,252
OUR OWN RESEARCH PROGRAM, OUR

2612
01:37:44,252 --> 01:37:45,052
OWN CLINICAL LABORATORIES, ET

2613
01:37:45,052 --> 01:37:46,487
CETERA, ET CETERA AND FINALLY

2614
01:37:46,487 --> 01:37:47,555
THE RESEARCH MANAGEMENT AND

2615
01:37:47,555 --> 01:37:50,625
SUPPORT WHICH COVERS BOTH

2616
01:37:50,625 --> 01:37:54,829
LEADERSHIP AND ADMINISTRATIVE

2617
01:37:54,829 --> 01:37:55,963
TYPICALLY FOR THE EXTRAMURAL

2618
01:37:55,963 --> 01:37:58,499
PROGRAM BUT AT HIGH LEVELS

2619
01:37:58,499 --> 01:37:59,500
COVERS SOME INTRAMURAL AS L. NOW

2620
01:37:59,500 --> 01:38:02,570
IF YOU ARE DOING MATH, YOU WOULD

2621
01:38:02,570 --> 01:38:04,839
SEE THESE NUMBERS DON'T ADD UP

2622
01:38:04,839 --> 01:38:06,140
TO THE WHOLE 47 BILLION AND THE

2623
01:38:06,140 --> 01:38:08,009
REASON FOR THAT IS THAT WE HAVE

2624
01:38:08,009 --> 01:38:10,578
THE OFFICE OF THE DIRECTOR

2625
01:38:10,578 --> 01:38:13,614
BUDGET AS WELL AS THE BUILDINGS

2626
01:38:13,614 --> 01:38:14,549
AND FACILITIES BUDGET.

2627
01:38:14,549 --> 01:38:16,083
FOR THE OFFICE OF THE DIRECTOR

2628
01:38:16,083 --> 01:38:17,452
THERE ARE SOME PORTIONS OF THE

2629
01:38:17,452 --> 01:38:20,755
OFFICE THAT WE DO SPREAD OUT

2630
01:38:20,755 --> 01:38:22,590
AMONG THESE MECHANISMS, BECAUSE

2631
01:38:22,590 --> 01:38:24,425
THEY RESEMBLE THE INSTITUTE AND

2632
01:38:24,425 --> 01:38:26,294
CENTER SPENDING MORE, THE COMMON

2633
01:38:26,294 --> 01:38:28,362
FUND FOR EXAMPLE, THAT WOULD BE

2634
01:38:28,362 --> 01:38:30,765
BROKEN OUT AND INCLUDED IN THESE

2635
01:38:30,765 --> 01:38:32,834
MECHANISM LINES.

2636
01:38:32,834 --> 01:38:34,602
THE OFFICE OF INFRASTRUCTURE

2637
01:38:34,602 --> 01:38:35,470
RESEARCH PROGRAMS IS THE RPGHT 1

2638
01:38:35,470 --> 01:38:38,673
BUT THEN FOR THE MOST LEADERSHIP

2639
01:38:38,673 --> 01:38:39,640
AND OTHER PROGRAMS WITHIN THE

2640
01:38:39,640 --> 01:38:41,275
OFFICE OF THE DIRECTOR THAT

2641
01:38:41,275 --> 01:38:43,311
DON'T LEND THEMSELVES AS WELL TO

2642
01:38:43,311 --> 01:38:45,213
BREAK OUT INTO THESE MECHANISMS,

2643
01:38:45,213 --> 01:38:47,215
THOSE ARE SEPARATE THERE.

2644
01:38:47,215 --> 01:38:49,750
SO CAN YOU SEE AGAIN, THE RPGs

2645
01:38:49,750 --> 01:38:52,320
BY FAR THE LARGEST CATEGORY

2646
01:38:52,320 --> 01:38:55,289
REFLECTING WITH THE OTHER LINES

2647
01:38:55,289 --> 01:38:57,825
THAT EXTRAMURAL SPENDING IS THE

2648
01:38:57,825 --> 01:39:01,128
BULK TYPICALLY, 80% OR MORE OF

2649
01:39:01,128 --> 01:39:03,865
NIH SPENDING, AND THEN THE

2650
01:39:03,865 --> 01:39:05,500
REMAINING FUNDS, I'VE GIVEN THE

2651
01:39:05,500 --> 01:39:06,934
PERCENTAGES AS WELL, SO YOU CAN

2652
01:39:06,934 --> 01:39:09,871
SORT OF SEE, THE BREAK OUT THERE

2653
01:39:09,871 --> 01:39:12,306
IN TERMS OF HOW THE FUNDS ARE

2654
01:39:12,306 --> 01:39:13,508
ALLOCATED SORT OF MORE IN TERMS

2655
01:39:13,508 --> 01:39:15,009
OF WHERE THEY'RE GOING, AS

2656
01:39:15,009 --> 01:39:17,678
OPPOSE TO WHERE THEY CAME FROM

2657
01:39:17,678 --> 01:39:23,351
AND IN A PRIOR SLIDE .

2658
01:39:23,351 --> 01:39:24,719
THE REPORTING WE MENTIONED

2659
01:39:24,719 --> 01:39:26,387
TYPICALLY WE DO THAT ON A

2660
01:39:26,387 --> 01:39:27,889
QUARTERLY BASIS, SO WE WILL TELL

2661
01:39:27,889 --> 01:39:29,156
CONGRESS, EARLY IN THE YEAR,

2662
01:39:29,156 --> 01:39:31,792
USUALLY IN THE PRESIDENT'S

2663
01:39:31,792 --> 01:39:35,129
BUDGET, SUPPOSED TO COMING OUT

2664
01:39:35,129 --> 01:39:36,831
BEGINNING OF FEBRUARY, NOT EVERY

2665
01:39:36,831 --> 01:39:40,001
YEAR BUT BECAUSE OF THAT, THAT

2666
01:39:40,001 --> 01:39:41,502
TYPICALLY IS THE FIRST ESTIMATE

2667
01:39:41,502 --> 01:39:43,137
OF HOW WE ALLOCATE FUNDS BY

2668
01:39:43,137 --> 01:39:45,072
THESE MECHANISMS AND IT'S BROKEN

2669
01:39:45,072 --> 01:39:46,240
OUT AGAIN BY INDIVIDUAL

2670
01:39:46,240 --> 01:39:50,211
INSTITUTES AND CENTERS, THIS

2671
01:39:50,211 --> 01:39:52,280
SHOWS NIH AS A WHOLE BUT WE

2672
01:39:52,280 --> 01:39:54,015
REPORT THIS ON AN INSTITUTE BY

2673
01:39:54,015 --> 01:39:55,583
INSTITUTE BASIS AND THEN WOE

2674
01:39:55,583 --> 01:39:57,151
UPDATE THAT QUARTERLY, SO AFTER

2675
01:39:57,151 --> 01:39:58,386
THE SECOND, THIRD QUARTER, AND

2676
01:39:58,386 --> 01:40:01,255
THEN AT THE END OF THE YEAR, WE

2677
01:40:01,255 --> 01:40:01,856
PROVIDE, THE ACTUAL RESULTS,

2678
01:40:01,856 --> 01:40:04,025
WHAT HAPPENED IN THE PRIOR YEAR,

2679
01:40:04,025 --> 01:40:08,996
SO THESE ARE CONTINUOUSLY

2680
01:40:08,996 --> 01:40:11,032
UPDATED BUT UNTIL THE EPPED OF

2681
01:40:11,032 --> 01:40:13,267
THE YEAR, THESE ARE ESTIMATES,

2682
01:40:13,267 --> 01:40:15,836
BUT TEND TO VARY, YOU DON'T

2683
01:40:15,836 --> 01:40:16,671
NECESSARILY KNOW EARLY IN THE

2684
01:40:16,671 --> 01:40:18,906
YEAR HOW MUCH YOU WOULD SPEND ON

2685
01:40:18,906 --> 01:40:21,776
AN INDIVIDUAL MECHANISM, IT ALL

2686
01:40:21,776 --> 01:40:23,177
DEPENDS ESPECIALLY WITH THE

2687
01:40:23,177 --> 01:40:24,345
EXTRAMURAL PROGRAM, DEPENDS ON

2688
01:40:24,345 --> 01:40:27,248
WHAT KIND OF APPLICATIONS COME

2689
01:40:27,248 --> 01:40:27,915
IN, WHAT DECISIONS ARE MADE

2690
01:40:27,915 --> 01:40:29,250
THROUGH THE COURSE OF THE YEAR,

2691
01:40:29,250 --> 01:40:30,318
THROUGH THE GRANT DECISION

2692
01:40:30,318 --> 01:40:34,055
MAKING PROCESS AND SO AS A

2693
01:40:34,055 --> 01:40:35,122
RESULT, THIS MECHANISMS WE

2694
01:40:35,122 --> 01:40:41,162
PROVIDE TO CONGRESS, THE PUBLIC

2695
01:40:41,162 --> 01:40:43,230
QUARTERLY ON OUR WEBSITE,

2696
01:40:43,230 --> 01:40:44,765
THEY'RE ALL POST UNTIL WE REACH

2697
01:40:44,765 --> 01:40:46,233
THE END OF THE YEAR.

2698
01:40:46,233 --> 01:40:49,870
NOW I WANT TO TALK A LITTLE BIT

2699
01:40:49,870 --> 01:40:53,374
ABOUT HOW THE EXTRAMURAL BUDGET

2700
01:40:53,374 --> 01:40:55,276
WORKS TO GIVE AIAN SENSE, THIS

2701
01:40:55,276 --> 01:40:56,644
IS OBVIOUSLY THE GREAT BULK OF

2702
01:40:56,644 --> 01:40:57,712
THE BUDGET AND MOST OF THE

2703
01:40:57,712 --> 01:41:00,247
GRANTS WE MAKE ARE AWARDED FOR A

2704
01:41:00,247 --> 01:41:02,350
MULTIPLE YEAR PERIOD BUT FUNDED

2705
01:41:02,350 --> 01:41:02,817
INCREMENTALLY.

2706
01:41:02,817 --> 01:41:04,418
SO THERE WOULD BE AN AWARD AND

2707
01:41:04,418 --> 01:41:06,954
AN EXPECTATION, THIS IS FOR 4

2708
01:41:06,954 --> 01:41:09,457
YEARS, FOR EXAMPLE, AND YOU

2709
01:41:09,457 --> 01:41:11,325
WOULD RECEIVE X-DOLLARS EACH

2710
01:41:11,325 --> 01:41:13,694
YEAR FOR THOSE 4 YEARS.

2711
01:41:13,694 --> 01:41:16,897
AND THE WAY THAT WE KIND OF

2712
01:41:16,897 --> 01:41:17,698
SEPARATE THE DESCRIPTION OF

2713
01:41:17,698 --> 01:41:19,600
WHETHER IT'S A NEW AWARD OR 1

2714
01:41:19,600 --> 01:41:21,335
THAT IS COMPETED AT THE

2715
01:41:21,335 --> 01:41:23,871
BEGINNING OF THAT PERIOD, VERSUS

2716
01:41:23,871 --> 01:41:25,506
NOT, IS COMPETING OR

2717
01:41:25,506 --> 01:41:28,175
NONCOMPETING, AND SO THOSE ARE

2718
01:41:28,175 --> 01:41:30,144
SORTING SIGNALS OF THE LARGEST

2719
01:41:30,144 --> 01:41:35,349
KIND OF SCALE DESCRIPTIONS OF

2720
01:41:35,349 --> 01:41:37,585
THE EXTRAMURAL AWARDS.

2721
01:41:37,585 --> 01:41:38,853
AS YOU COULD EXPECT BECAUSE OF

2722
01:41:38,853 --> 01:41:40,921
THE WAY WE MAKE THESE AWARDS,

2723
01:41:40,921 --> 01:41:44,058
THEY'RE ABOUT 3 TIMES AS MANY

2724
01:41:44,058 --> 01:41:46,594
NONCOMPETING GRANTS AS COMPETING

2725
01:41:46,594 --> 01:41:46,827
GRANTS.

2726
01:41:46,827 --> 01:41:48,863
SO NOT EVERY GRANT IS A 4 YEAR

2727
01:41:48,863 --> 01:41:51,399
GRANT, SOME ARE SHORTER, SOME

2728
01:41:51,399 --> 01:41:53,501
ARE LONGER, BUT ON AVERAGE,

2729
01:41:53,501 --> 01:41:54,869
THAT'S ABOUT HOW IT WORKS AND

2730
01:41:54,869 --> 01:41:56,871
BECAUSE OF THAT, A GREAT DEAL OF

2731
01:41:56,871 --> 01:42:00,741
THE NIH BUDGET, IS GOING TO

2732
01:42:00,741 --> 01:42:02,109
THESE NONCOMPETING AWARDS TO

2733
01:42:02,109 --> 01:42:05,413
CONTINUE THE 1S MADE IN PRIOR

2734
01:42:05,413 --> 01:42:06,781
YEARS, SO, I SOMETIMES DESCRIBE

2735
01:42:06,781 --> 01:42:08,816
IT AS SORT OF AS MAKING CHANGES

2736
01:42:08,816 --> 01:42:11,919
TO THE NIH BUDGET IS LIKE

2737
01:42:11,919 --> 01:42:12,586
TURNING THE BATTLESHIP, YOU HAVE

2738
01:42:12,586 --> 01:42:14,955
TO DO IT RATHER SLOWLY BECAUSE

2739
01:42:14,955 --> 01:42:19,193
SO MUCH OF WHAT WE SPEND EACH

2740
01:42:19,193 --> 01:42:20,761
YEAR, IS PREDETERMINED AND IT'S

2741
01:42:20,761 --> 01:42:21,595
REALLY THE COMPETING AWARDS

2742
01:42:21,595 --> 01:42:23,864
WHERE WE HAVE THE ABILITY TO

2743
01:42:23,864 --> 01:42:27,168
MAKE DECISIONS IN TERMS OF HOW

2744
01:42:27,168 --> 01:42:29,370
TO DIRECT NEW FUNDS OR REDIRECT

2745
01:42:29,370 --> 01:42:30,971
NEW FUNDS THAT ARE COMING UP

2746
01:42:30,971 --> 01:42:32,406
FROM,A WARDS THAT HAVE ENDED,

2747
01:42:32,406 --> 01:42:36,043
BUT WE HAVE AS A SAID, THE BULK

2748
01:42:36,043 --> 01:42:38,679
IN THIS, THE NONCOMPETING BRANCH

2749
01:42:38,679 --> 01:42:42,283
WHERE WHAT WE CAN DO IF WE HAVE

2750
01:42:42,283 --> 01:42:44,852
A FLAT BUDGET OR A SMALLER

2751
01:42:44,852 --> 01:42:47,655
BUDGET IS LIMITED BY THE NATURE

2752
01:42:47,655 --> 01:42:51,859
OF THOSE AWARDS. 

2753
01:42:51,859 --> 01:42:54,628
AND FINALLY HERE, THE NUMBER OF

2754
01:42:54,628 --> 01:42:56,397
COMPETING RPGs, IS A VERY

2755
01:42:56,397 --> 01:43:00,134
COMMONLY USED METRIC FOR THE NIH

2756
01:43:00,134 --> 01:43:00,367
BUDGET.

2757
01:43:00,367 --> 01:43:03,237
SO COMPETING ARE TYPICALLY EVEN

2758
01:43:03,237 --> 01:43:06,907
THE NEW AWARDS OR COMPETITIVE

2759
01:43:06,907 --> 01:43:08,476
AWARDS, AND EACH YEAR WE REPORT

2760
01:43:08,476 --> 01:43:10,745
NOT ONLY HOW MANY DOLLARS WE

2761
01:43:10,745 --> 01:43:11,946
SPEND ON ALL THESE DIFFERENT

2762
01:43:11,946 --> 01:43:12,680
CATEGORIES BUT THE NUMBER THAT

2763
01:43:12,680 --> 01:43:17,251
WOE MAKE AND SO, THE NUMBER OF

2764
01:43:17,251 --> 01:43:18,919
THESE COMPETING RPGs IS

2765
01:43:18,919 --> 01:43:19,553
COMMONLY CITED.

2766
01:43:19,553 --> 01:43:22,056
YOU MAY HAVE HEARD DISCUSSION OF

2767
01:43:22,056 --> 01:43:23,357
A SUCCESS RATE, THAT SUCCESS

2768
01:43:23,357 --> 01:43:26,961
RATE WOULD BE THE NUMBER OF

2769
01:43:26,961 --> 01:43:28,162
COMPETING RPGs DIVIDED BY THE

2770
01:43:28,162 --> 01:43:29,029
NUMBER OF APPLICATIONS, THAT'S

2771
01:43:29,029 --> 01:43:29,964
ALSO A MEASURE THAT THE PEOPLE

2772
01:43:29,964 --> 01:43:32,600
LOOK AT TO SORT OF SEE WHAT'S

2773
01:43:32,600 --> 01:43:37,471
GOING ON WITH THE NIH  BUDGET AD

2774
01:43:37,471 --> 01:43:38,773
THE WHOLE GRANT ECOSYSTEM.

2775
01:43:38,773 --> 01:43:41,242
SO THAT'S COMMONLY TRACKED AND

2776
01:43:41,242 --> 01:43:42,409
SOMETHING THAT WE TRY TO

2777
01:43:42,409 --> 01:43:44,845
INCREASE AS MUCH AS POSSIBLE.

2778
01:43:44,845 --> 01:43:48,616
SO IF YOU GO TO THE NEXT SLIDE.

2779
01:43:48,616 --> 01:43:51,418
SO THIS KIND OF ILLUSTRATES WHAT

2780
01:43:51,418 --> 01:43:52,686
HAPPENS WITH THE GRANTS WHEN

2781
01:43:52,686 --> 01:43:54,789
THEY'RE MADE FOR A MULTIYEAR

2782
01:43:54,789 --> 01:43:58,025
PERIOD AND HOW THAT IMPACTS OUR

2783
01:43:58,025 --> 01:43:58,959
BUDGET, AND THE FIRST BULLET

2784
01:43:58,959 --> 01:44:00,427
HERE OVER THE LONG-TERM, IT

2785
01:44:00,427 --> 01:44:03,264
TAKES A MULTIPLE OF THE INITIAL

2786
01:44:03,264 --> 01:44:07,234
COST TO INCREASE THE NUMBER OF

2787
01:44:07,234 --> 01:44:08,402
COMPETING RPGs.

2788
01:44:08,402 --> 01:44:10,171
IT DEPENDS ON THE LENGTH OF THE

2789
01:44:10,171 --> 01:44:11,605
AWARD, THIS EXAMPLE IS A 4 YEAR

2790
01:44:11,605 --> 01:44:13,541
AWARD, AND YOU CAN SEE BY THE

2791
01:44:13,541 --> 01:44:19,113
COLOR COATING THAT IF YOU HAD A

2792
01:44:19,113 --> 01:44:22,116
NEW AWARD, IF YOUR BUDGET IS IN

2793
01:44:22,116 --> 01:44:23,651
A VERY, ITEM BY ITEM SENSE, IF

2794
01:44:23,651 --> 01:44:25,085
YOUR BUDGET WENT UP BY HALF A

2795
01:44:25,085 --> 01:44:26,620
MILLION DOLLARS, AND YOU WERE

2796
01:44:26,620 --> 01:44:28,155
ABLE TO MAKE 1 NEW AWARD, IN THE

2797
01:44:28,155 --> 01:44:30,858
FIRST YEAR, COME THE SECOND

2798
01:44:30,858 --> 01:44:32,293
YEAR, THE THIRD YEAR, THE FOURTH

2799
01:44:32,293 --> 01:44:34,128
YEAR, YOU WOULD NEED THAT HALF

2800
01:44:34,128 --> 01:44:36,230
MILLION DOLLARS AGAIN TO HANDLE

2801
01:44:36,230 --> 01:44:38,065
THE CONTINUATION, SO IN TERMS OF

2802
01:44:38,065 --> 01:44:41,068
THE COUNT, THE NUMBER OF

2803
01:44:41,068 --> 01:44:42,069
COMPETING AWARDS, YOU WOULD GO

2804
01:44:42,069 --> 01:44:44,872
UP BY 1 AND GO BACK DOWN TO NONE

2805
01:44:44,872 --> 01:44:46,373
IN THE NEXT 3 YEARS UNTIL THE

2806
01:44:46,373 --> 01:44:48,242
FIFTH YEAR, THOSE FUNDS WOULD

2807
01:44:48,242 --> 01:44:50,010
FREE UP AND YOU GO BACK UP TO 1

2808
01:44:50,010 --> 01:44:50,211
AGAIN.

2809
01:44:50,211 --> 01:44:51,712
SO IF YOU WANT TO INCREASE THE

2810
01:44:51,712 --> 01:44:53,514
NUMBER OR SUSTAIN IT OR MAKE IT

2811
01:44:53,514 --> 01:44:56,250
LARGER, YOU ACTUALLY NEED A

2812
01:44:56,250 --> 01:44:59,620
MULTIPLE OF THAT NEW FUNDING IN

2813
01:44:59,620 --> 01:45:00,688
ORDER TO CONTINUE THAT.

2814
01:45:00,688 --> 01:45:02,590
SO IN THE SECOND YEAR, YOU WOULD

2815
01:45:02,590 --> 01:45:04,859
NEED 2 OF THE HALF MILLION

2816
01:45:04,859 --> 01:45:07,294
AMOUNT OR 1 MILLION IN ORDER TO

2817
01:45:07,294 --> 01:45:09,697
MAINTAIN THAT NUMBER AT THE

2818
01:45:09,697 --> 01:45:11,866
COMPETING RPG LEVEL AND SO ON

2819
01:45:11,866 --> 01:45:15,202
UNTIL IT RECYCLES AFTER THE 4

2820
01:45:15,202 --> 01:45:15,870
YEAR PERIOD.

2821
01:45:15,870 --> 01:45:17,838
AND AS A RESULT OF THAT, WHAT WE

2822
01:45:17,838 --> 01:45:20,341
SEE WHEN THE BUDGET IS FLAT, OR

2823
01:45:20,341 --> 01:45:24,011
IF IT GOES DOWN, IT -- EVEN A

2824
01:45:24,011 --> 01:45:26,947
FLAT BUDGET CAN SORT OF LOOK

2825
01:45:26,947 --> 01:45:28,349
LOOK A DECREASE BECAUSE OF THIS

2826
01:45:28,349 --> 01:45:31,285
WAY THAT THE GRANTS ARE MADE,

2827
01:45:31,285 --> 01:45:34,622
YOU DON'T HAVE THE FUNDS TO DO

2828
01:45:34,622 --> 01:45:35,956
THE ADDITIONAL COMPETING AWARDS,

2829
01:45:35,956 --> 01:45:39,026
THE FOLLOWING YEAR, SO, YOU GET

2830
01:45:39,026 --> 01:45:42,229
IN SOME CASES, IF YOU DON'T HAVE

2831
01:45:42,229 --> 01:45:44,431
SORT OF A CONSISTENT BUDGET TO

2832
01:45:44,431 --> 01:45:46,800
INCREASE THAT COMPETING LEVEL OR

2833
01:45:46,800 --> 01:45:49,703
TO KEEP IT FLAT, EVEN, YOU WOULD

2834
01:45:49,703 --> 01:45:52,373
WANT TO GRADUALLY INCREASE IN

2835
01:45:52,373 --> 01:45:52,606
BUDGET.

2836
01:45:52,606 --> 01:45:53,908
IF YOU DON'T GET THAT WHAT CAN

2837
01:45:53,908 --> 01:45:55,342
HAPPEN IS SOMETIMES WHAT WE CALL

2838
01:45:55,342 --> 01:45:57,745
A ROLLER COASTER WHERE YOU'RE

2839
01:45:57,745 --> 01:45:59,213
COMPETING GRANTS WILL GO UP AND

2840
01:45:59,213 --> 01:46:01,181
DOWN AND UP AND DOWN, AND WE DO

2841
01:46:01,181 --> 01:46:03,417
WHAT WE CAN TO TRY TO SMOOTH

2842
01:46:03,417 --> 01:46:05,786
THAT OUT SO WE DON'T HAVE BIG

2843
01:46:05,786 --> 01:46:08,455
CHANGES OR, YOU KNOW WE TRY TO

2844
01:46:08,455 --> 01:46:09,623
MINIMIZE SOME OF THOSE CHANGES

2845
01:46:09,623 --> 01:46:14,361
BUT THAT CAN HAPPEN BECAUSE TO

2846
01:46:14,361 --> 01:46:16,463
SUSTAIN THE DEVELOPMENTS, THE

2847
01:46:16,463 --> 01:46:17,164
IMPROVEMENTS, INCREASES IN

2848
01:46:17,164 --> 01:46:19,934
GRANTS THAT WE HAVE FROM PRIOR

2849
01:46:19,934 --> 01:46:21,001
YEARS, IT REQUIRES THE FUNDING

2850
01:46:21,001 --> 01:46:23,370
TO CONTINUE THAT AS WELL AS TO

2851
01:46:23,370 --> 01:46:26,573
MAKE IT HAPPEN AGAIN.

2852
01:46:26,573 --> 01:46:30,744
SO, YOU SEE AS A RESULT, THAT

2853
01:46:30,744 --> 01:46:32,379
SOMETIMES AS I SAID, YOU'LL HEAR

2854
01:46:32,379 --> 01:46:36,450
THAT A FLAT BUDGET IS LIKE A

2855
01:46:36,450 --> 01:46:37,651
DECREASE IN THIS RESPECT, IT

2856
01:46:37,651 --> 01:46:40,688
DOESN'T CHANGE THE TOTAL NUMBER

2857
01:46:40,688 --> 01:46:42,222
OF GRANTS BUT IT CHANGES THE

2858
01:46:42,222 --> 01:46:44,358
NUMBER OF COMPETING AWARDS, SO

2859
01:46:44,358 --> 01:46:45,059
COMPETING AWARDS CAN'T BE

2860
01:46:45,059 --> 01:46:46,226
SUSTAINED IF YOU'RE IN THAT

2861
01:46:46,226 --> 01:46:47,494
SITUATION, AND YOU'RE HAVING TO

2862
01:46:47,494 --> 01:46:51,031
USE THE SAME FUNDS FOR MORE

2863
01:46:51,031 --> 01:46:53,400
NONCOMPETING AWARDS THAT WERE

2864
01:46:53,400 --> 01:46:57,571
MADE IN PRIOR YEARS.

2865
01:46:57,571 --> 01:46:57,905
NEXT SLIDE.

2866
01:46:57,905 --> 01:47:00,240
SO SOME OF THE WAYS WE DEAL WITH

2867
01:47:00,240 --> 01:47:02,409
THAT ARE INDICATED HERE, THE

2868
01:47:02,409 --> 01:47:03,444
COMMITMENT BASE, THAT'S WHAT WE

2869
01:47:03,444 --> 01:47:09,616
CALL THE GROUP OF NONCOMPETING

2870
01:47:09,616 --> 01:47:10,851
AWARDS, WE'RE CAREFUL UNDER A CR

2871
01:47:10,851 --> 01:47:13,487
LIKE WE ARE AT THE MOMENT.

2872
01:47:13,487 --> 01:47:16,857
WE REDUCE THE FUNDING OF THOSE

2873
01:47:16,857 --> 01:47:18,726
TO 90% OF WHAT WAS PLANNED TO

2874
01:47:18,726 --> 01:47:20,461
GIVE US FLEXIBILITY UNTIL WE

2875
01:47:20,461 --> 01:47:22,763
KNOW WHAT THE FINAL PROARPGS

2876
01:47:22,763 --> 01:47:23,597
ARE, AT THAT POINT, WHERE

2877
01:47:23,597 --> 01:47:25,332
POSSIBLE, THOSE WILL BE

2878
01:47:25,332 --> 01:47:29,603
INCREASED FROM 90% TO A 100%.

2879
01:47:29,603 --> 01:47:31,105
IF IT'S NOT POSSIBLE, IT MIGHT

2880
01:47:31,105 --> 01:47:32,840
BE SOMEWHAT LESS THAN A

2881
01:47:32,840 --> 01:47:34,808
HUNDRED%, IT ALL DEPENDS ON THE

2882
01:47:34,808 --> 01:47:35,843
PARTICULAR CIRCUMSTANCES OF THE

2883
01:47:35,843 --> 01:47:37,244
YEAR AND SOMETIMES THE

2884
01:47:37,244 --> 01:47:39,279
CIRCUMSTANCES OF INDIVIDUAL

2885
01:47:39,279 --> 01:47:40,047
INSTITUTES AND CENTERS.

2886
01:47:40,047 --> 01:47:42,349
IT CAN HAPPEN THAT SOME

2887
01:47:42,349 --> 01:47:45,019
INSTITUTES HAVE A DIFFERENT

2888
01:47:45,019 --> 01:47:46,620
LOOKING GRANT CYCLE THAN OTHERS,

2889
01:47:46,620 --> 01:47:49,256
SO IT'S NOT UNIFORM ACROSS NIH,

2890
01:47:49,256 --> 01:47:50,557
SOMETIMES IF NECESSARY, WE WILL

2891
01:47:50,557 --> 01:47:52,326
HAVE AN NIH WIDE POLICY ON HOW

2892
01:47:52,326 --> 01:47:54,561
TO ADDRESS THAT, BUT MORE

2893
01:47:54,561 --> 01:47:57,664
FREQUENTLY INDIVIDUAL

2894
01:47:57,664 --> 01:47:57,965
 INSTITUTES

2895
01:47:57,965 --> 01:47:59,500
AND CENTERS CAN SEE WHAT KIND OF

2896
01:47:59,500 --> 01:48:00,601
ABILITY THEY HAVE TO CONTINUE

2897
01:48:00,601 --> 01:48:02,636
THEIR COMMITMENT BASE AT THE

2898
01:48:02,636 --> 01:48:05,506
EXPECTED LEVEL OR NOT.

2899
01:48:05,506 --> 01:48:07,007
SO THAT'S THE SECOND BULLET IN

2900
01:48:07,007 --> 01:48:09,309
TERMS OF HOW WE DEAL WITH THAT,

2901
01:48:09,309 --> 01:48:13,047
TIMES IT'S A POLICY BASIS,

2902
01:48:13,047 --> 01:48:14,048
SOMETIMES INDIVIDUAL, BUT THERE

2903
01:48:14,048 --> 01:48:15,449
ARE LIMITS IN TERMS OF WHAT WE

2904
01:48:15,449 --> 01:48:19,319
CAN DO IN THAT RESPECT.

2905
01:48:19,319 --> 01:48:21,288
IF THE FUNDING FOR A

2906
01:48:21,288 --> 01:48:22,456
NONCOMPETING GRANT IS DECLINING

2907
01:48:22,456 --> 01:48:24,224
BY MORE THAN A CERTAIN AMOUNT,

2908
01:48:24,224 --> 01:48:26,293
IT MAY NOT BE POSSIBLE FOR A

2909
01:48:26,293 --> 01:48:28,562
GRANTEE TO MEET THE INITIAL AIMS

2910
01:48:28,562 --> 01:48:30,197
OF THAT RESEARCH GRANT IN WHICH

2911
01:48:30,197 --> 01:48:33,367
CASE IT WOULD REQUIRE

2912
01:48:33,367 --> 01:48:35,269
RENEGOTIATION AND WEEZ HAVE 10S

2913
01:48:35,269 --> 01:48:38,739
OF THOUSANDS OF GRANTS SO THAT'S

2914
01:48:38,739 --> 01:48:39,840
NOT REALLY A POSSIBILITY.

2915
01:48:39,840 --> 01:48:41,041
AS A RESULT, WE HAVE TO BE

2916
01:48:41,041 --> 01:48:45,245
CAREFUL THAT IF WE ARE TRYING TO

2917
01:48:45,245 --> 01:48:47,514
ADJUST THE NONCOMPETING AWARDS,

2918
01:48:47,514 --> 01:48:49,850
THAT WE NOT DO IT TO AN EXTENT

2919
01:48:49,850 --> 01:48:51,151
WHERE IT'S GOING TO HAVE THAT

2920
01:48:51,151 --> 01:48:51,985
KIND OF IMPACT.

2921
01:48:51,985 --> 01:48:53,387
SO THERE'S A LIMIT TO WHAT YOU

2922
01:48:53,387 --> 01:48:57,257
CAN DO THERE, AND AS A RESULT,

2923
01:48:57,257 --> 01:48:59,760
WE HAVE TO TRY TO MAXIMIZE AS WE

2924
01:48:59,760 --> 01:49:02,496
CAN THE NEW AWARDS, SPERKLY

2925
01:49:02,496 --> 01:49:04,131
BECAUSE THAT WILL HAVE AN IMPACT

2926
01:49:04,131 --> 01:49:06,667
ON EARLY STAGE INVESTIGATORS,

2927
01:49:06,667 --> 01:49:08,402
OTHER PRIORITIES FOR NIH, BUT WE

2928
01:49:08,402 --> 01:49:11,271
DO HAVE THE TOOL THAT WE CAN

2929
01:49:11,271 --> 01:49:12,739
MAKE LIMITED ADJUSTMENTS

2930
01:49:12,739 --> 01:49:14,274
SOMETIMES TO THAT COMMITMENT

2931
01:49:14,274 --> 01:49:15,442
BASE OF NONCOMPETING AWARDS.

2932
01:49:15,442 --> 01:49:17,044
AND THEN SOME OTHER TECHNIQUES

2933
01:49:17,044 --> 01:49:18,011
THAT ARE OCCASIONALLY USED

2934
01:49:18,011 --> 01:49:24,184
ISSUES THE LAST BULLET, UP FRONT

2935
01:49:24,184 --> 01:49:24,585
FUNDING.

2936
01:49:24,585 --> 01:49:25,919
SO IN THAT CASE IF YOU WERE

2937
01:49:25,919 --> 01:49:27,921
MAKING A 4 YEAR AWARD, YOU COULD

2938
01:49:27,921 --> 01:49:29,356
IN SOME SITUATIONS PROVIDE THE

2939
01:49:29,356 --> 01:49:31,625
ENTIRE AMOUNT TO THE GRANTEE UP

2940
01:49:31,625 --> 01:49:31,859
FRONT.

2941
01:49:31,859 --> 01:49:33,026
OBVIOUSLY THAT'S GOING TO COST

2942
01:49:33,026 --> 01:49:36,797
YOU 4 TIMES AS MUCH IN THE

2943
01:49:36,797 --> 01:49:39,399
INITIAL YEAR BUT IT HAS AN

2944
01:49:39,399 --> 01:49:40,701
ADVANTAGE THAT THE FOLLOWING

2945
01:49:40,701 --> 01:49:42,903
YEAR, YOU ARE GOING TO HAVE

2946
01:49:42,903 --> 01:49:43,804
THOSE FUNDS AVAILABLE.

2947
01:49:43,804 --> 01:49:46,039
AGAIN, THEY WON'T BE GOING TO A

2948
01:49:46,039 --> 01:49:47,541
NONCOMPETING AWARD, SO SOMETIMES

2949
01:49:47,541 --> 01:49:49,977
THAT'S USED IN ORDER TO HANDLE

2950
01:49:49,977 --> 01:49:54,848
SOME OF THE DYNAMICS OF THE

2951
01:49:54,848 --> 01:49:55,983
GRANT FUNDING, ADMINISTRATIVE

2952
01:49:55,983 --> 01:49:56,950
SUPPLEMENTS IS ANOTHER TOOL THAT

2953
01:49:56,950 --> 01:50:00,254
CAN BE USED AT TIMES THAT IS A 1

2954
01:50:00,254 --> 01:50:03,090
YEAR ADDITION TO AN EXISTING

2955
01:50:03,090 --> 01:50:03,524
GRANT.

2956
01:50:03,524 --> 01:50:05,726
SO IF YOU HAD FUNDS AVAILABLE,

2957
01:50:05,726 --> 01:50:10,230
YOU DIDN'T WANT TO COMMIT TO

2958
01:50:10,230 --> 01:50:10,931
CONTINUING GRANT WITH THOSE

2959
01:50:10,931 --> 01:50:14,001
FUNDS IN THE FOLLOWING YEAR AND

2960
01:50:14,001 --> 01:50:14,635
ADMINISTRATIVE SUPPLEMENT WOULD

2961
01:50:14,635 --> 01:50:17,204
ALLOW YOU TO GET MORE RESEARCH

2962
01:50:17,204 --> 01:50:18,705
FROM AN EXISTING GRANT WITHOUT

2963
01:50:18,705 --> 01:50:20,741
MAKING THAT COMMITMENT FOR THE

2964
01:50:20,741 --> 01:50:23,177
NEXT YEAR. 

2965
01:50:23,177 --> 01:50:23,844
THE NEXT SLIDE.

2966
01:50:23,844 --> 01:50:26,113
SO JUST A LIST HERE OF SOME OF

2967
01:50:26,113 --> 01:50:27,781
THE COMMON TYPES OF GRANTS THAT

2968
01:50:27,781 --> 01:50:30,050
WE MAKE, THE RO-1.

2969
01:50:30,050 --> 01:50:34,922
THAT IS THE MOST COMMON.

2970
01:50:34,922 --> 01:50:37,691
R21, AGAIN SHORTER, R03, LARGER

2971
01:50:37,691 --> 01:50:40,961
GRANTS HERE, THE Us, THE Ps,

2972
01:50:40,961 --> 01:50:45,365
AND T AND F GRANTS, TRAINING AND

2973
01:50:45,365 --> 01:50:47,467
FELLOWSHIP, Ks, SBIR AND OTHER

2974
01:50:47,467 --> 01:50:48,402
MECHANISMS, OTHER TRANSACTION, I

2975
01:50:48,402 --> 01:50:51,238
WILL MENTION THAT IS AN

2976
01:50:51,238 --> 01:50:52,105
AUTHORITY, STATUTORY AUTHORITY

2977
01:50:52,105 --> 01:50:55,375
THAT NIH HAS TO MAKE AWARDS THAT

2978
01:50:55,375 --> 01:50:59,880
ARE NOT GRANTS OR CONTRACTS

2979
01:50:59,880 --> 01:51:01,048
WELL'S MORE FLEXIBILITY THERE IN

2980
01:51:01,048 --> 01:51:03,283
TERMS OF WE CAN DESIGN THE

2981
01:51:03,283 --> 01:51:06,753
PROVISIONS THAT APPLY TO THOSE

2982
01:51:06,753 --> 01:51:06,987
AWARDS.

2983
01:51:06,987 --> 01:51:08,155
IT'S SOMETHING THAT HAS BEEN

2984
01:51:08,155 --> 01:51:10,557
VERY HELPFUL FOR EXAMPLE, WITH

2985
01:51:10,557 --> 01:51:11,124
OUR COVID RESEARCH.

2986
01:51:11,124 --> 01:51:13,961
WE'VE BEEN ABLE TO USE OTHER

2987
01:51:13,961 --> 01:51:16,196
TRANSACTIONAL AUTHORITY FOR

2988
01:51:16,196 --> 01:51:18,899
THAT, TO A GOOD EXTENT AND I

2989
01:51:18,899 --> 01:51:22,236
WILL MENTION JUST AS I PROBABLY

2990
01:51:22,236 --> 01:51:23,270
SHOULD HAVE EARLIER, THIS BUDGET

2991
01:51:23,270 --> 01:51:25,706
THAT I'M TALKING ABOUT, THIS IS

2992
01:51:25,706 --> 01:51:27,441
THE ANNUAL NIH BUDGET.

2993
01:51:27,441 --> 01:51:30,277
IT DOESN'T INCLUDE SUPLEMMAL

2994
01:51:30,277 --> 01:51:33,447
FUNDING THAT WE HAVE SPEBT IN

2995
01:51:33,447 --> 01:51:35,148
RECENT YEARS FOR COVID-19

2996
01:51:35,148 --> 01:51:36,883
RESEARCH FOR EXAMPLE, THAT IS

2997
01:51:36,883 --> 01:51:39,519
ALL, THAT IS SEPARATE FROM THIS,

2998
01:51:39,519 --> 01:51:40,587
SOMETIMES, THOSE KIND OF

2999
01:51:40,587 --> 01:51:43,357
PROVISIONS WILL GET ADD TO

3000
01:51:43,357 --> 01:51:45,392
ANNUAL BUDGET BUT THIS IS

3001
01:51:45,392 --> 01:51:48,662
FOCUSED ON HOW WE HANDLE OUR

3002
01:51:48,662 --> 01:51:59,172
ONGOING ANNUAL APPROPRIATIONS

3003
01:52:00,807 --> 01:52:01,074
AND BUDGET.

3004
01:52:01,074 --> 01:52:02,943
AND SO THE WAY WE KNOW WE LET

3005
01:52:02,943 --> 01:52:06,913
EVERYBODY KNOW ABOUT THE FUNDING

3006
01:52:06,913 --> 01:52:08,982
ANNOUNCE WANTS BUT WE USE THEM

3007
01:52:08,982 --> 01:52:11,885
TO AMILLIOORITIZE THE GRANT

3008
01:52:11,885 --> 01:52:12,986
OPPORTUNITIES, WE HAVE SOME THAT

3009
01:52:12,986 --> 01:52:14,388
ARE ONGOING, LAST A LONG TIME,

3010
01:52:14,388 --> 01:52:17,424
SOME THAT ARE DESIGNED FOR

3011
01:52:17,424 --> 01:52:20,994
SPECIFIC PROGRAMS, HIGHLIGHT A

3012
01:52:20,994 --> 01:52:22,462
SPECIFIC FOCUS AREA, PRIORITY,

3013
01:52:22,462 --> 01:52:28,902
BASICALLY TO LET THE RESEARCH

3014
01:52:28,902 --> 01:52:30,971
COMMUNITY KNOW WHAT FUNDS ARE

3015
01:52:30,971 --> 01:52:33,740
AVAILABLE FOR WHAT, AND LATELY

3016
01:52:33,740 --> 01:52:35,609
WE'VE BEEN USING NOSIs TO

3017
01:52:35,609 --> 01:52:37,878
HIGHLIGHT THOSE AREAS AND TO

3018
01:52:37,878 --> 01:52:40,981
EXPLAIN AREAS TO EXISTING FOAs

3019
01:52:40,981 --> 01:52:45,686
FOR APPLICATIONS PLIRICATION --

3020
01:52:45,686 --> 01:52:46,253
APPLICATIONS.

3021
01:52:46,253 --> 01:52:47,587
SO THIS IS JUST LETTING PEOPLE

3022
01:52:47,587 --> 01:52:49,856
KNOW HOW THE FUNDS ARE COVERED

3023
01:52:49,856 --> 01:52:50,691
FOR THE PARTICULAR RESEARCH

3024
01:52:50,691 --> 01:52:51,058
AREAS.

3025
01:52:51,058 --> 01:52:51,258
NEXT.

3026
01:52:51,258 --> 01:52:55,228
SO I WANT TO TALK A LITTLE BIT

3027
01:52:55,228 --> 01:52:58,165
ABOUT WHAT WE CALL RCDC, THIS IS

3028
01:52:58,165 --> 01:53:00,400
FUNDING ESTIMATES FOR RESEARCH

3029
01:53:00,400 --> 01:53:01,101
CONDITION DISEASE CATEGORIES.

3030
01:53:01,101 --> 01:53:04,671
YOU CAN SEE THEA THE BOTTOM A

3031
01:53:04,671 --> 01:53:06,907
COUPLE OF THE 1S BUT WE HAVE

3032
01:53:06,907 --> 01:53:07,874
HUNDREDS OF THESE AND

3033
01:53:07,874 --> 01:53:11,078
AUTOANOTHER WAY OF LOOKING AT

3034
01:53:11,078 --> 01:53:12,612
THE -- IT'S ANOTHER WAY TO LOOK

3035
01:53:12,612 --> 01:53:13,680
AT THE NIH BUDGET TO DEEMERGING

3036
01:53:13,680 --> 01:53:15,749
IT HOW MUCH WE'RE SPENDING ON

3037
01:53:15,749 --> 01:53:16,550
DIFFERENT RESEARCH AREAS,

3038
01:53:16,550 --> 01:53:19,453
THERE'S A LOT OF INTEREST IN

3039
01:53:19,453 --> 01:53:20,487
THIS, PARTICULARLY NOT ONLY FROM

3040
01:53:20,487 --> 01:53:22,489
CONGRESS BUT FROM THE PUBLIC, IF

3041
01:53:22,489 --> 01:53:25,425
THEY'RE INTERESTED IN HOW MUCH

3042
01:53:25,425 --> 01:53:27,294
EFFORT IS NIH DEVOTING TO A

3043
01:53:27,294 --> 01:53:33,166
PARTICULAR CONDITION, A

3044
01:53:33,166 --> 01:53:34,901
PARTICULAR RESEARCH AREA, WE

3045
01:53:34,901 --> 01:53:36,169
HAVE A SOPHISTICATED WAY WE COME

3046
01:53:36,169 --> 01:53:38,605
UP WITH THESE NUMBERS, WE REPORT

3047
01:53:38,605 --> 01:53:40,841
BOTH THE ACTUAL AMOUNTS FOR

3048
01:53:40,841 --> 01:53:43,777
PRIOR YEARS, RIGHT NOW WE HAVE

3049
01:53:43,777 --> 01:53:45,779
POSTED THROUGH 2023, AND THEN WE

3050
01:53:45,779 --> 01:53:49,015
ALSO ESTIMATE EITHER BASED ON

3051
01:53:49,015 --> 01:53:51,451
CURRENT APPROPRIATION THAT WE

3052
01:53:51,451 --> 01:53:54,187
RECENTLY RECEIVED OR PRESIDENT'S

3053
01:53:54,187 --> 01:53:55,622
BUDGET, ONCE IT'S RELEASED FOR

3054
01:53:55,622 --> 01:53:59,993
COMING YEARS, WHAT WE THINK IS

3055
01:53:59,993 --> 01:54:02,062
LIKELY AMOUNT FOR THESE VARIOUS

3056
01:54:02,062 --> 01:54:02,362
CATEGORIES.

3057
01:54:02,362 --> 01:54:03,697
IT DIFFERS A LITTLE BIT FROM THE

3058
01:54:03,697 --> 01:54:06,066
REST OF THE BUDGET IN THE SENSE

3059
01:54:06,066 --> 01:54:10,003
THAT FIRST, IT'S MEASURING

3060
01:54:10,003 --> 01:54:12,305
OBLIGATIONS SO IF WE RECEIVE

3061
01:54:12,305 --> 01:54:15,108
MONEY FOR EXAMPLE THAT IS

3062
01:54:15,108 --> 01:54:17,411
AVAILABLE FOR US TO OBLIGATE

3063
01:54:17,411 --> 01:54:19,112
OVER A MULTIYEAR PERIOD, AND

3064
01:54:19,112 --> 01:54:20,814
TAKEN--THEY CAN BE 2 YEAR MONEY,

3065
01:54:20,814 --> 01:54:23,450
3 YEAR, 4, 5, OR NO YEAR,

3066
01:54:23,450 --> 01:54:24,718
SOMETIMES, WHEN WE GET MONEY

3067
01:54:24,718 --> 01:54:28,021
FROM CONGRESS AND THOSE FORMS,

3068
01:54:28,021 --> 01:54:30,857
WE'RE NOT REQUIRED TO MAKE A

3069
01:54:30,857 --> 01:54:31,625
GRANT FOR EXAMPLE, A CONTRACT

3070
01:54:31,625 --> 01:54:35,429
WHATEVER WITH IT IN THE FIRST

3071
01:54:35,429 --> 01:54:36,329
YEAR.

3072
01:54:36,329 --> 01:54:38,498
SO IN RCDC, WE'RE REPORTING WHAT

3073
01:54:38,498 --> 01:54:40,100
WE ACTUALLY OBLIGATED IN THE

3074
01:54:40,100 --> 01:54:41,935
CURRENT YEAR, IT DOESN'T

3075
01:54:41,935 --> 01:54:43,603
NECESSARILY COVER EVERYTHING

3076
01:54:43,603 --> 01:54:45,972
THAT CONGRESS GAVE US FOR THAT

3077
01:54:45,972 --> 01:54:49,342
DISEASE OR CATEGORY IN A

3078
01:54:49,342 --> 01:54:50,410
PARTICULAR YEAR IF IT'S FUNDS

3079
01:54:50,410 --> 01:54:51,578
THAT ARE AVAILABLE FOR MORE THAN

3080
01:54:51,578 --> 01:54:53,213
1 YEAR, SO THAT'S A LITTLE BIT

3081
01:54:53,213 --> 01:54:54,214
DIFFERENT THAN THE OTHER BUDGET

3082
01:54:54,214 --> 01:54:57,517
NUMBERS THAT I SHOWED YOU

3083
01:54:57,517 --> 01:54:57,851
BEFORE.

3084
01:54:57,851 --> 01:55:00,320
THE OTHER THING THAT'S A LITTLE

3085
01:55:00,320 --> 01:55:02,856
DIFFERENT IS THAT THESE

3086
01:55:02,856 --> 01:55:04,491
CATEGORIES ARE NOT EXCLUSIVE.

3087
01:55:04,491 --> 01:55:06,593
SO IF YOU HAVE A RESEARCH GRANT

3088
01:55:06,593 --> 01:55:09,563
THAT FALLS INTO MORE THAN 1 OF

3089
01:55:09,563 --> 01:55:11,198
THESE CATEGORIES, WE WOULD LIST

3090
01:55:11,198 --> 01:55:13,166
THE FULL AMOUNT OF THE GRANT FOR

3091
01:55:13,166 --> 01:55:14,868
EACH CATEGORIES, SO THERE IS

3092
01:55:14,868 --> 01:55:16,536
SOME OVERLAP BETWEEN RELATED

3093
01:55:16,536 --> 01:55:20,273
CATEGORIES IN SOME CASES, AND

3094
01:55:20,273 --> 01:55:22,676
WHEN REQUESTED, WE CAN -- WE

3095
01:55:22,676 --> 01:55:24,144
HAVE THE ABILITY TO REMOVE THE

3096
01:55:24,144 --> 01:55:26,112
DOUBLE COUNT TO SAY, OKAY, IF

3097
01:55:26,112 --> 01:55:28,548
YOU WANT TO KNOW HOW MUCH WAS

3098
01:55:28,548 --> 01:55:30,817
SPENT FOR THESE 2 CATEGORIES

3099
01:55:30,817 --> 01:55:33,019
THAT ARE SIMILAR, IT'S POSSIBLE

3100
01:55:33,019 --> 01:55:35,088
WE CAN CALCULATE WHAT THE TOTAL

3101
01:55:35,088 --> 01:55:37,824
AMOUNT WAS FOR THOSE WITHOUT ANY

3102
01:55:37,824 --> 01:55:39,125
DUPLICATION, BUT IN GENERAL, TO

3103
01:55:39,125 --> 01:55:40,293
GIVE A BETTER PICTURE OF

3104
01:55:40,293 --> 01:55:42,329
EVERYTHING THAT WE'RE DOING IN

3105
01:55:42,329 --> 01:55:44,764
THESE DIFFERENT RESEARCH AREAS,

3106
01:55:44,764 --> 01:55:47,300
THE CATEGORY NUMBERS ARE NOT

3107
01:55:47,300 --> 01:55:47,567
EXCLUSIVE.

3108
01:55:47,567 --> 01:55:51,104
SO, IF YOU WERE TO ADD UP THE

3109
01:55:51,104 --> 01:55:53,406
ENTIRE RCDC TABLE, IT WOULD BE

3110
01:55:53,406 --> 01:55:55,408
MORE THAN THE TOTAL NIH BUDGET

3111
01:55:55,408 --> 01:55:58,478
OR MORE THAN TOTAL NIH

3112
01:55:58,478 --> 01:55:59,412
OBLIGATIONS IN THIS PARTICULAR

3113
01:55:59,412 --> 01:56:00,947
CASE BUT THAT'S HOW WE CALCULATE

3114
01:56:00,947 --> 01:56:04,484
IT SO THAT WE DON'T NEED TO SORT

3115
01:56:04,484 --> 01:56:05,519
OF FIGURE OUT, WELL, HOW MUCH OF

3116
01:56:05,519 --> 01:56:16,196
THIS GRANT IS FOR THIS 1 OR THAT

3117
01:56:16,196 --> 01:56:16,296
1.

3118
01:56:16,296 --> 01:56:18,598
WE'RE SIGHING TO SHOW OW MUCH IS

3119
01:56:18,598 --> 01:56:19,766
GENERATED IN THOSE AREAS.

3120
01:56:19,766 --> 01:56:21,801
SO WITH THAT LET ME PAUSE AND

3121
01:56:21,801 --> 01:56:22,602
TAKE QUESTIONS.

3122
01:56:22,602 --> 01:56:23,503
>> THANKS.

3123
01:56:23,503 --> 01:56:28,208
I'VE BEEN  REMINDED TO ASK PEOPE

3124
01:56:28,208 --> 01:56:31,011
TO STAY CLOSE TO THE MICROPHONE.

3125
01:56:31,011 --> 01:56:32,045
PEOPLE HAVE HAD TROUBLE HEARING.

3126
01:56:32,045 --> 01:56:36,416
SO WHO HAS QUESTIONS FOR NEIL.

3127
01:56:36,416 --> 01:56:37,250
>> JOAN?

3128
01:56:37,250 --> 01:56:39,152
>> THANK YOU SO MUCH FOR
THE

3129
01:56:39,152 --> 01:56:40,186
PRESENTATION, 1 THING WE TALKED

3130
01:56:40,186 --> 01:56:45,158
ABOUT IN TERMS OF THE COMMON

3131
01:56:45,158 --> 01:56:47,561
TYPES OF GRANTS IS THAT THEY GO

3132
01:56:47,561 --> 01:56:48,395
TO INSTITUTIONS AND 1 OF THE

3133
01:56:48,395 --> 01:56:49,896
THINGS WE TALK ABOUT TODAY IS

3134
01:56:49,896 --> 01:56:51,765
THE IMPORTANCE OF INCLUDING

3135
01:56:51,765 --> 01:56:53,800
PATIENT ADVOCACY GROUPS AND

3136
01:56:53,800 --> 01:56:55,201
COMMUNITIES IN RESEARCH AND I

3137
01:56:55,201 --> 01:56:57,170
WONDERED IF YOU COULD SPEAK TO

3138
01:56:57,170 --> 01:56:59,706
ANY FLEXIBILITIES IN THE GRANT

3139
01:56:59,706 --> 01:57:02,676
MECHANISMS THAT MAY BE ABLE TO

3140
01:57:02,676 --> 01:57:04,778
BE BEST SUITED TO GO TO THOSE

3141
01:57:04,778 --> 01:57:06,079
TYPES OF COMMUNITIES, PATIENT

3142
01:57:06,079 --> 01:57:08,582
ADVOCACY OR COMMUNITIES IN THAT

3143
01:57:08,582 --> 01:57:08,949
REGARD.

3144
01:57:08,949 --> 01:57:09,883
>> RIGHT, WELL, AS I WAS
SAYING

3145
01:57:09,883 --> 01:57:14,387
WE DO HAVE THE FLEXIBILITY FOR

3146
01:57:14,387 --> 01:57:15,355
EXAMPLE IF WE DISCOVER DURING

3147
01:57:15,355 --> 01:57:17,524
THE COURSE OF THE YEAR, THAT

3148
01:57:17,524 --> 01:57:19,259
THERE'S A PARTICULAR MECHANISM

3149
01:57:19,259 --> 01:57:22,062
THAT WOULD BE BETTER FOR

3150
01:57:22,062 --> 01:57:22,996
PARTICULAR TYPE OF RESEARCH THAN

3151
01:57:22,996 --> 01:57:24,931
ANOTHER, IF IT'S A SHIFT BETWEEN

3152
01:57:24,931 --> 01:57:27,968
SAY GRANTS AND R&D CONTRACTS
IN

3153
01:57:27,968 --> 01:57:29,235
A PARTICULAR CASE, WE HAVE THE

3154
01:57:29,235 --> 01:57:31,671
FLEXIBILITY TO DO THAT, BECAUSE

3155
01:57:31,671 --> 01:57:34,708
WHAT WE'RE REPORTING TO CONGRESS

3156
01:57:34,708 --> 01:57:36,776
ARE ESTIMATES WITH THE

3157
01:57:36,776 --> 01:57:38,211
UNDERSTANDING THAT THOSE

3158
01:57:38,211 --> 01:57:40,046
ESTIMATES CAN VARY, SO THERE CAN

3159
01:57:40,046 --> 01:57:41,781
BE CHANGES BETWEEN MECHANISMS,

3160
01:57:41,781 --> 01:57:45,418
THOSE ARE NOT LIMITED IN THE

3161
01:57:45,418 --> 01:57:47,387
CONGRESSIONAL PROCESS BUT THEY

3162
01:57:47,387 --> 01:57:48,321
ARE MONITORED, SO, WE ALWAYS

3163
01:57:48,321 --> 01:57:52,626
WANT TO BE PREPARED AND IN MY

3164
01:57:52,626 --> 01:57:54,561
OFFICE WHEN WE'RE DOING THE

3165
01:57:54,561 --> 01:57:55,829
QUARTERLY ESTIMATES, IF WE SEE A

3166
01:57:55,829 --> 01:58:01,167
BIG SHIFT, AND WE HAVE ALL SORTS

3167
01:58:01,167 --> 01:58:02,936
OF PARAMETERS, SAY, WELL, WHAT'S

3168
01:58:02,936 --> 01:58:05,038
BIG, WHAT'S SMALL, IF WE SEE

3169
01:58:05,038 --> 01:58:06,439
SOMETHING LIKE THAT WE MAKE SURE

3170
01:58:06,439 --> 01:58:08,141
THE INSTITUTE OR CENTER HAS AN

3171
01:58:08,141 --> 01:58:09,309
EXPLANATION FOR THE REASON FOR

3172
01:58:09,309 --> 01:58:12,278
THAT, SO WE'RE PREPARED FOR

3173
01:58:12,278 --> 01:58:14,280
QUESTIONS FROM CONGRESSIONAL

3174
01:58:14,280 --> 01:58:17,083
STAFF, WHICH WE GET ON A DAILY

3175
01:58:17,083 --> 01:58:20,520
BASIS SOMETIMES SO THAT WE CAN

3176
01:58:20,520 --> 01:58:22,155
EXPLAIN USUALLY IF THERE'S

3177
01:58:22,155 --> 01:58:23,857
SOMETHING ON KIND OF A

3178
01:58:23,857 --> 01:58:26,693
MACROLEVEL, WE DON'T GET THAT SO

3179
01:58:26,693 --> 01:58:28,662
MUCH INSTITUTE BY INSTITUTE, BUT

3180
01:58:28,662 --> 01:58:30,830
IF THERE SEEMS TO BE SOME SORT

3181
01:58:30,830 --> 01:58:32,799
OF NOTICEABLE SHIFT IN TERMS OF

3182
01:58:32,799 --> 01:58:36,002
HOW THE MECHANISMS ARE

3183
01:58:36,002 --> 01:58:37,070
DISTRIBUTED, THAT COMMONLY MIGHT

3184
01:58:37,070 --> 01:58:38,538
RESULT IN QUESTIONS FROM THE

3185
01:58:38,538 --> 01:58:44,711
HILL, OR FROM OTHER

3186
01:58:44,711 --> 01:58:45,045
STAKEHOLDERS.

3187
01:58:45,045 --> 01:58:49,115
>> OKAY, THANK YOU EMPLOY
OTHER

3188
01:58:49,115 --> 01:58:50,083
COMMENTS, QUESTIONS?

3189
01:58:50,083 --> 01:58:51,017
OKAY, MARK, GO AHEAD.

3190
01:58:51,017 --> 01:58:54,788
>> THANK YOU FOR THE GOOD

3191
01:58:54,788 --> 01:58:56,122
PRESENTATION.

3192
01:58:56,122 --> 01:58:58,725
I'M WONDERING FOR MECHANISMS

3193
01:58:58,725 --> 01:59:00,226
WHERE THE DIRECT COSTS ARE

3194
01:59:00,226 --> 01:59:04,397
CAPPED LIKE AN R21, IS THERE ANY

3195
01:59:04,397 --> 01:59:07,834
EVIDENT THAT THE CAP IS

3196
01:59:07,834 --> 01:59:11,438
INSUFFICIENT TO SUPPORT CURRENT

3197
01:59:11,438 --> 01:59:14,641
COSTS FOR RESEARCH FOR A LIMITED

3198
01:59:14,641 --> 01:59:14,874
PROJECT?

3199
01:59:14,874 --> 01:59:16,810
>> I'M NOT SURE I'M THE
BEST

3200
01:59:16,810 --> 01:59:19,279
PERSON TO ANSWER THAT BUT I KNOW

3201
01:59:19,279 --> 01:59:22,849
THERE ARE DISCUSSIONS ON

3202
01:59:22,849 --> 01:59:24,484
SUBJECTS LIKE THAT PERIODICALLY.

3203
01:59:24,484 --> 01:59:25,952
>> WHO AMONG THE IC
DIRECTORS

3204
01:59:25,952 --> 01:59:29,522
WANTS TO HANDLE THAT?

3205
01:59:29,522 --> 01:59:37,163
IT'S A LOADED QUESTION.

3206
01:59:37,163 --> 01:59:42,102
SO IF PEOPLE APPLY FOR THEM,

3207
01:59:42,102 --> 01:59:44,938
RIGHT, SO IT'S HARD TO TELL IF

3208
01:59:44,938 --> 01:59:50,009
IT TURNED OUT TO BE

3209
01:59:50,009 --> 01:59:51,845
INSUFFICIENT, RIGHT, BUT PEOPLE

3210
01:59:51,845 --> 01:59:53,980
DO APPLY FOR THOSE MECHANISMS.

3211
01:59:53,980 --> 01:59:55,482
SO IF PEOPLE STOPPED APPLYING,

3212
01:59:55,482 --> 01:59:57,117
YOU KNOW THEN YOU WOULD SAY,

3213
01:59:57,117 --> 01:59:59,319
WAIT A MINUTE, SOMETHING'S AMISS

3214
01:59:59,319 --> 02:00:01,688
BUT BECAUSE PEOPLE KEEP APPLYING

3215
02:00:01,688 --> 02:00:03,523
WE HAVE TO ASSUME THAT FOLKS

3216
02:00:03,523 --> 02:00:04,591
FEEL THEY CAN CONDUCT THE

3217
02:00:04,591 --> 02:00:05,859
RESEARCH THEY NEED TO.

3218
02:00:05,859 --> 02:00:08,962
NOW, ALONG THE WAY,IME SURE ALL

3219
02:00:08,962 --> 02:00:12,332
THE PROGRAM OFFICERS GET

3220
02:00:12,332 --> 02:00:15,902
FEEDBACK, WHICH MAY SAY

3221
02:00:15,902 --> 02:00:17,670
SOMETHING LIKE I CAN'T DO

3222
02:00:17,670 --> 02:00:20,039
SPECIFIC AIM 2 LET'S SAY BECAUSE

3223
02:00:20,039 --> 02:00:25,712
I RUN OUT OF FUNDS OCCASIONALLY

3224
02:00:25,712 --> 02:00:26,513
AN INSTITUTE WILL SUPPLEMENT

3225
02:00:26,513 --> 02:00:32,118
THAT BUT IT'S ONLY ON OCCASION.

3226
02:00:32,118 --> 02:00:33,453
BUT ALL THE GRANT NUMBERS AND

3227
02:00:33,453 --> 02:00:37,257
ALL THE COSTS OF GRANTS

3228
02:00:37,257 --> 02:00:38,324
CONTINUES TO RISE EMPLOY I DON'T

3229
02:00:38,324 --> 02:00:40,226
KNOW IF IT'S TIED DIRECTLY TO

3230
02:00:40,226 --> 02:00:42,228
INFLATION, IT MAKES A GOOD CHUNK

3231
02:00:42,228 --> 02:00:47,700
OF THAT, DOES THAT HELP?

3232
02:00:47,700 --> 02:00:49,769
>> I CAN SAY WE CERTAINLY

3233
02:00:49,769 --> 02:00:50,603
RECOGNIZE THAT INFLATION AS

3234
02:00:50,603 --> 02:00:52,138
LARRY SAID IS A PROBLEM AND

3235
02:00:52,138 --> 02:00:56,743
THINGS LIKE THE R15, WHICH HAD A

3236
02:00:56,743 --> 02:00:58,478
CAP FOR MANY YEARS DIDN'T

3237
02:00:58,478 --> 02:00:59,712
CHANGE, WE JUST INCREASED THAT

3238
02:00:59,712 --> 02:01:02,849
CAP FOR THE REASONS YOU'RE

3239
02:01:02,849 --> 02:01:03,416
STATING.

3240
02:01:03,416 --> 02:01:04,918
R21S HAVE GENERALLY BEEN WHERE

3241
02:01:04,918 --> 02:01:06,452
THEY ARE FOR A LONG TIME BUT

3242
02:01:06,452 --> 02:01:07,754
IT'S A BALANCE BETWEEN HOW MANY

3243
02:01:07,754 --> 02:01:10,723
GRANTS YOU CAN GIVE AND HOW MANY

3244
02:01:10,723 --> 02:01:11,891
PEOPLE YOU CAN SUPPORT AND HOW

3245
02:01:11,891 --> 02:01:13,526
MUCH YOU GIVE FOR EACH GRANT.

3246
02:01:13,526 --> 02:01:18,131
>> I WOULD SAY INUPPORT OF

3247
02:01:18,131 --> 02:01:19,299
DR. TABAK'S COMMENT, PEOPLE DO

3248
02:01:19,299 --> 02:01:20,800
VOTE WITH THEIR FEET AND SO FOR

3249
02:01:20,800 --> 02:01:23,903
EXAMPLE, FOR THE LONGEST TIME

3250
02:01:23,903 --> 02:01:25,638
INCLUDING EVEN NOW MODULAR

3251
02:01:25,638 --> 02:01:29,175
GRANTS SORT OF LIMITED TO

3252
02:01:29,175 --> 02:01:30,343
$250,000, PEOPLE HAD A

3253
02:01:30,343 --> 02:01:32,679
PERCEPTION THAT THEIR CHANCE OF

3254
02:01:32,679 --> 02:01:35,048
SUCCESS WAS GREATER IF THEY

3255
02:01:35,048 --> 02:01:37,717
APPLIED FOR A MODULAR GRANT

3256
02:01:37,717 --> 02:01:38,484
VERSUS A NONMODULAR GRANT.

3257
02:01:38,484 --> 02:01:40,453
I HAVE TO TELL YOU THAT'S AT

3258
02:01:40,453 --> 02:01:44,657
LEAST FOR OUR INSTITUTE

3259
02:01:44,657 --> 02:01:45,692
SOMETIMES AROUND 2015, WE

3260
02:01:45,692 --> 02:01:49,028
REACHED A POINT IN WHICH THE

3261
02:01:49,028 --> 02:01:50,296
NUMBER OF NONMODULAR GRANTS IS

3262
02:01:50,296 --> 02:01:52,398
IN THE MINORITY NOW AND THE COST

3263
02:01:52,398 --> 02:01:55,301
OF GRANTS CONTINUES TO GO UP

3264
02:01:55,301 --> 02:01:58,872
WHICH ADDS TO NEALS POINT.

3265
02:01:58,872 --> 02:02:01,774
YOU KNOW IT'S A VERY NICE

3266
02:02:01,774 --> 02:02:02,342
PRESENTATION ASSUMING

3267
02:02:02,342 --> 02:02:03,276
EVERYTHING'S EQUAL BUT THERE'S

3268
02:02:03,276 --> 02:02:05,378
INFLATION IN THE BACKGROUND SO

3269
02:02:05,378 --> 02:02:07,380
WHAT YOU CAN -- ASSUMING YOU

3270
02:02:07,380 --> 02:02:09,082
HAVE A FLAT BUDGET IT'S EACH

3271
02:02:09,082 --> 02:02:13,353
WORSE THAN TAKING INTO ACCOUNT.

3272
02:02:13,353 --> 02:02:14,988
SO AGAIN PEOPLE DO SORT OF VOTE

3273
02:02:14,988 --> 02:02:17,223
WITH THEIR FEET AND THEY'VE

3274
02:02:17,223 --> 02:02:22,562
MOVED TO THESE NONMODULARS,

3275
02:02:22,562 --> 02:02:23,429
MULTIPI GRANTS ARE MORE

3276
02:02:23,429 --> 02:02:25,031
EXPENSIVE THAN THE NUMBER OF

3277
02:02:25,031 --> 02:02:26,866
PIGRANTS AND THE NUMBER OF THOSE

3278
02:02:26,866 --> 02:02:27,967
HAVE BEEN INCREASING FOR THE

3279
02:02:27,967 --> 02:02:29,168
LAST FEW YEARSER SO.

3280
02:02:29,168 --> 02:02:31,905
NI WOULD ADD THAT HISTORICALLY

3281
02:02:31,905 --> 02:02:34,707
THE NIH PURCHASING POWER IN

3282
02:02:34,707 --> 02:02:36,175
INFLATION ADJUSTED TERMS PEAKED

3283
02:02:36,175 --> 02:02:39,545
IN 2003 AND THEN BOTTOMED OUT

3284
02:02:39,545 --> 02:02:41,114
AROWNT 2015.

3285
02:02:41,114 --> 02:02:43,516
IT LOST ABOUT 22% OF THE

3286
02:02:43,516 --> 02:02:44,217
PURCHASING POWER BECAUSE

3287
02:02:44,217 --> 02:02:47,287
INFLATION HAD BEEN GREATER THAN

3288
02:02:47,287 --> 02:02:50,857
THE INCREASES IN THE

3289
02:02:50,857 --> 02:02:51,624
APPROPRIATION LEVEL SINCE 2016,

3290
02:02:51,624 --> 02:02:55,128
WE'VE RECOVERED A LOT OF THAT

3291
02:02:55,128 --> 02:02:58,865
ALMOST ALL OF THAT INFLATIONARY

3292
02:02:58,865 --> 02:03:00,700
REDUCTION, BUT IT HAS A BIG

3293
02:03:00,700 --> 02:03:02,669
IMPACT AGAIN IN TERMS BECAUSE OF

3294
02:03:02,669 --> 02:03:04,270
THE AVERAGE COST OF GRANTS HAS

3295
02:03:04,270 --> 02:03:09,075
GONE UP OVER THE YEARS.

3296
02:03:09,075 --> 02:03:09,509
>> ALLYSON.

3297
02:03:09,509 --> 02:03:11,711
>> SWITCHING GEARS YOU HAD
SOME

3298
02:03:11,711 --> 02:03:13,980
PARTICULARLY FOR NCIs LINES

3299
02:03:13,980 --> 02:03:15,949
AND THEIR DIRECT -- HOW DOES

3300
02:03:15,949 --> 02:03:16,516
THAT COME ABOUT?

3301
02:03:16,516 --> 02:03:19,819
WHAT IS THE PROCESS FOR THAT?

3302
02:03:19,819 --> 02:03:21,087
>> THAT COMES FROM
CONGRESS,

3303
02:03:21,087 --> 02:03:24,624
THROUGH BILL AND REPORT

3304
02:03:24,624 --> 02:03:24,891
LANGUAGE.

3305
02:03:24,891 --> 02:03:26,159
WE SUBMIT THE PRESIDENT'S BUDGET

3306
02:03:26,159 --> 02:03:27,660
EVERY YEAR WITH OUR

3307
02:03:27,660 --> 02:03:34,767
RECOMMENDATIONS FOR THOSE KINDS

3308
02:03:34,767 --> 02:03:36,369
OF ITEMS.

3309
02:03:36,369 --> 02:03:36,936
CONGRESS DELIBERATES.

3310
02:03:36,936 --> 02:03:39,706
THEY HAVE THE FINAL SAY BUT IT'S

3311
02:03:39,706 --> 02:03:41,207
AN INTERACTIVE PROCESS THAT

3312
02:03:41,207 --> 02:03:44,610
WE'RE VERY ENGAGED WITH THE

3313
02:03:44,610 --> 02:03:45,445
APPROPRIATIONS COMMITTEES AND

3314
02:03:45,445 --> 02:03:51,751
OTHERS THIS CONGRESS THROUGHOUT

3315
02:03:51,751 --> 02:03:52,285
THE YEAR.

3316
02:03:52,285 --> 02:03:53,553
>> THANK YOU THAT WAS
HELPFUL.

3317
02:03:53,553 --> 02:03:55,722
I KNOW YOU SHOWED THINGS LIKE

3318
02:03:55,722 --> 02:03:57,590
SBIRs AND CERTAIN TYPES OF

3319
02:03:57,590 --> 02:03:57,890
GRANTS.

3320
02:03:57,890 --> 02:03:59,425
DO YOU TRACK THINGS LIKE ACROSS

3321
02:03:59,425 --> 02:04:01,060
ALL INSTITUTES HOW MUCH IS USED

3322
02:04:01,060 --> 02:04:04,597
TO SUPPORT CLINICAL TRIALS AND

3323
02:04:04,597 --> 02:04:05,331
THINGS LIKE THAT?

3324
02:04:05,331 --> 02:04:07,567
>> MY OFFICE DOESN'T TRACK
THAT

3325
02:04:07,567 --> 02:04:09,802
BUT IT CAN BE TRACKED.

3326
02:04:09,802 --> 02:04:11,170
OUR EXTRAMURAL RESEARCH OFFICE

3327
02:04:11,170 --> 02:04:17,276
DOES TRACT THOSE TYPES OF DATA.

3328
02:04:17,276 --> 02:04:19,812
>> WHAT HAPPENS AT THE END
OF A

3329
02:04:19,812 --> 02:04:20,780
FISCAL REPORTING PERIOD?

3330
02:04:20,780 --> 02:04:22,682
CAN YOU CARRY FUNDS FORWARD?

3331
02:04:22,682 --> 02:04:30,156
WHAT HAPPENS WITH THAT?

3332
02:04:30,156 --> 02:04:31,224
>> TWO THINGS.

3333
02:04:31,224 --> 02:04:31,691
TWO THINGS.

3334
02:04:31,691 --> 02:04:33,760
I TALKED BEFORE ABOUT

3335
02:04:33,760 --> 02:04:34,460
OBLIGATIONS.

3336
02:04:34,460 --> 02:04:36,863
SO THE WAI OBLIGATIONS WORK, YOU

3337
02:04:36,863 --> 02:04:38,898
MAKE AN AWARD IN 1 YEAR, IF WHAT

3338
02:04:38,898 --> 02:04:40,133
WE CALL 1 YEAR MONEY WHICH IS

3339
02:04:40,133 --> 02:04:51,110
THE BULK OF OUR BUDGET, YOU HAVR

3340
02:04:51,477 --> 02:04:52,979
EXPENDITURES, SO THE GRAPTEE,

3341
02:04:52,979 --> 02:04:54,547
THE INSTITUTION THAT RECEIVES

3342
02:04:54,547 --> 02:04:56,916
THE GRANT HAS 5 YEARS TO

3343
02:04:56,916 --> 02:04:58,151
COMPLETE THE RESEARCH WITH THE

3344
02:04:58,151 --> 02:04:59,285
GRANT, SO 5 YEARS AFTER WE MADE

3345
02:04:59,285 --> 02:04:59,886
THE GRANT.

3346
02:04:59,886 --> 02:05:04,557
IF WE HAVE MORE THAN 1 YEAR TO

3347
02:05:04,557 --> 02:05:05,992
ALLOCATE THE FUNDS, THEN IT'S 5

3348
02:05:05,992 --> 02:05:09,062
YEARS FROM WHENEVER THAT

3349
02:05:09,062 --> 02:05:10,430
OBLIGATION PERIOD ENDS.

3350
02:05:10,430 --> 02:05:12,832
IF IT'S CALLED NO YEAR MONEY.

3351
02:05:12,832 --> 02:05:15,168
THERE IS NO LIMIT BUT

3352
02:05:15,168 --> 02:05:18,037
ESSENTIALLY THE AMOUNT OF TIME

3353
02:05:18,037 --> 02:05:21,140
THAT NIH HAS TO GIVE OUT THE

3354
02:05:21,140 --> 02:05:22,875
MONEY STARTS THE CLOCK BY A YEAR

3355
02:05:22,875 --> 02:05:24,610
IN TERMS OF HOW LONG THE

3356
02:05:24,610 --> 02:05:27,046
RESEARCHERS HAVE TO DO THE

3357
02:05:27,046 --> 02:05:27,380
RESEARCH.

3358
02:05:27,380 --> 02:05:28,614
>> BUT WE CAN CARRY OVER
VERY

3359
02:05:28,614 --> 02:05:31,484
LITTLE IN THE WAY OF FUNDS?

3360
02:05:31,484 --> 02:05:33,152
>> RIGHT, BECAUSE MOST OF
OUR

3361
02:05:33,152 --> 02:05:35,021
FUNDING IS 1 YEAR.

3362
02:05:35,021 --> 02:05:36,789
>> SO IT'S NOT LIKE SAVING
FOR A

3363
02:05:36,789 --> 02:05:39,592
RAINY DAY, WE CAN'T DO THAT.

3364
02:05:39,592 --> 02:05:40,460
>> RIGHT.

3365
02:05:40,460 --> 02:05:42,095
>> VIRTUALLY ALL OF OUR
FUNDS

3366
02:05:42,095 --> 02:05:43,996
HAVE TO BE OBLIGATED IN A FISCAL

3367
02:05:43,996 --> 02:05:44,564
YEAR.

3368
02:05:44,564 --> 02:05:45,098
>> RIGHT.

3369
02:05:45,098 --> 02:05:51,070
THERE ARE A  A FEW YEARS LIKE BT

3370
02:05:51,070 --> 02:05:53,072
THE BULK OF IT HAS TO BE USED IN

3371
02:05:53,072 --> 02:05:54,974
THE YEAR RESILIENCE CEIVE IT,

3372
02:05:54,974 --> 02:05:56,309
WHICH MAKE ITS CHALLENGING WHEN

3373
02:05:56,309 --> 02:05:58,077
WE HAVE A LENGTHY CONTINUES

3374
02:05:58,077 --> 02:05:58,811
RESOLUTION FOR EXAMPLE.

3375
02:05:58,811 --> 02:06:01,147
>> MAY I ASK A QUESTION
ABOUT

3376
02:06:01,147 --> 02:06:02,115
JUST FOR INFORMATION FOR THE

3377
02:06:02,115 --> 02:06:03,549
GROUP ABOUT THE FUNDING LINES.

3378
02:06:03,549 --> 02:06:04,917
SO WHEN YOU'RE LOOKING, SINCE

3379
02:06:04,917 --> 02:06:07,820
MOST OF THE BUDGET IS RPGs AND

3380
02:06:07,820 --> 02:06:09,956
THE OBVIOUSLY THE FUNDING LINES

3381
02:06:09,956 --> 02:06:12,425
CAN MOVE UP DOWN DEPENDING

3382
02:06:12,425 --> 02:06:14,660
ON HOW MUCHS BUDGETED FOR THAT

3383
02:06:14,660 --> 02:06:17,463
CENTER, HOW MUCH FLEXIBILITY OR

3384
02:06:17,463 --> 02:06:19,632
IS THERE AN EXPECTATION FOR

3385
02:06:19,632 --> 02:06:22,201
MOVING FUNDING LINES OR HOW IS

3386
02:06:22,201 --> 02:06:25,605
THAT MANAGED CURRENTLY?

3387
02:06:25,605 --> 02:06:27,640
>> THAT IS 1 OF THE KEY

3388
02:06:27,640 --> 02:06:29,308
BUDGETARY RESPONSIBILITIES --

3389
02:06:29,308 --> 02:06:31,310
EXCUSE ME -- OF THE INSTITUTE

3390
02:06:31,310 --> 02:06:32,979
AND CENTER OF DIRECTORS TO MAKE

3391
02:06:32,979 --> 02:06:33,880
THOSE DETERMINATIONS AND THERE

3392
02:06:33,880 --> 02:06:35,615
ARE TIMES WHEN

3393
02:06:35,615 --> 02:06:38,918
EN WGIESITUTES WILL DECIDE

3394
02:06:38,918 --> 02:06:39,986
THAT THEY WANT TO INCREASE HOW

3395
02:06:39,986 --> 02:06:43,789
MUCH OF THEIR FUNDING THEY'RE

3396
02:06:43,789 --> 02:06:49,061
DEVOTING TO RPGs, VERSUS OTHER

3397
02:06:49,061 --> 02:06:51,030
FUNDING FOR EXAMPLE, AND THOSE

3398
02:06:51,030 --> 02:06:52,298
ARE DECISIONS EACH INSTITUTE

3399
02:06:52,298 --> 02:06:53,699
MAKES TIMES WITH CONSULTATION

3400
02:06:53,699 --> 02:06:56,836
WITH THE OFFICE OF THE DIRECTOR.

3401
02:06:56,836 --> 02:06:58,371
>> YEAH, SO, IT'S
DISCRETIONARY

3402
02:06:58,371 --> 02:07:00,106
BUT IT SOUNDS LIKE THE OFFICE OF

3403
02:07:00,106 --> 02:07:01,641
THE DIRECTOR HAS SOME INFLUENCE

3404
02:07:01,641 --> 02:07:05,912
OVER WHERE THEY END UP THAT

3405
02:07:05,912 --> 02:07:06,746
CORRECT OR NO?

3406
02:07:06,746 --> 02:07:07,947
>> SO AGAIN, YOU REFERRING
TO

3407
02:07:07,947 --> 02:07:10,216
THE ALLOCATION AMONG THE

3408
02:07:10,216 --> 02:07:11,784
INSTITUTES AND CENTERS OR THE

3409
02:07:11,784 --> 02:07:14,086
ALLOCATIONS WITHIN A SINGLE

3410
02:07:14,086 --> 02:07:15,454
INSTITUTE OR CENTER?

3411
02:07:15,454 --> 02:07:16,255
>> WITHIN A CENTER.

3412
02:07:16,255 --> 02:07:17,356
>> WITHIN A CENTER,
INSTITUTE

3413
02:07:17,356 --> 02:07:19,825
AND CENTER DIRECTOR MAKES THAT

3414
02:07:19,825 --> 02:07:21,694
CALL THERE MAY BE CONSULTATION

3415
02:07:21,694 --> 02:07:23,429
BUT WHEN'S THE LAST TIME YOU

3416
02:07:23,429 --> 02:07:25,731
EVER LISTENED -- I MEAN -- NO,

3417
02:07:25,731 --> 02:07:26,265
I'M --

3418
02:07:26,265 --> 02:07:28,534
>> THAT'S WHAT WE WANT TO
KNOW

3419
02:07:28,534 --> 02:07:28,768
THOUGH.

3420
02:07:28,768 --> 02:07:31,437
>> THE INSTITUTE CENTER

3421
02:07:31,437 --> 02:07:32,471
DIRECTORS ALMOST INVARIABLY WILL

3422
02:07:32,471 --> 02:07:34,840
MAKE THE FINAL CALL.

3423
02:07:34,840 --> 02:07:37,543
>> OH OKEAH, BECAUSE
THAT'S

3424
02:07:37,543 --> 02:07:38,978
SOMETHING THAT IS FLEXIBLE BASED

3425
02:07:38,978 --> 02:07:40,279
ON THE DIRECTOR IS WHAT I WAS

3426
02:07:40,279 --> 02:07:43,249
TRYING TO GET AT.

3427
02:07:43,249 --> 02:07:46,552
>> EXCEPT FOR SOME
SUBCATEGORIES

3428
02:07:46,552 --> 02:07:48,421
LIKE SBIR FOR EXAMPLE WHICH IS

3429
02:07:48,421 --> 02:07:50,189
MANDATED THERE NEEDS TO BE A

3430
02:07:50,189 --> 02:07:51,123
CERTAIN PERSPECTIVE NI MEAN

3431
02:07:51,123 --> 02:07:52,391
THERE ARE GUARD RAILS AND

3432
02:07:52,391 --> 02:07:54,026
GUIDANCE, SO IF WE GO TOO FAR 1

3433
02:07:54,026 --> 02:07:59,232
WAY OR THE OTHER, WE GET UP TO

3434
02:07:59,232 --> 02:07:59,665
--

3435
02:07:59,665 --> 02:08:02,501
>> BROUGHT TO THE
PRINCIPAL'S

3436
02:08:02,501 --> 02:08:02,735
OFFICE.

3437
02:08:02,735 --> 02:08:05,004
>> AND THERE ARE SOMETIMES

3438
02:08:05,004 --> 02:08:05,905
OPPORTUNITIES AMONGST THE

3439
02:08:05,905 --> 02:08:09,642
INSTITUTES AND CENTERS IN TERMS

3440
02:08:09,642 --> 02:08:13,512
OF PARTICULAR ACTIVITIES AND

3441
02:08:13,512 --> 02:08:16,215
SBIR, IN SOME CASES WHERE 1

3442
02:08:16,215 --> 02:08:17,883
INSTITUTE MAY HAVE MORE HIGH

3443
02:08:17,883 --> 02:08:18,818
QUALITY APPLICATIONS THAN OTHER

3444
02:08:18,818 --> 02:08:21,187
INSTITUTE AND THEY CAN

3445
02:08:21,187 --> 02:08:22,121
COLLABORATE TO COOPERATION IN

3446
02:08:22,121 --> 02:08:27,260
TERMS OF THAT TYPE OF ACTIVITY.

3447
02:08:27,260 --> 02:08:27,760
>> OKAY.

3448
02:08:27,760 --> 02:08:29,595
>> YEAH.

3449
02:08:29,595 --> 02:08:31,998
>> JUST TO ADD AND THEN
SOME

3450
02:08:31,998 --> 02:08:36,102
INTUITYS HAVE SLIGHTLY DIFFERENT

3451
02:08:36,102 --> 02:08:37,403
PHILOSOPHY.

3452
02:08:37,403 --> 02:08:38,904
SOME INSTITUTES CHOOSE TO PUT

3453
02:08:38,904 --> 02:08:46,045
THE BULK OF THEIR FUNDS IN

3454
02:08:46,045 --> 02:08:46,545
INVESTIGATOR INITIATED

3455
02:08:46,545 --> 02:08:48,147
INCONSTITUTES HAVE TO OR FIND IT

3456
02:08:48,147 --> 02:08:50,149
BEST TO USE CONTRACTS TO MANAGE

3457
02:08:50,149 --> 02:08:53,352
CLINICAL TRIALS, SO THAT BROAD

3458
02:08:53,352 --> 02:08:56,188
PERCENTAGE THAT NEAL SHOWED

3459
02:08:56,188 --> 02:08:59,125
EARLY, YOU KNOW 11% INTRAMURAL,

3460
02:08:59,125 --> 02:09:00,726
AND 70%, IN CONTRACTS ALIGN,

3461
02:09:00,726 --> 02:09:03,629
THAT'S PROBABLY THE BIGGEST

3462
02:09:03,629 --> 02:09:03,996
VARIANCE.

3463
02:09:03,996 --> 02:09:04,297
>> RIGHT.

3464
02:09:04,297 --> 02:09:06,432
THERE CAN BE A LOT OF

3465
02:09:06,432 --> 02:09:07,066
VARIABILITY BETWEEN MECHANISMS

3466
02:09:07,066 --> 02:09:09,602
DEPENDING ON THE NATURE OF THE

3467
02:09:09,602 --> 02:09:13,773
INSTITUTE AND  WHAT MAKES THE

3468
02:09:13,773 --> 02:09:16,742
MOST SENSE FOR THESE PROGRAMS.

3469
02:09:16,742 --> 02:09:20,713
>> ANY FINAL WORD FOR
ANYBODY?

3470
02:09:20,713 --> 02:09:31,123
>> OKAY, THANKS NEIL.

3471
02:09:39,298 --> 02:09:40,866
>> THANKS.

3472
02:09:40,866 --> 02:09:41,734
>> WELL, GOOD AFTERNOON.

3473
02:09:41,734 --> 02:09:43,436
I'M GRIFFIN ROGERS AS YOU KNOW,

3474
02:09:43,436 --> 02:09:45,538
I'M THE DIRECTOR OF NIDECKER DK

3475
02:09:45,538 --> 02:09:47,340
AND I THINK I AM 1 OF THE FEW

3476
02:09:47,340 --> 02:09:52,578
REMAINING MEMBERS OF THE

3477
02:09:52,578 --> 02:09:55,081
ORIGINAL SMRB AND AS I DREW THE

3478
02:09:55,081 --> 02:09:56,349
SHORT STRAW, I'M HERE TO TELL

3479
02:09:56,349 --> 02:09:58,084
YOU WHAT OUR ORIGINAL

3480
02:09:58,084 --> 02:09:59,051
DELIBERATIONS WERE ALL ABOUT TO

3481
02:09:59,051 --> 02:10:00,453
GIVE YOU A HISTORICAL

3482
02:10:00,453 --> 02:10:00,753
PERSPECTIVE.

3483
02:10:00,753 --> 02:10:03,122
SO LET ME TAKE YOU THROUGH IN

3484
02:10:03,122 --> 02:10:04,190
THE TIME ALLOTTED AND I WILL TRY

3485
02:10:04,190 --> 02:10:07,960
TO GET US BACK ON TIME THROUGH

3486
02:10:07,960 --> 02:10:10,429
THE HISTORY, MEMBERSHIP,

3487
02:10:10,429 --> 02:10:15,434
PROCESS, REPORTS, ORIGINAL SMRB,

3488
02:10:15,434 --> 02:10:19,905
AND THEN, LARRY OR DR. TABAK,

3489
02:10:19,905 --> 02:10:21,741
LARRY HAS ALREADY OUTLINED THE

3490
02:10:21,741 --> 02:10:24,276
BOARD'S ROLE SO I WILL FOCUS ON

3491
02:10:24,276 --> 02:10:25,778
HOW ITS FUNCTION AND KEY

3492
02:10:25,778 --> 02:10:28,214
ACTIVITIES. 

3493
02:10:28,214 --> 02:10:29,415
NEXT SLIDE, PLEASE.

3494
02:10:29,415 --> 02:10:31,150
SO TO UNDERSTAND THE ROLES, IT'S

3495
02:10:31,150 --> 02:10:32,151
FIRST IMPORTANT TO UNDERSTAND

3496
02:10:32,151 --> 02:10:39,992
THE HISTORY OF THE NIH.

3497
02:10:39,992 --> 02:10:40,993
NIH ORIGINS TRACE BACK TO SPHENE

3498
02:10:40,993 --> 02:10:43,462
98 WHEN THE MARINE HOSPITAL

3499
02:10:43,462 --> 02:10:45,064
SERVICES PRECURSOR OF THE UNITED

3500
02:10:45,064 --> 02:10:47,633
STATES PUBLIC HEALTH SERVICE WAS

3501
02:10:47,633 --> 02:10:49,435
ESTABLISHED TO PROVIDE MEDICAL

3502
02:10:49,435 --> 02:10:54,206
CARE FOR THE MERCHANT MARINE SEA

3503
02:10:54,206 --> 02:10:56,275
MEN AND THEN 1880S IT EXPANDED

3504
02:10:56,275 --> 02:10:58,911
TO ENCLOUD DISEASE SURVEILLANCE

3505
02:10:58,911 --> 02:10:59,745
PARTICULARLY INFECTIOUS DECS

3506
02:10:59,745 --> 02:11:02,248
LIKE CHOLERA AND YELLOW FEVER.

3507
02:11:02,248 --> 02:11:05,418
LEADING TO THE CREATION OF

3508
02:11:05,418 --> 02:11:09,255
LABORATORIES AND THEN OVER TIME

3509
02:11:09,255 --> 02:11:12,158
THIS MARINE HOSPITAL SERVICES

3510
02:11:12,158 --> 02:11:15,895
BEGAN TO FOCUS THEIR EFFORTS ON

3511
02:11:15,895 --> 02:11:17,396
A BROADER BIOMEDICAL RESEARCH

3512
02:11:17,396 --> 02:11:19,498
WITH MAJOR MILESTONES INCLUDING

3513
02:11:19,498 --> 02:11:23,536
THE REDESIGNATION OF THE MARINE

3514
02:11:23,536 --> 02:11:24,003
HOSPITAL SERVICE LABS.

3515
02:11:24,003 --> 02:11:27,840
BY THEN IT WAS CALLED A HIGENIC

3516
02:11:27,840 --> 02:11:30,309
LABORATORIES, TO THE NIH IN 1930

3517
02:11:30,309 --> 02:11:33,879
AND THEN THE OPENING OF THE

3518
02:11:33,879 --> 02:11:34,847
BETHESDA CAMPUS YOU'RE ON NOW

3519
02:11:34,847 --> 02:11:36,816
AND THEN THE CREATION OF THE

3520
02:11:36,816 --> 02:11:37,750
NATIONAL CANCER INSTITUTE AND

3521
02:11:37,750 --> 02:11:42,221
OTHER INSTITUTES AND CENTERS.

3522
02:11:42,221 --> 02:11:43,889
IN 2006, CONGRESS ESTABLISHED

3523
02:11:43,889 --> 02:11:47,226
THE SMRB AS YOU HEARD ALREADY,

3524
02:11:47,226 --> 02:11:50,162
WHICH WAS TASKED WITH ADVISING

3525
02:11:50,162 --> 02:11:55,968
NIH'S LEADERSHIP, ON STRUCTURAL

3526
02:11:55,968 --> 02:11:57,436
AND PROGRAMMATIC CHANGES,

3527
02:11:57,436 --> 02:11:59,038
NOTABLY THIS LED TO THE CREATION

3528
02:11:59,038 --> 02:12:01,507
OF THE NATIONAL CENTER FOR

3529
02:12:01,507 --> 02:12:02,875
TRANSLATIONAL SCIENCES OR NCATS

3530
02:12:02,875 --> 02:12:05,611
THAT DR. RUDDER IS THE DIRECTOR

3531
02:12:05,611 --> 02:12:10,216
IN 2011 AND MORE ON THAT LATER,

3532
02:12:10,216 --> 02:12:12,151
NEXT SLIDE, PLEASE.

3533
02:12:12,151 --> 02:12:14,987
THE SMRB AS YOU HEARD ALREADY

3534
02:12:14,987 --> 02:12:17,323
WAS CREATED IN THE 2006 AS PART

3535
02:12:17,323 --> 02:12:19,124
OF THE NIH REFORM ACT, THE ROLE

3536
02:12:19,124 --> 02:12:21,460
WAS TO ADVISE THE DIRECTOR OF

3537
02:12:21,460 --> 02:12:23,128
NIH, HHS SECRETARY AND OTHER NIH

3538
02:12:23,128 --> 02:12:25,831
LEADERSHIP ON THE USE OF NIH

3539
02:12:25,831 --> 02:12:26,799
ORGANIZATIONAL AUTHORITIES, THIS

3540
02:12:26,799 --> 02:12:28,400
INCLUDED THE DECISIONS TO

3541
02:12:28,400 --> 02:12:32,304
ESTABLISH OR ABOLISH INSTITUTES,

3542
02:12:32,304 --> 02:12:33,072
REORGANIZE OFFICES AND PROGRAMS

3543
02:12:33,072 --> 02:12:37,743
BUT THIS WAS JUST SOME OF WHAT

3544
02:12:37,743 --> 02:12:41,113
THE ORIGINAL SMRB TOOK ON.

3545
02:12:41,113 --> 02:12:44,083
THE PURPOSE WAS TO ADVISE THE

3546
02:12:44,083 --> 02:12:46,485
DIRECTOR AND OTHER APPROPRIATE

3547
02:12:46,485 --> 02:12:47,987
AGENCIES THROUGH REPORTS OF THE

3548
02:12:47,987 --> 02:12:51,257
NIH DIRECTOR, ON THE USE OF

3549
02:12:51,257 --> 02:12:52,324
THESE ORGANIZATIONAL AUTHORITIES

3550
02:12:52,324 --> 02:12:55,027
TO IDENTIFY THE RATIONAL AS

3551
02:12:55,027 --> 02:12:57,863
YOU'VE HEARD UNDERLYING THE

3552
02:12:57,863 --> 02:12:58,697
RECOMMENDATIONS THAT ULTIMATELY

3553
02:12:58,697 --> 02:13:01,567
WERE EMBEDDED IN THESE REPORTS.

3554
02:13:01,567 --> 02:13:04,069
YOU HEARD THAT NOT LESS THAN

3555
02:13:04,069 --> 02:13:05,371
ONCE EVERY 7 YEARS, THE BOARD

3556
02:13:05,371 --> 02:13:08,774
WILL BE PROVIDING THIS ADVICE TO

3557
02:13:08,774 --> 02:13:11,977
THE DIRECTOR, AND OTHER

3558
02:13:11,977 --> 02:13:12,711
APPROPRIATE AGENCIES REGARDING

3559
02:13:12,711 --> 02:13:16,782
THE USE OF THE AUTHORITIES,

3560
02:13:16,782 --> 02:13:22,288
REFORMED IN THIS REFORM ACT. 

3561
02:13:22,288 --> 02:13:24,156
NEXT SLIDE, PLEASE.

3562
02:13:24,156 --> 02:13:26,125
THE ORIGINAL SMRB INCLUDED A

3563
02:13:26,125 --> 02:13:27,192
DISTINGUISHED GROUP OF LEADERS

3564
02:13:27,192 --> 02:13:29,128
FROM GOVERNMENT AND ACADEMIA AND

3565
02:13:29,128 --> 02:13:30,996
INDUSTRY WITH DEEP EXPERTISE AND

3566
02:13:30,996 --> 02:13:32,164
BIOMEDICAL RESEARCH AND BEYOND

3567
02:13:32,164 --> 02:13:35,067
AND WHAT SETS THE SMRB APART AND

3568
02:13:35,067 --> 02:13:37,803
IT IS UNIQUE FEDERAL AND

3569
02:13:37,803 --> 02:13:38,637
NONFEDERAL COMPOSITION, WHICH

3570
02:13:38,637 --> 02:13:41,941
WAS MANDATED BY LAW THAT YOU

3571
02:13:41,941 --> 02:13:43,309
HEARD ABOUT, SHOWN ON THIS SLIDE

3572
02:13:43,309 --> 02:13:45,544
IS NOT THE ORIGINAL MEMBERS, BUT

3573
02:13:45,544 --> 02:13:47,146
ON THE RIGHT YOU'LL ACTUALLY SEE

3574
02:13:47,146 --> 02:13:52,718
THE LISTENING OF THOSE ORIGINAL

3575
02:13:52,718 --> 02:13:53,052
MEMBERS.

3576
02:13:53,052 --> 02:13:57,489
THE ORIGINAL SMRB WAS CHAIRED BY

3577
02:13:57,489 --> 02:13:59,858
NORM AUGUSTINE WHO IS A FORMER

3578
02:13:59,858 --> 02:14:02,161
PRESIDENT AND CEO OF LOCKHEED.

3579
02:14:02,161 --> 02:14:04,863
IT HAD NOT ONLY MEMBERS FROM

3580
02:14:04,863 --> 02:14:06,999
ACADEMIA AS YOU WILL SEE THERE,

3581
02:14:06,999 --> 02:14:08,901
THERE WAS A NONFEDERAL MEMBERS

3582
02:14:08,901 --> 02:14:14,406
THAT ARE ALSO AT LEAST 3 MEMBERS

3583
02:14:14,406 --> 02:14:17,676
OF GOVERNMENT OR RATHER OUTSIDE

3584
02:14:17,676 --> 02:14:18,944
AGENCIES WITH AN INTEREST IN

3585
02:14:18,944 --> 02:14:22,681
SCIENCE, AND YOU CAN SEE THE

3586
02:14:22,681 --> 02:14:24,149
FEDERAL MEMBERS, THE NIH

3587
02:14:24,149 --> 02:14:29,822
INSTITUTES LISTED ON THE RIGHT.

3588
02:14:29,822 --> 02:14:32,091
THE PICTURE ON THE RIGHT WAS

3589
02:14:32,091 --> 02:14:33,425
TAKEN IN 2015 AT THE BACK OF

3590
02:14:33,425 --> 02:14:35,227
THIS ROOM BEFORE IT WAS

3591
02:14:35,227 --> 02:14:37,129
RECONSTRUCTED AND IT WAS

3592
02:14:37,129 --> 02:14:39,965
INCLUDES SOME OF THOSE MEMBERS

3593
02:14:39,965 --> 02:14:41,934
THAT WERE PRESENT AT THE MEETING

3594
02:14:41,934 --> 02:14:44,036
BUT NOT THE FULL GROUP.

3595
02:14:44,036 --> 02:14:44,536
NEXT SLIDE, PLEASE.

3596
02:14:44,536 --> 02:14:50,309
SO HOW DO WE GET OUR WORK

3597
02:14:50,309 --> 02:14:50,643
ACCOMPLISHED?

3598
02:14:50,643 --> 02:14:52,678
LARRY TOUCHED ON THE STATUTORY

3599
02:14:52,678 --> 02:14:54,747
FRAMEWORK, I WILL NOW FOCUS ON

3600
02:14:54,747 --> 02:14:55,714
HOW WE OPERATIONALIZE THAT.

3601
02:14:55,714 --> 02:14:57,216
THE WORKING GROUPS AND

3602
02:14:57,216 --> 02:14:58,250
SUBCOMMITTEES WERE REALLY

3603
02:14:58,250 --> 02:14:59,852
CRUCIAL TO THIS PROCESS, THESE

3604
02:14:59,852 --> 02:15:02,021
GROUPS ALLOWED US TO FOCUS ON

3605
02:15:02,021 --> 02:15:04,456
SPECIFIC TOPICS THAT WERE

3606
02:15:04,456 --> 02:15:07,292
COLLECTIVELY PRIORITIZED BY THE

3607
02:15:07,292 --> 02:15:09,928
BOARD, THE FULL SMRB INCLUDING

3608
02:15:09,928 --> 02:15:12,931
THE NIH DIRECTOR, AS AN

3609
02:15:12,931 --> 02:15:14,667
EXOFFICIO MEMBER ADENTIFIED KEY

3610
02:15:14,667 --> 02:15:18,070
AREAS FOR DEEPER EXPLORATION OF

3611
02:15:18,070 --> 02:15:21,140
THE WORKING GROUPS, THE CHAIR BY

3612
02:15:21,140 --> 02:15:22,708
THE SMRB, IT WAS EITHER CHAIRED

3613
02:15:22,708 --> 02:15:24,376
OR CO CHAIRED, THAT WAS AN

3614
02:15:24,376 --> 02:15:28,013
ANSWER TO A QUESTION THAT CAME

3615
02:15:28,013 --> 02:15:30,349
UP THAL MORN BEING BUT ALSO

3616
02:15:30,349 --> 02:15:31,583
INCLUDED SUBJECT MATTER EXPERTS

3617
02:15:31,583 --> 02:15:32,985
THAT WERE FORMED TO DIVE INTO

3618
02:15:32,985 --> 02:15:36,188
THESE AREAS, THESE GROUPS MET

3619
02:15:36,188 --> 02:15:38,824
INDEPENDENTLY, SO THIS WASN'T A

3620
02:15:38,824 --> 02:15:41,026
PART OF THE 5 TIME A YEAR

3621
02:15:41,026 --> 02:15:47,700
WORKING ON DETAILED RESEARCH AND

3622
02:15:47,700 --> 02:15:48,300
ANALYSIS.

3623
02:15:48,300 --> 02:15:49,568
THE WORKING GROUPS, WELL, LET ME

3624
02:15:49,568 --> 02:15:51,570
JUST FINISH ON THAT THOUGHT, THE

3625
02:15:51,570 --> 02:15:52,871
WORKING GROUPS REALLY DID CARRY

3626
02:15:52,871 --> 02:15:54,606
OUT THE HEAVY LIFTING, THEY

3627
02:15:54,606 --> 02:15:57,276
STUDIED THE ISSUES, THEY HOSTED

3628
02:15:57,276 --> 02:15:59,945
WORKSHOPS, AND PANEL

3629
02:15:59,945 --> 02:16:00,646
DISCUSSIONS, THEY INVITED

3630
02:16:00,646 --> 02:16:03,615
EXPERTS TO SHARE INSIGHTS, THEY

3631
02:16:03,615 --> 02:16:04,650
ALSO SOLICITED INFORMATION AND

3632
02:16:04,650 --> 02:16:09,088
INPUT FROM THE PUBLIC FROM

3633
02:16:09,088 --> 02:16:11,390
PAICIALT ADVOCACY GROUPS OTHERS

3634
02:16:11,390 --> 02:16:12,324
OTHER ORGANIZATIONS AND

3635
02:16:12,324 --> 02:16:13,926
STAKEHOLDERS AND BASED UPON

3636
02:16:13,926 --> 02:16:16,228
THESE EFFORTS THE WORK GROUPS

3637
02:16:16,228 --> 02:16:18,063
DEVELOPED THE FINDINGS AND

3638
02:16:18,063 --> 02:16:18,664
RECOMMENDATIONS THAT WERE

3639
02:16:18,664 --> 02:16:22,668
PRESENTED TO THE FULL SMRB FOR

3640
02:16:22,668 --> 02:16:24,169
REVIEW AND APPROVAL AFTERWARDS

3641
02:16:24,169 --> 02:16:25,537
THE ECMENDATIONS WERE FORMALLY

3642
02:16:25,537 --> 02:16:28,841
TRANSMITTED TO THE NIH DIRECTOR,

3643
02:16:28,841 --> 02:16:33,846
AND THE HHS IN THE FORMAL

3644
02:16:33,846 --> 02:16:34,179
REPORT.

3645
02:16:34,179 --> 02:16:36,849
NOW BETWEEN 2000, CAN YOU KEEP

3646
02:16:36,849 --> 02:16:39,685
IT ON THAT.

3647
02:16:39,685 --> 02:16:44,356
BETWEEN 2009 AND 2015, THE SMRB

3648
02:16:44,356 --> 02:16:46,625
ISSUED 8 REPORTS ON AS YOU CAN

3649
02:16:46,625 --> 02:16:49,661
SEE HERE A WIDE RANGE OF TOPICS,

3650
02:16:49,661 --> 02:16:58,904
CRITICAL TO NIH AND BIOMEDICAL

3651
02:16:58,904 --> 02:16:59,505
RESEARCH COMMUNITY THE FIRST

3652
02:16:59,505 --> 02:17:01,740
REPORT WAS FELT AT THE ORIGINAL

3653
02:17:01,740 --> 02:17:03,942
MEETING, THE FIRST MEETING BEING

3654
02:17:03,942 --> 02:17:09,181
IN APRIL 2009 WAS CONSIDERED

3655
02:17:09,181 --> 02:17:12,017
DELIBERATING ORGANIZATIONAL

3656
02:17:12,017 --> 02:17:13,252
CHANGE AND EFFECTIVENESS.

3657
02:17:13,252 --> 02:17:15,220
BUT THIS FIRST REPORT SET REALLY

3658
02:17:15,220 --> 02:17:18,490
THE TONE FOR MOST OF THE BOARD'S

3659
02:17:18,490 --> 02:17:19,925
WORK SUBSEQUENTLY AND RIGHT

3660
02:17:19,925 --> 02:17:23,495
AFTER MY TALK DR. TABAK WILL

3661
02:17:23,495 --> 02:17:25,430
GIVE AN INDEPTH LOOK AT THIS

3662
02:17:25,430 --> 02:17:27,666
REPORT OF COURSE, YOU CAN ACCESS

3663
02:17:27,666 --> 02:17:31,303
ALL THESE REPORTS LISTED

3664
02:17:31,303 --> 02:17:33,505
CHRONOLOGICALLY, ON THE ARCHIVE

3665
02:17:33,505 --> 02:17:34,273
SMRB WEBSITE AND THE LINK WILL

3666
02:17:34,273 --> 02:17:37,910
BE ROUGH ATOM VIEDED ON --

3667
02:17:37,910 --> 02:17:40,045
PROVIDED ON THE FINAL SLIDE.

3668
02:17:40,045 --> 02:17:41,313
NEXT SLIDE, PLEASE.

3669
02:17:41,313 --> 02:17:44,116
AS I SAID, THE FIRST REPORT

3670
02:17:44,116 --> 02:17:45,384
ENTITLED THE DELIBERATING

3671
02:17:45,384 --> 02:17:47,119
ORGANIZATIONAL CHANGE AND

3672
02:17:47,119 --> 02:17:49,288
EFFECTIVENESS WAS ISSUED IN MAY

3673
02:17:49,288 --> 02:17:51,957
OF 2010, SO TO GIVE YOU A SENSE

3674
02:17:51,957 --> 02:17:53,992
OF A TIMELINE, THE FIRST MEETING

3675
02:17:53,992 --> 02:17:56,962
WAS IN APRIL OF 2009 AND THE

3676
02:17:56,962 --> 02:17:59,998
VERY FIRST REPORT CAME OUT IN

3677
02:17:59,998 --> 02:18:00,699
MAY OF 2010.

3678
02:18:00,699 --> 02:18:02,601
SO THAT'S VERY MUCH IN LINE WITH

3679
02:18:02,601 --> 02:18:05,003
WHAT THE BOARD IS CONSIDERING

3680
02:18:05,003 --> 02:18:06,305
FOR OUR FIRST REPORT.

3681
02:18:06,305 --> 02:18:08,273
IT REALLY WAS FOUNDATIONAL TO

3682
02:18:08,273 --> 02:18:10,709
MANY OF THE OTHER REPORTS THAT

3683
02:18:10,709 --> 02:18:18,617
EMERGED FROM THE SMRB.

3684
02:18:18,617 --> 02:18:20,853
WHAT I WANT TO DO IN THE TIME

3685
02:18:20,853 --> 02:18:22,387
ALLOTTED AND I SHOULD SAY WE

3686
02:18:22,387 --> 02:18:26,925
DISCUSSED A LITTLE BIT WHEN

3687
02:18:26,925 --> 02:18:28,260
DR. ROLKOW MENTIONED IT, IS THE

3688
02:18:28,260 --> 02:18:29,628
SUBSTANCE ABUSE AND ADDICTION AT

3689
02:18:29,628 --> 02:18:31,496
NIH WHICH WAS ALSO DELIBERATED

3690
02:18:31,496 --> 02:18:31,997
BY THIS GROUP.

3691
02:18:31,997 --> 02:18:33,999
WHAT I WOULD LIKE TO DO IN THE

3692
02:18:33,999 --> 02:18:35,601
TIME ALLOTTED IS HIGHLIGHT THE 4

3693
02:18:35,601 --> 02:18:37,302
REPORTS THAT ARE SHOWN IN RED,

3694
02:18:37,302 --> 02:18:39,104
THE NIH CLINICAL CENTER,

3695
02:18:39,104 --> 02:18:41,406
TRANSLATIONAL MEDICINE AND

3696
02:18:41,406 --> 02:18:43,308
THERAPEUTICS, APPROACHES TO

3697
02:18:43,308 --> 02:18:44,910
ASSESS THE VALUE OF BIOMEDICAL

3698
02:18:44,910 --> 02:18:47,279
RESEARCH, A TOPIC THAT WAS --

3699
02:18:47,279 --> 02:18:49,248
CAME UP IN 1 OF THE QUESTIONS

3700
02:18:49,248 --> 02:18:52,284
TODAY AND THEN FINALLY,

3701
02:18:52,284 --> 02:18:55,087
PRECOLLEGE ENGAGEMENT IN THE

3702
02:18:55,087 --> 02:18:55,654
BIOMEDICAL SCIENCES.

3703
02:18:55,654 --> 02:18:57,389
I WANTED TO SORT OF GIVE YOU A

3704
02:18:57,389 --> 02:19:00,559
FLAVOR OF THE ACTIVITIES

3705
02:19:00,559 --> 02:19:03,161
CONSIDERED AND REALLY THE

3706
02:19:03,161 --> 02:19:06,465
IMPETUS OF THE WHY, WHY IS IT WE

3707
02:19:06,465 --> 02:19:07,633
CHOSE THESE TOPICS OVER MANY

3708
02:19:07,633 --> 02:19:08,800
OTHER TOPICS THAT COULD HAVE

3709
02:19:08,800 --> 02:19:11,336
BEEN CONSIDERED AND WHY THESE

3710
02:19:11,336 --> 02:19:12,504
WERE SELECTED, THE IMPETUS

3711
02:19:12,504 --> 02:19:14,473
BEHIND IT AND SOME OF THE

3712
02:19:14,473 --> 02:19:16,441
RECOMMENDATIONS THAT FOLLOWED

3713
02:19:16,441 --> 02:19:17,676
THOSE DELIBERATIONS.

3714
02:19:17,676 --> 02:19:23,682
OKAY, NEXT SLIDE, PLEASE.

3715
02:19:23,682 --> 02:19:27,886
ONE OF THE EARLY REPORTS FOCUSED

3716
02:19:27,886 --> 02:19:29,554
ON THE NIH CLINICAL CENTER,

3717
02:19:29,554 --> 02:19:30,856
INITIALLY PART OF A BROADER

3718
02:19:30,856 --> 02:19:33,125
REVIEW OF THE NIH INTRAMURAL

3719
02:19:33,125 --> 02:19:35,928
RESEARCH PROGRAM, OR THE IRP, IT

3720
02:19:35,928 --> 02:19:38,497
BECAME CLER THAT THE CLINICAL

3721
02:19:38,497 --> 02:19:41,667
CENTER ITSELF REQUIRED URGENT

3722
02:19:41,667 --> 02:19:42,301
ATTENTION.

3723
02:19:42,301 --> 02:19:45,370
THERE WAS INCREASING FISCAL

3724
02:19:45,370 --> 02:19:46,071
CONSTRAINTS, INCLUDING THE

3725
02:19:46,071 --> 02:19:48,240
INABILITY TO KEEP PACE WITH

3726
02:19:48,240 --> 02:19:49,708
INFLATION, SOMETHING THAT WE

3727
02:19:49,708 --> 02:19:50,642
JUST MENTIONED.

3728
02:19:50,642 --> 02:19:55,681
THE COST OF BIOMEDICAL RESEARCH

3729
02:19:55,681 --> 02:20:00,319
IS AT A LEVEL BUT THE COST AND

3730
02:20:00,319 --> 02:20:02,154
THE INFLATION RATE FOR DOING

3731
02:20:02,154 --> 02:20:04,756
CLINICAL RESEARCH EXCEEDS THAT

3732
02:20:04,756 --> 02:20:09,494
TYPICAL BIRD PIE AS IT IS

3733
02:20:09,494 --> 02:20:11,396
FREQUENTLY KNOWN.

3734
02:20:11,396 --> 02:20:12,898
THESE FISCAL CONSTRAINTS,

3735
02:20:12,898 --> 02:20:16,201
INCLUDING THIS INABILITY TO KEEP

3736
02:20:16,201 --> 02:20:17,769
PACE WITH INFLATION, REALLY

3737
02:20:17,769 --> 02:20:19,638
THREATENED THE FISCAL

3738
02:20:19,638 --> 02:20:20,872
SUSTAINABILITY AND UTILIZATION

3739
02:20:20,872 --> 02:20:22,941
OF THE CLINICAL CENTER, IN ITS

3740
02:20:22,941 --> 02:20:26,445
ABILITY TO ATTRACT HIGH QUALITY

3741
02:20:26,445 --> 02:20:26,712
WORKFORCE.

3742
02:20:26,712 --> 02:20:31,984
SO, THE NEED TO HAVE SORT OF A

3743
02:20:31,984 --> 02:20:33,618
COHESIVE PROGRAMMATIC VISION TO

3744
02:20:33,618 --> 02:20:36,388
ENABLE BOTH INTERNAL AND

3745
02:20:36,388 --> 02:20:38,323
EXTERNAL INVESTIGATORS CAME OUT

3746
02:20:38,323 --> 02:20:39,224
OF THIS.

3747
02:20:39,224 --> 02:20:40,692
THE BUDGET WAS IMPORTANT AS I

3748
02:20:40,692 --> 02:20:43,795
SAID, WE WEREN'T ABLE TO KEEP UP

3749
02:20:43,795 --> 02:20:45,731
WITH THE RISING AND ESCALATION

3750
02:20:45,731 --> 02:20:47,733
OF THE COST OF DOING CLINICAL

3751
02:20:47,733 --> 02:20:49,234
RESEARCH, BUT IT TURNS OUT THAT

3752
02:20:49,234 --> 02:20:51,069
IT WASN'T JUST THE BUDGET,

3753
02:20:51,069 --> 02:20:53,271
ALTHOUGH THE BUDGET IS OFTEN

3754
02:20:53,271 --> 02:20:54,906
TIMES A MAJOR DRIVER, IT WAS

3755
02:20:54,906 --> 02:20:57,843
REALLY THE VISION AND THE ROLE

3756
02:20:57,843 --> 02:20:59,344
OF THE CLINICAL CENTER.

3757
02:20:59,344 --> 02:21:01,947
THE CLINICAL CENTER AGAIN PART

3758
02:21:01,947 --> 02:21:05,017
OF THE INTRAMURAL PROGRAM REALLY

3759
02:21:05,017 --> 02:21:08,020
FOCUSED ITS ACTIVITIES AROUND

3760
02:21:08,020 --> 02:21:09,855
ACTIVITIES RELATED TO INTRAMURAL

3761
02:21:09,855 --> 02:21:11,790
INVESTIGATORS, AND THE QUESTION

3762
02:21:11,790 --> 02:21:16,528
WAS SHOULD IT PLAY A MUCH LARGER

3763
02:21:16,528 --> 02:21:23,568
ROLE, SHOULD IT BE THE HOSPITAL

3764
02:21:23,568 --> 02:21:25,303
FOR THE NATION, NATIONAL

3765
02:21:25,303 --> 02:21:26,471
TREASURE, IMPLYING THAT IN ARK

3766
02:21:26,471 --> 02:21:27,739
DITION TO THE INTRAMURAL

3767
02:21:27,739 --> 02:21:30,809
INVESTIGATORS, THERE SHOULD BE

3768
02:21:30,809 --> 02:21:35,814
ACTIVITIES SET UP FOR EXTRAMURAL

3769
02:21:35,814 --> 02:21:36,748
INVESTIGATORS AS WELL.

3770
02:21:36,748 --> 02:21:37,416
THIS IS PARTICULARLY TRUE

3771
02:21:37,416 --> 02:21:38,984
BECAUSE SOME OF THE UNIQUE

3772
02:21:38,984 --> 02:21:42,654
FEATURES OF THE INTRAMURAL

3773
02:21:42,654 --> 02:21:44,856
PROGRAM, THE ABILITY TO  

3774
02:21:44,856 --> 02:21:48,660
PERFORM VERY DETAILED IMAGING

3775
02:21:48,660 --> 02:21:52,064
MODALITIES, PETS AND MRI,

3776
02:21:52,064 --> 02:21:55,167
SEVERAL GENERATIONS OF THAT.

3777
02:21:55,167 --> 02:21:57,335
THE ABILITY TO DEEPLY PHENOTYPE

3778
02:21:57,335 --> 02:21:58,637
INDIVIDUALS FOR PEOPLE WHO COME

3779
02:21:58,637 --> 02:22:00,639
TO THE NIH, INCLUDING PEOPLE WHO

3780
02:22:00,639 --> 02:22:02,441
COME WITH RARE DISEASE THAT YOU

3781
02:22:02,441 --> 02:22:06,278
HEARD ABOUT, AND THE CLINICAL

3782
02:22:06,278 --> 02:22:09,915
CENTER HAS A UNIQUE ABILITY TO

3783
02:22:09,915 --> 02:22:11,016
PROVIDE GMP FACILITIES TO

3784
02:22:11,016 --> 02:22:14,186
DEVELOP DRUGS THAT MIGHT BE

3785
02:22:14,186 --> 02:22:15,987
USEFUL IN CLINICAL STUDIES,

3786
02:22:15,987 --> 02:22:20,025
THERE WAS ALSO A NEED THAT WAS

3787
02:22:20,025 --> 02:22:20,358
 WAS A

3788
02:22:20,358 --> 02:22:22,227
NEED THAT WAS IESHES DENTIFIED

3789
02:22:22,227 --> 02:22:23,862
IN TERMS OF GOVERNANCE OF THE

3790
02:22:23,862 --> 02:22:29,601
CLINICAL CENTER, IT WAS A VERY

3791
02:22:29,601 --> 02:22:30,869
COMPLICATED SYSTEM OF OVERSIGHT

3792
02:22:30,869 --> 02:22:32,504
AT THE TIME OF THIS REPORT.

3793
02:22:32,504 --> 02:22:35,240
NOT ONLY WAS THE DIRECTOR OF THE

3794
02:22:35,240 --> 02:22:37,275
CLINICAL CENTER SORT OF DIRECTLY

3795
02:22:37,275 --> 02:22:39,478
RESPONSIBLE FOR THE HOSPITAL,

3796
02:22:39,478 --> 02:22:42,180
BUT HE SHARED THAT ROLE WITH THE

3797
02:22:42,180 --> 02:22:44,049
DEPUTY DIRECTOR OF INTRAMURAL

3798
02:22:44,049 --> 02:22:46,318
RESEARCH WHO WAS ALSO THE

3799
02:22:46,318 --> 02:22:48,720
INDIVIDUAL SCIENTIFIC DIRECTORS,

3800
02:22:48,720 --> 02:22:51,423
AND CLINICAL DIRECTORS OF THE

3801
02:22:51,423 --> 02:22:53,825
INSTITUTES THAT BECAUSE THEY

3802
02:22:53,825 --> 02:22:56,361
CONTROLLED THE PURSE STRING, HAD

3803
02:22:56,361 --> 02:22:59,131
SOME ROLE IN DECISION MAKING

3804
02:22:59,131 --> 02:23:00,465
PROCESS, THERE WAS AN ADVISORY

3805
02:23:00,465 --> 02:23:05,770
BOARD SET UP TO THE CLINICAL

3806
02:23:05,770 --> 02:23:07,939
RESEARCH THAT REPORTED AND

3807
02:23:07,939 --> 02:23:09,841
ADVISED THE CLINICAL CENTER

3808
02:23:09,841 --> 02:23:10,242
DIRECTOR.

3809
02:23:10,242 --> 02:23:11,343
IN ARK DITION EACH OF THE

3810
02:23:11,343 --> 02:23:12,310
INDIVIDUALS WHO ARE   PERFORMING

3811
02:23:12,310 --> 02:23:16,214
RESEARCH IN THE CLINICAL CENTER

3812
02:23:16,214 --> 02:23:17,849
HAD THEIR OWN BOARD OF

3813
02:23:17,849 --> 02:23:18,717
SCIENTIFIC COUNCIL WHICH YOU

3814
02:23:18,717 --> 02:23:20,385
HEARD ABOUT THIS MORNING IN

3815
02:23:20,385 --> 02:23:23,622
TERMS OF FACA AUTHORITIES.

3816
02:23:23,622 --> 02:23:28,293
SO HOW THESE INDIVIDUALS DID ON

3817
02:23:28,293 --> 02:23:29,928
ON THOSE BSC REPORTS ALSO HAD A

3818
02:23:29,928 --> 02:23:32,430
MAJOR ROLE IN WHETHER THEY WOULD

3819
02:23:32,430 --> 02:23:33,965
CONTINUE WITH THE SAME RESOURCES

3820
02:23:33,965 --> 02:23:38,603
OR HAD THOSE RESOURCES CHANGED.

3821
02:23:38,603 --> 02:23:49,114
THERE WAS A MEDICAL COMMITTEE,

3822
02:23:51,316 --> 02:23:55,086
ALSO THEY PLAYED A ROLE, SO

3823
02:23:55,086 --> 02:23:57,989
THESE WERE ON ALL THE INPUTS

3824
02:23:57,989 --> 02:23:59,491
THAT WENT INTO THE CLINICAL

3825
02:23:59,491 --> 02:24:03,128
CENTER AND IT WAS THOUGHT THE

3826
02:24:03,128 --> 02:24:04,296
GOVERNMENT STRUCTURE SHOULD BE

3827
02:24:04,296 --> 02:24:06,398
SIMPLIFIED THAT WAS A MAJOR

3828
02:24:06,398 --> 02:24:07,566
ACCOMPLISHMENT AND FINALLY A

3829
02:24:07,566 --> 02:24:09,201
NEED FOR A BUDGET THAT'S LINKED

3830
02:24:09,201 --> 02:24:12,170
TO A STRONG PLANNING PROCESS TO

3831
02:24:12,170 --> 02:24:17,475
REMAIN STABLE SO NEXT SLIDE,

3832
02:24:17,475 --> 02:24:18,276
PLEASE.

3833
02:24:18,276 --> 02:24:21,613
THIS JUST TELLS YOU A LITTLE BIT

3834
02:24:21,613 --> 02:24:22,948
ABOUT WHAT WAS IN THAT REPORT

3835
02:24:22,948 --> 02:24:24,783
THAT CAME OUT.

3836
02:24:24,783 --> 02:24:26,585
IT RECOMMENDED REENVISIONING THE

3837
02:24:26,585 --> 02:24:28,353
CLINICAL CENTER ROLE TO BETTER

3838
02:24:28,353 --> 02:24:30,322
SERVE THE INTRAMURAL AND

3839
02:24:30,322 --> 02:24:31,489
EXTRAMURAL RESEARCHERS, THE

3840
02:24:31,489 --> 02:24:33,658
BOARD ALSO SUGGESTED SIMPLIFYING

3841
02:24:33,658 --> 02:24:35,293
THE GOVERNMENT STRUCTURE SO THAT

3842
02:24:35,293 --> 02:24:36,895
THE PRESENT MOMENT A LOT OF

3843
02:24:36,895 --> 02:24:39,397
THAT'S NOW BEEN COLLAPSED TO

3844
02:24:39,397 --> 02:24:42,000
WHAT'S KNOWN AS THE CLINICAL

3845
02:24:42,000 --> 02:24:44,636
CENTER GOVERNING BOARD AND THE

3846
02:24:44,636 --> 02:24:46,238
CLINICAL CENTER DIRECTOR WHILE

3847
02:24:46,238 --> 02:24:50,008
IT GETS ADVICE, IT REALLY FOR

3848
02:24:50,008 --> 02:24:52,244
THE MAJOR BUDGETARY AND OTHER

3849
02:24:52,244 --> 02:24:53,245
CONSIDERATION TURNS TO THE

3850
02:24:53,245 --> 02:24:57,515
CLINICAL CENTER OF GOVERNING

3851
02:24:57,515 --> 02:25:01,553
BOARD FOR THAT FOR CERTAINLY THE

3852
02:25:01,553 --> 02:25:04,389
BUDGET AUTHORITY AND OTHER

3853
02:25:04,389 --> 02:25:05,890
SUGGESTIONS ABOUT THE FUTURE.

3854
02:25:05,890 --> 02:25:12,764
AS A RESULT OF THE SMRBs

3855
02:25:12,764 --> 02:25:13,999
RECOMMENDATION THE DIRECTOR

3856
02:25:13,999 --> 02:25:15,066
CONVENED 2 WORKING GROUPS TO

3857
02:25:15,066 --> 02:25:17,702
HELP DRIVE THE SUBSEQUENT CHANGE

3858
02:25:17,702 --> 02:25:21,439
OF THE CLINICAL CENTER INCLUDING

3859
02:25:21,439 --> 02:25:24,109
A RED -- THE RED TEAM WHICH

3860
02:25:24,109 --> 02:25:27,045
WORKED ON SOME OF THE FACILITY

3861
02:25:27,045 --> 02:25:29,547
ISSUES WITNESS THE INSTITUTE,

3862
02:25:29,547 --> 02:25:37,956
WITHIN THE CLINICAL CENTER, NEXT

3863
02:25:37,956 --> 02:25:38,390
SLIDE PLEASE.

3864
02:25:38,390 --> 02:25:40,692
SO THIS WAS A REPORT ON

3865
02:25:40,692 --> 02:25:41,393
TRANSLATIONAL MEDICINE AND

3866
02:25:41,393 --> 02:25:43,128
THERAPEUTICS THAT I MENTIONED

3867
02:25:43,128 --> 02:25:45,196
AND THE DRIVING FORCE OF THE WHY

3868
02:25:45,196 --> 02:25:48,366
BEHIND THIS WAS THAT IN 2010

3869
02:25:48,366 --> 02:25:51,636
THERE WAS A PATIENT PROTECTION

3870
02:25:51,636 --> 02:25:52,704
AND AFFORDABILITY CARE ACT,

3871
02:25:52,704 --> 02:25:58,243
YOU'RE AWARE OF THE AFFORDABLE

3872
02:25:58,243 --> 02:25:59,644
CARE ACT PUBLIC LAW SHOWN THERE

3873
02:25:59,644 --> 02:26:01,579
AND IT WAS ENACTED AND

3874
02:26:01,579 --> 02:26:05,216
AUTHORIZING NIH TO ESTABLISH A

3875
02:26:05,216 --> 02:26:08,153
CURES ACCELERATION NETWORK TO

3876
02:26:08,153 --> 02:26:09,888
ADVANCE THE DEVELOPMENT OF HIGH

3877
02:26:09,888 --> 02:26:12,957
NEEDED CURES PARTICULARLY BY

3878
02:26:12,957 --> 02:26:15,193
REDUCING THE BARRIERS BETWEEN

3879
02:26:15,193 --> 02:26:15,827
RESEARCH DISCOVERY AND CLINICAL

3880
02:26:15,827 --> 02:26:17,495
TRIALS IN THE AREAS AT THE

3881
02:26:17,495 --> 02:26:21,399
PRIVATE SECTOR WAS UNLIKELY TO

3882
02:26:21,399 --> 02:26:21,766
PURSUE.

3883
02:26:21,766 --> 02:26:24,969
SHOWN ON THE SORT OF THE GRAPHIC

3884
02:26:24,969 --> 02:26:26,805
PICTURE WHICH SORT OF LOOKS LIKE

3885
02:26:26,805 --> 02:26:32,544
A RAINBOW IF YOU CAN READ THAT,

3886
02:26:32,544 --> 02:26:35,914
IT SHOWED TARGET VALIDATION,

3887
02:26:35,914 --> 02:26:37,182
CLINICAL AND PRECLINICAL STEPS

3888
02:26:37,182 --> 02:26:38,683
THAT MANY OF YOU ARE FAMILIAR

3889
02:26:38,683 --> 02:26:40,485
WITH BUT IT SHOWS DRUGS AND

3890
02:26:40,485 --> 02:26:43,755
BIOLOGICS AND VACCINES AND EVEN

3891
02:26:43,755 --> 02:26:44,456
DEVICES.

3892
02:26:44,456 --> 02:26:47,492
MANY OF THE PRECLINICAL WORK OR

3893
02:26:47,492 --> 02:26:52,797
TARGET VALIDATION WORK SORT OF

3894
02:26:52,797 --> 02:26:55,066
OCCURSOT RIGHT OR LEFT SIDE OF

3895
02:26:55,066 --> 02:26:57,836
THIS GRAPH AND 1 GETS TO A POINT

3896
02:26:57,836 --> 02:26:59,371
THAT THERE ARE CLINICAL

3897
02:26:59,371 --> 02:27:03,408
APPLICATIONS, A LOT OF THIS IS

3898
02:27:03,408 --> 02:27:06,578
VALIDATED BUT A LOT OF IT COMES

3899
02:27:06,578 --> 02:27:08,913
TO WHAT'S CONSIDERED THE VALLEY

3900
02:27:08,913 --> 02:27:14,085
OF DEATH, IN WHICH THE N IH OR

3901
02:27:14,085 --> 02:27:15,120
OTHER FEDERAL AGENCIES DON'T

3902
02:27:15,120 --> 02:27:18,089
FUND IT, ON THE OTHER HAND

3903
02:27:18,089 --> 02:27:21,292
DRUGS, VACCINES OR OTHER AGENTS

3904
02:27:21,292 --> 02:27:22,160
HAVEN'T BEEN SUFFICIENTLY

3905
02:27:22,160 --> 02:27:28,933
DERISKED TO IMMEDIATELY GET A

3906
02:27:28,933 --> 02:27:30,468
THERAPEUTIC COMPANY OR A

3907
02:27:30,468 --> 02:27:32,404
BIOLOGIC OR A PHARMACEUTICAL

3908
02:27:32,404 --> 02:27:35,840
COMPANY TO INVEST INTEREST IN

3909
02:27:35,840 --> 02:27:38,643
PHASES, PHASE 2 THROUGH 4 OF THE

3910
02:27:38,643 --> 02:27:40,645
CLINICAL STUDY AND AGAIN THIS

3911
02:27:40,645 --> 02:27:43,181
WAS REALLY 1 OF THE IMPETUS

3912
02:27:43,181 --> 02:27:47,786
BEHIND SETTING UP THIS GROUP,

3913
02:27:47,786 --> 02:27:50,321
WORKING GROUP OF THE SMRB TO

3914
02:27:50,321 --> 02:27:54,259
ADVISE ON THE DEVELOPMENT OF THE

3915
02:27:54,259 --> 02:27:56,294
CURES ACCELERATION THAT WORK ON

3916
02:27:56,294 --> 02:28:00,398
HOW TO BRIDGE THIS SO CALLED

3917
02:28:00,398 --> 02:28:01,699
VALLEY OF DEATH.

3918
02:28:01,699 --> 02:28:03,435
THEY WERE CHARGED WITH

3919
02:28:03,435 --> 02:28:05,003
IDENTIFYING ATTRIBUTES AND

3920
02:28:05,003 --> 02:28:06,070
ACTIVITIES AND FUNCTIONAL

3921
02:28:06,070 --> 02:28:08,339
CAPABILITIES, AND ALSO BROADLY

3922
02:28:08,339 --> 02:28:13,044
ASSESSING THE NIH LANDSCAPE FOR

3923
02:28:13,044 --> 02:28:13,645
X-NET PROGRAMS, NETWORKING

3924
02:28:13,645 --> 02:28:15,747
CENTERS THAT COULD BE INCLUDED

3925
02:28:15,747 --> 02:28:19,083
IN THIS NETWORK AND REALLY

3926
02:28:19,083 --> 02:28:20,785
RECOMMENDING THE OPTIMAL

3927
02:28:20,785 --> 02:28:23,788
ORGANIZATION. 

3928
02:28:23,788 --> 02:28:24,856
NEXT SLIDE, PLEASE.

3929
02:28:24,856 --> 02:28:27,091
SO THE RECOMMENDATIONS THAT CAME

3930
02:28:27,091 --> 02:28:28,860
OUT OF IT WAS THAT THE BOARD

3931
02:28:28,860 --> 02:28:31,029
AFFIRM THAD A NEW TRANSLATIONAL

3932
02:28:31,029 --> 02:28:32,330
MEDICINE AND THERAPEUTIC CENTER

3933
02:28:32,330 --> 02:28:36,534
BE CREATED IN FACT, THE NATIONAL

3934
02:28:36,534 --> 02:28:38,169
CENTER FOR ADVANCING OR NCATS

3935
02:28:38,169 --> 02:28:39,671
WAS ACTUALLY DEVELOPED AS A

3936
02:28:39,671 --> 02:28:43,141
DIRECT RESULT OF THIS.

3937
02:28:43,141 --> 02:28:45,477
WE MENTIONED 1 ORGANIZATION THAT

3938
02:28:45,477 --> 02:28:46,411
WAS NOT FOLLOWED THROUGH, BUT

3939
02:28:46,411 --> 02:28:49,481
THIS IS OTHER THAN CERTAINLY 11

3940
02:28:49,481 --> 02:28:52,484
AS A DIRECT RESULT OF THE

3941
02:28:52,484 --> 02:28:55,386
DELIBERATION VERSION 1.0 SMRB

3942
02:28:55,386 --> 02:28:55,987
BOARD.

3943
02:28:55,987 --> 02:28:58,490
IT ALSO ENDORSED NIH COMMITMENT

3944
02:28:58,490 --> 02:28:59,657
TO UNDERTAKE MORE EXTENSIVE

3945
02:28:59,657 --> 02:29:01,326
ATHAT WILL SIS, ON THE PARTS OF

3946
02:29:01,326 --> 02:29:04,496
THE NIH THAT MIGHT BE

3947
02:29:04,496 --> 02:29:06,130
INCORPORATED MIGHT BE EXISTING

3948
02:29:06,130 --> 02:29:07,298
PARTS, MIGHT BE INCORPORATED

3949
02:29:07,298 --> 02:29:10,668
INTO THIS NEW INSTITUTE AND THEN

3950
02:29:10,668 --> 02:29:13,738
THE BOARD WAS ASKED TO

3951
02:29:13,738 --> 02:29:14,806
PERIODICALLY REPORT ITS FINDINGS

3952
02:29:14,806 --> 02:29:19,177
BACK TO THE FULL NIH.

3953
02:29:19,177 --> 02:29:24,782
OKAY, NEXT SLIDE, PLEASE.

3954
02:29:24,782 --> 02:29:27,118
THIS IS THE REPORT ON ASSESSING

3955
02:29:27,118 --> 02:29:30,922
THE VALUE OF BIOMEDICAL

3956
02:29:30,922 --> 02:29:31,289
RESEARCH.

3957
02:29:31,289 --> 02:29:33,091
OF COURSE WE TALK ABOUT TRUST

3958
02:29:33,091 --> 02:29:36,160
EARLIER, THE AMERICAN PUBLIC

3959
02:29:36,160 --> 02:29:38,830
ENTRUSTS NIH WITH A SUBSTANTIAL

3960
02:29:38,830 --> 02:29:42,667
INVESTMENT THAT YOU JUST HEARD

3961
02:29:42,667 --> 02:29:45,236
ABOUT AND OVER-IT'S 120 + YEAR

3962
02:29:45,236 --> 02:29:47,372
HISTORY, NIH CONTRIBUTED TO MANY

3963
02:29:47,372 --> 02:29:49,007
SCIENTIFIC BREAKTHROUGHS THAT

3964
02:29:49,007 --> 02:29:51,743
HAVE HAD A TANGIBLE IMPROVEMENT

3965
02:29:51,743 --> 02:29:54,245
ON PUBLIC HEALTH BUT REALLY,

3966
02:29:54,245 --> 02:29:56,681
IT'S A CRITICAL COMPONENT OF

3967
02:29:56,681 --> 02:30:00,285
NIH'S STEWARDSHIP TO KIND OF

3968
02:30:00,285 --> 02:30:00,752
SYSTEMATICALLY AND

3969
02:30:00,752 --> 02:30:02,687
COMPREHENSIVELY CAPTURE WHAT

3970
02:30:02,687 --> 02:30:03,988
THESE IMPROVEMENTS WERE AND HOW

3971
02:30:03,988 --> 02:30:07,859
THAT RELATED TO THE NIH FUNDING.

3972
02:30:07,859 --> 02:30:13,798
OF COURSE, IT'S HARD TO ESTIMATE

3973
02:30:13,798 --> 02:30:15,066
THAT FYOU THINK ABOUT IT FIRST

3974
02:30:15,066 --> 02:30:17,602
OF ALL THERE'S A TIME LAG

3975
02:30:17,602 --> 02:30:18,836
BETWEEN DISCOVERIES AND

3976
02:30:18,836 --> 02:30:20,672
ULTIMATELY THOSE DISCOVERIES

3977
02:30:20,672 --> 02:30:21,973
BEING TRANSLATED CLINICAL TRIALS

3978
02:30:21,973 --> 02:30:26,945
BEING DONE, AND ULTIMATELY THAT

3979
02:30:26,945 --> 02:30:27,378
CHANGING GUIDELINES.

3980
02:30:27,378 --> 02:30:28,947
THERE COULD BE MULTIPLE SOURCES

3981
02:30:28,947 --> 02:30:30,882
FOR THAT FUNDING, SO MANY PEOPLE

3982
02:30:30,882 --> 02:30:33,484
WHO MAKE THESE DISCOVERIES NOT

3983
02:30:33,484 --> 02:30:37,221
ONLY HAVE FEDERAL SUPPORT BUT

3984
02:30:37,221 --> 02:30:38,690
QUITE SUBSTANTIAL MONIES OF

3985
02:30:38,690 --> 02:30:39,958
NONFEDERAL SUPPORT AS WELL SO

3986
02:30:39,958 --> 02:30:41,392
ASHES TRIEWKS IS A MAJOR ISSUE

3987
02:30:41,392 --> 02:30:44,629
TO BE SIGNIFY SECTIONAL

3988
02:30:44,629 --> 02:30:45,930
ANALYSISSED, THEN 1 HAS TO ASK,

3989
02:30:45,930 --> 02:30:47,398
WHAT ARE THE -- WHAT ARE THE

3990
02:30:47,398 --> 02:30:50,101
METRICS THAT 1 USES.

3991
02:30:50,101 --> 02:30:53,671
FOR EXAMPLE, IT'S CLEAR THAT AS

3992
02:30:53,671 --> 02:30:56,507
1 FUNDS PROJECTS, SCIENTIFIC

3993
02:30:56,507 --> 02:30:58,009
PROJECTS, USUALLY THE SORT OF

3994
02:30:58,009 --> 02:31:00,211
THE OUTPUT ARE SCIENTIFIC

3995
02:31:00,211 --> 02:31:01,913
PUBLICATIONS, PRESENTATIONS AT

3996
02:31:01,913 --> 02:31:04,315
MEETINGS, DEVICES AND THE LIKE,

3997
02:31:04,315 --> 02:31:06,184
PATENT APPLICATIONS AND THAT'S

3998
02:31:06,184 --> 02:31:07,518
SOMETHING THAT'S EASILY

3999
02:31:07,518 --> 02:31:07,785
TRACTABLE.

4000
02:31:07,785 --> 02:31:10,355
BUT WHAT EFFECT THAT HAS ON A

4001
02:31:10,355 --> 02:31:12,557
MORE BROADER AREA, IN TERMS OF

4002
02:31:12,557 --> 02:31:15,827
THE VALUE OF THIS RESEARCH, ON

4003
02:31:15,827 --> 02:31:18,563
-- DOES IT -- ANY OF THESE LEAD

4004
02:31:18,563 --> 02:31:21,032
TO NEW THERAPIES, INCLUDING NEW

4005
02:31:21,032 --> 02:31:23,034
ACSEENS, THESE DISCOVERIES, LEAD

4006
02:31:23,034 --> 02:31:27,538
TO 2 DIAGNUMBER OF THETICS OR

4007
02:31:27,538 --> 02:31:30,141
POTENTIALLY CURES AND THAT'S

4008
02:31:30,141 --> 02:31:31,676
FROM A MEDICAL STANDPOINT AND

4009
02:31:31,676 --> 02:31:33,611
THEN FROM A SOCIETAL STANDPOINT,

4010
02:31:33,611 --> 02:31:35,613
ULTIMATELY DO THESE LEAD TO A

4011
02:31:35,613 --> 02:31:41,419
CHANGE IN LONGEVITY THAT

4012
02:31:41,419 --> 02:31:43,488
DR. BERTANOLLI MENTIONED FOR

4013
02:31:43,488 --> 02:31:45,890
DALLYS, DISABILITY ADJUSTED LIFE

4014
02:31:45,890 --> 02:31:46,090
YEARS.

4015
02:31:46,090 --> 02:31:48,092
SO THIS IS SOMETHING THAT THIS

4016
02:31:48,092 --> 02:31:49,160
GROUP WAS TARGETED, THEY THOUGHT

4017
02:31:49,160 --> 02:31:51,062
IT WAS IMPORTANT TO SORT OF DIG

4018
02:31:51,062 --> 02:31:54,332
IN AND LOOK AT THIS, VERY

4019
02:31:54,332 --> 02:31:57,368
COMPREHENSIVELY, AND THAT LED

4020
02:31:57,368 --> 02:32:03,207
TO, NEXT SLIDE, PLEASE.

4021
02:32:03,207 --> 02:32:06,911
THIS REPORT WHICH DESCRIBED THE

4022
02:32:06,911 --> 02:32:10,415
RESULTS OF THIS DELIBERATIONS,

4023
02:32:10,415 --> 02:32:11,049
THE RECOMMENDATIONS SUMMARIZED

4024
02:32:11,049 --> 02:32:13,584
HERE IS THAT THE NIH SHOULD

4025
02:32:13,584 --> 02:32:15,353
INTENSIFY ITS EFFORT TO ASSESS

4026
02:32:15,353 --> 02:32:16,721
THE VALUE OF BIOMEDICAL

4027
02:32:16,721 --> 02:32:19,691
RESEARCH, IT SHOULD EXAMINE THE

4028
02:32:19,691 --> 02:32:21,192
CONNECTION BETWEEN THE

4029
02:32:21,192 --> 02:32:22,326
GENERATION, COMMUNICATIONS OF

4030
02:32:22,326 --> 02:32:24,696
BASIC AND CLINICAL KNOWLEDGE,

4031
02:32:24,696 --> 02:32:27,331
AND ITS IMPACT, SOMETHING WE

4032
02:32:27,331 --> 02:32:29,300
DISCUSSED A LITTLE BIT EARLIER,

4033
02:32:29,300 --> 02:32:30,268
MAKING AN ASSESSMENT SHOULD

4034
02:32:30,268 --> 02:32:32,770
ASHES TRIBUTE THE OUTCOME TO ALL

4035
02:32:32,770 --> 02:32:35,173
CONTRIBUTORS, BECAUSE OFTEN

4036
02:32:35,173 --> 02:32:36,874
TIMES, WE WEREN'T THE SOLE

4037
02:32:36,874 --> 02:32:39,410
CONTRIBUTOR AND TO ADJUST A TIME

4038
02:32:39,410 --> 02:32:42,547
FRAME LONG ENOUGH TO DETERMINE

4039
02:32:42,547 --> 02:32:45,616
WHETHER AND HOW THOSE

4040
02:32:45,616 --> 02:32:46,984
CONTRIBUTIONS LED TO DISCOVERIES

4041
02:32:46,984 --> 02:32:50,488
AND HOW THEY WERE APPLIED.

4042
02:32:50,488 --> 02:32:52,557
I CAN TELL YOU AS AN ASIDE

4043
02:32:52,557 --> 02:32:54,258
BEFORE I CAME TO THIS MEETING

4044
02:32:54,258 --> 02:32:57,228
THIS MORNING, I HAD TO GIVE

4045
02:32:57,228 --> 02:33:02,200
OPENING REMARKS, AT A DIABETES

4046
02:33:02,200 --> 02:33:04,102
MELITUS INTERAGENCY COORDINATING

4047
02:33:04,102 --> 02:33:08,139
COMMITTEE AS A DIRECT RESULT OF

4048
02:33:08,139 --> 02:33:09,907
WHAT NEIL SHAPIRO JUST MENTIONED

4049
02:33:09,907 --> 02:33:11,576
THE TYPE 1 DIABETES FUNDS WE ARE

4050
02:33:11,576 --> 02:33:12,777
HOPING THEY WILL BE RENEWED BUT

4051
02:33:12,777 --> 02:33:14,979
WE HAVE TO BE IN A POSITION TO

4052
02:33:14,979 --> 02:33:16,547
THINK ABOUT HOW THOSE FUNDS IN

4053
02:33:16,547 --> 02:33:18,783
25 AND 26 COULD BE USED VERY

4054
02:33:18,783 --> 02:33:19,951
EFFECTIVELY AND SO WE BRING

4055
02:33:19,951 --> 02:33:22,286
TOGETHER A GROUP OF EX  PERS WHO

4056
02:33:22,286 --> 02:33:27,024
ADVISE US, LOOKING OVER A SERIES

4057
02:33:27,024 --> 02:33:28,059
OF PROPOSALS, ON WHERE IS

4058
02:33:28,059 --> 02:33:29,961
PROBABLY THE BEST PLACE TO PUT

4059
02:33:29,961 --> 02:33:33,097
OUR PROMISE AND I HAVE TO SAY,

4060
02:33:33,097 --> 02:33:34,999
THAT IN OVER THE HISTORY, WE

4061
02:33:34,999 --> 02:33:39,470
WERE ABLE TO ACTUALLY DEVELOP

4062
02:33:39,470 --> 02:33:40,705
THROUGH A SMALL BUSINESS GRANT

4063
02:33:40,705 --> 02:33:42,840
THE VERY FIRST CONTRACT FOR A

4064
02:33:42,840 --> 02:33:48,412
WAY TO NONINVASIVELY MEASURE

4065
02:33:48,412 --> 02:33:49,947
GLUCOSE WHICH ULTIMATELY LED TO

4066
02:33:49,947 --> 02:33:52,083
THE SERIES OF CONTINUOUS

4067
02:33:52,083 --> 02:33:53,050
DPLUICOSE MONITORS, 2 OF WHICH

4068
02:33:53,050 --> 02:33:57,955
YOU CAN BUY AT CVS OR WALGREEN'S

4069
02:33:57,955 --> 02:34:01,759
NOW, IT WASN'T SOMETHING THAT

4070
02:34:01,759 --> 02:34:02,360
WAS IMMEDIATELY OBVIOUSLY 25

4071
02:34:02,360 --> 02:34:03,761
YEARS AGO WHEN WE INVESTED IN

4072
02:34:03,761 --> 02:34:05,496
THIS THAT THIS WOULD NOW BE THE

4073
02:34:05,496 --> 02:34:07,799
BASIS OF AN ARTIFICIAL PANCREAS

4074
02:34:07,799 --> 02:34:12,236
TECHNOLOGY WHERE YOU CAN LINK

4075
02:34:12,236 --> 02:34:13,838
CONTINUOUS GLUCOSE MONITOR WITH

4076
02:34:13,838 --> 02:34:15,206
AN INSULIN PUMP AND TAKE THE

4077
02:34:15,206 --> 02:34:17,608
PLACE OF THE PANCREAS IN

4078
02:34:17,608 --> 02:34:19,343
INDIVIDUALS WITH TYPE 1

4079
02:34:19,343 --> 02:34:19,610
DIABETES.

4080
02:34:19,610 --> 02:34:26,617
THIS IS THE KIND OF ASSESSMENT

4081
02:34:26,617 --> 02:34:30,688
THAT THIS GROUP WAS ASKING FOR.

4082
02:34:30,688 --> 02:34:31,155
NEXT SLIDE, PLEASE.

4083
02:34:31,155 --> 02:34:33,291
THIS IS A SORT OF COMPLICATED

4084
02:34:33,291 --> 02:34:35,960
SLIDE BUT IT POINTS OUT A NUMBER

4085
02:34:35,960 --> 02:34:38,763
OF THE AREAS IN TERMS OF

4086
02:34:38,763 --> 02:34:41,632
ASSESSING THE VALUE OF THIS

4087
02:34:41,632 --> 02:34:43,067
BIOMEDICAL RESEARCH, THAT 1

4088
02:34:43,067 --> 02:34:44,435
SHOULD FOCUS IN ON, AND AGAIN,

4089
02:34:44,435 --> 02:34:46,838
AT THE END OF THIS, WE WILL GIVE

4090
02:34:46,838 --> 02:34:49,440
YOU A QR CODE IF YOU WANT TO

4091
02:34:49,440 --> 02:34:52,009
LOOK AT ALL THESE REPORTS, IN

4092
02:34:52,009 --> 02:34:54,078
SOME DETAIL, BUT AGAIN THE NIH

4093
02:34:54,078 --> 02:34:55,980
SHOULD CONTINUE TO ESTABLISH A

4094
02:34:55,980 --> 02:34:57,515
TRANSNIH COMMITTEE ON,A

4095
02:34:57,515 --> 02:35:00,251
ASSESSESMENTS, TO LOOK AT MANY

4096
02:35:00,251 --> 02:35:02,286
DIMENSIONS OF THE VALUE OF

4097
02:35:02,286 --> 02:35:05,323
BIOMEDICAL RESEARCH AND IT

4098
02:35:05,323 --> 02:35:06,090
SHOULD BEGIN WITH THE

4099
02:35:06,090 --> 02:35:07,058
IDENTIFICATION OF THE PURPOSE

4100
02:35:07,058 --> 02:35:12,230
AND THE AUDIENCE, WHO IS IT THAT

4101
02:35:12,230 --> 02:35:14,999
WE'RE PRESENT THANKSGIVING

4102
02:35:14,999 --> 02:35:16,267
INFORMATION TOO, SOMETHING I

4103
02:35:16,267 --> 02:35:19,103
THINK DR. CHANG ASKED THIS

4104
02:35:19,103 --> 02:35:19,470
MORNING.

4105
02:35:19,470 --> 02:35:21,806
OKAY, NEXT SLIDE, PLEASE.

4106
02:35:21,806 --> 02:35:23,641
HERE'S A REPORT ON PRECOLLEGE

4107
02:35:23,641 --> 02:35:24,208
ENGAGEMENT.

4108
02:35:24,208 --> 02:35:27,511
I THINK  THIS IS THE LAST OF THE

4109
02:35:27,511 --> 02:35:30,815
4 I WILL BE DISCUSSIONING EMPLOY

4110
02:35:30,815 --> 02:35:33,251
WHAT IS THE WHY HERE?

4111
02:35:33,251 --> 02:35:34,919
THAT THERE'S REALLY A TREND IN

4112
02:35:34,919 --> 02:35:36,787
THE PROFILE OF CURRENT AND

4113
02:35:36,787 --> 02:35:39,891
RISING BIOMEDICAL WORKFORCE AND

4114
02:35:39,891 --> 02:35:42,627
THERE'S CONCERN BOTH IN THE

4115
02:35:42,627 --> 02:35:44,862
PREPARATION AND DIVERSITY OF THE

4116
02:35:44,862 --> 02:35:51,836
U.S. FUTURE BIOMEDICAL RESEARCH

4117
02:35:51,836 --> 02:36:02,480
AND THE ABILITY TO PROMOTE IT.

4118
02:36:02,480 --> 02:36:04,916
WE'RE ALL AWARE OF STEM AND THE

4119
02:36:04,916 --> 02:36:07,351
USE OF IT, AND AS THE U.S.

4120
02:36:07,351 --> 02:36:08,519
GRAPPLES WITH PRECOLLEGE

4121
02:36:08,519 --> 02:36:10,154
SCIENCE, PEOPLE ENGAGED IN

4122
02:36:10,154 --> 02:36:12,390
TECHNOLOGY, ENGINEERING AND

4123
02:36:12,390 --> 02:36:14,558
MATHEMATICS, AND THAT CAN'T JUST

4124
02:36:14,558 --> 02:36:16,394
START OFF AT COLLEGE, IT HAS TO

4125
02:36:16,394 --> 02:36:18,029
START IN HIGH SCHOOL AND EVEN

4126
02:36:18,029 --> 02:36:21,365
EARLIER AND THEN I DIVERSITY OF

4127
02:36:21,365 --> 02:36:22,400
STUDENTS SEEKING DEGREES AND

4128
02:36:22,400 --> 02:36:23,768
CAREERS IN THIS FIELD REALLY

4129
02:36:23,768 --> 02:36:26,404
DIDN'T AT THE TIME OF THIS

4130
02:36:26,404 --> 02:36:29,373
REPORT REALLY REFLECT THE

4131
02:36:29,373 --> 02:36:31,609
NATION'S RAPIDLY CHANGING

4132
02:36:31,609 --> 02:36:32,076
DEMOGRAPHIC PROFILES.

4133
02:36:32,076 --> 02:36:34,645
AND SO THIS IS THE WHY, WHY

4134
02:36:34,645 --> 02:36:37,081
AMONG ALL THE THINGS THAT COULD

4135
02:36:37,081 --> 02:36:40,284
BE STUDIED, THE NIH TASKED THE

4136
02:36:40,284 --> 02:36:43,721
SMRB WITHA VISING HOW NIH COULD

4137
02:36:43,721 --> 02:36:47,825
MAXIMIZE ITS INFLUENCE THROUGH

4138
02:36:47,825 --> 02:36:51,629
ITS EXISTING ORGANIZATIONS AND

4139
02:36:51,629 --> 02:36:54,732
STRUCTURES TO INFLUENCE AND

4140
02:36:54,732 --> 02:36:57,335
INCREASE PRECOLLEGE BIOMEDICAL

4141
02:36:57,335 --> 02:36:57,768
SCIENCE ENGAGE AM.

4142
02:36:57,768 --> 02:37:00,471
SHOWN ON THE RIGHT THERE, IS

4143
02:37:00,471 --> 02:37:01,672
REALLY A CONCEPTUALIZATION OF

4144
02:37:01,672 --> 02:37:03,641
THE WORKFORCE AND SOMETIMES WHEN

4145
02:37:03,641 --> 02:37:06,944
YOU THINK OF WORKFORCE, WE TALK

4146
02:37:06,944 --> 02:37:09,914
ABOUT PRINCIPAL INVESTIGATORS OR

4147
02:37:09,914 --> 02:37:12,883
CLINICAL SCIENTISTS OR GRADUATE

4148
02:37:12,883 --> 02:37:15,052
STUDENTS, POST DOCTORAL

4149
02:37:15,052 --> 02:37:16,620
RESEARCH, BUT THIS REPORT SORT

4150
02:37:16,620 --> 02:37:20,157
OF CHALLENGED US TO THINK OF

4151
02:37:20,157 --> 02:37:21,792
MUCH BROADER, TO THINK ABOUT

4152
02:37:21,792 --> 02:37:23,627
TECH TRANSFER OFFICE, TO THINK

4153
02:37:23,627 --> 02:37:26,397
ABOUT SCIENCE TEACHERS, TO THINK

4154
02:37:26,397 --> 02:37:28,966
ABOUT CLINICAL TRIAL

4155
02:37:28,966 --> 02:37:32,970
COORDINATORS, PEOPLE WHOM

4156
02:37:32,970 --> 02:37:34,338
GETTING THIS EDUCATION, COLLEGE

4157
02:37:34,338 --> 02:37:36,073
COULD LEAD TO A SUCCESSFUL

4158
02:37:36,073 --> 02:37:40,311
CAREER BEING IN THE BIOMEDICAL

4159
02:37:40,311 --> 02:37:42,680
RESEARCH ECOSYSTEM. 

4160
02:37:42,680 --> 02:37:45,383
NEXT SLIDE, PLEASE.

4161
02:37:45,383 --> 02:37:46,684
SO QUITE SIMPLY THE

4162
02:37:46,684 --> 02:37:48,152
RECOMMENDATIONS THAT CAME OUT OF

4163
02:37:48,152 --> 02:37:58,529
THIS, AND I THINK THIS

4164
02:38:05,669 --> 02:38:06,971
PARTICULAR -- THIS WAS AMONG THE

4165
02:38:06,971 --> 02:38:08,506
LAST REPORTS THAT CAME OUT.

4166
02:38:08,506 --> 02:38:09,740
IT FOCUSED ON PRECOLLEGE EFFORTS

4167
02:38:09,740 --> 02:38:12,910
ON MOST OF THE PRESSING

4168
02:38:12,910 --> 02:38:14,879
WORKFORCE NEEDS, BROADENING

4169
02:38:14,879 --> 02:38:17,515
THESE WORKFORCE CATEGORIES TO AT

4170
02:38:17,515 --> 02:38:18,916
LEAST CONSIDER THEM TO BE

4171
02:38:18,916 --> 02:38:21,385
SUCCESSFUL OUTCOME, NOT JUST THE

4172
02:38:21,385 --> 02:38:23,687
NUMBER OF PRINCIPLE

4173
02:38:23,687 --> 02:38:26,757
INVESTIGATORS OR CLINICAL

4174
02:38:26,757 --> 02:38:28,893
SCIENCES THAT 1 PRODUCES, TO

4175
02:38:28,893 --> 02:38:30,528
STREAMLINE AND INCREASE

4176
02:38:30,528 --> 02:38:32,163
COORDINATION WITH EXISTING

4177
02:38:32,163 --> 02:38:33,064
PRECOLLEGE ACTIVITIES, AND THEN

4178
02:38:33,064 --> 02:38:35,933
REALLY TO DEVELOP STANDARD

4179
02:38:35,933 --> 02:38:39,270
METRICS OF SUCCESS FOR EXISTING

4180
02:38:39,270 --> 02:38:40,604
NIH PRECOLLEGE STEM ACTIVITIES.

4181
02:38:40,604 --> 02:38:43,808
I THINK THIS NEXT SLIDE JUST

4182
02:38:43,808 --> 02:38:47,378
KIND OF SHOWS YOU BACK IN 2013,

4183
02:38:47,378 --> 02:38:49,547
I BELIEVE, SORT OF THE LIST OF

4184
02:38:49,547 --> 02:38:53,584
ACTIVITIES WHERE NIH WAS SO

4185
02:38:53,584 --> 02:38:56,020
PRODUCING CLASSROOM MATERIALS,

4186
02:38:56,020 --> 02:38:57,054
OR HEALTH INFORMATION, OR

4187
02:38:57,054 --> 02:39:00,191
STUDENT EXPERIENCE, SUMMER

4188
02:39:00,191 --> 02:39:03,227
PROGRAMS FOR EXAMPLE, IT SHOWS

4189
02:39:03,227 --> 02:39:04,028
THE VARIOUS CATEGORIES, TEACHER

4190
02:39:04,028 --> 02:39:05,262
DEVELOPMENT AND OTHER CAREERS,

4191
02:39:05,262 --> 02:39:08,365
THIS BEING 1 OF THE AREAS TO

4192
02:39:08,365 --> 02:39:09,900
FOCUS ON OF COURSE BACK IN 2013,

4193
02:39:09,900 --> 02:39:12,236
THIS WAS SORT OF THE BASE LINE,

4194
02:39:12,236 --> 02:39:14,772
AND SO AS -- AFTER THE REPORT

4195
02:39:14,772 --> 02:39:18,008
COMES OUT IN 2015, THIS IS 1 OF

4196
02:39:18,008 --> 02:39:22,146
MANY, METRICS THAT 1 CAN USE TO

4197
02:39:22,146 --> 02:39:22,947
EVALUATE SUCCESS.

4198
02:39:22,947 --> 02:39:29,086
AND THE FINAL SLIDE, THERE'S

4199
02:39:29,086 --> 02:39:31,722
REALLY AN ARCHIVE REPORT OF ALL

4200
02:39:31,722 --> 02:39:33,023
OF THESE SMRBOT WEBSITE AND THIS

4201
02:39:33,023 --> 02:39:36,794
IS LARGELY FOR THE PEOPLE

4202
02:39:36,794 --> 02:39:37,628
VISITING US VIRTUALLY, IF YOU

4203
02:39:37,628 --> 02:39:39,163
WANT TO TAKE A PICTURE OF THIS

4204
02:39:39,163 --> 02:39:40,798
QR CODE THIS WILL TAKE YOU

4205
02:39:40,798 --> 02:39:43,300
DIRECTLY TO THAT WEBSITE SO YOU

4206
02:39:43,300 --> 02:39:45,136
WILL HAVE THE OPPORTUNITY TO

4207
02:39:45,136 --> 02:39:48,839
READ ABOUT THESE VARIOUS

4208
02:39:48,839 --> 02:39:51,208
PROGRAMS AND AS OUR CHAIR HAS

4209
02:39:51,208 --> 02:39:52,643
CHALLENGED US, WE SHOULD ALL DO

4210
02:39:52,643 --> 02:39:55,946
OUR HOME WORK AND READ ALL THESE

4211
02:39:55,946 --> 02:39:57,681
REPORTS BEFORE OUR NEXT FORMAL

4212
02:39:57,681 --> 02:39:57,915
MEETING.

4213
02:39:57,915 --> 02:39:59,083
AND WITH THAT LET ME CLOSE AND

4214
02:39:59,083 --> 02:40:09,426
SEE IF THERE ARE ANY PRESSING

4215
02:40:09,426 --> 02:40:19,603
QUESTIONS 

4216
02:40:24,675 --> 02:40:26,844
>> IT STARTED -- WHEN WAS
THE 

4217
02:40:26,844 --> 02:40:28,946
FIRST MEETING, WHAT YEAR?

4218
02:40:28,946 --> 02:40:32,316
HOW MANY YEARS BEFORE IT STARTED

4219
02:40:32,316 --> 02:40:33,017
MEETING?

4220
02:40:33,017 --> 02:40:34,518
2009 SO IT WAS THREE YEARS 

4221
02:40:34,518 --> 02:40:35,619
BEFORE IT STARTED MEETING AND 

4222
02:40:35,619 --> 02:40:37,488
THEN I CAME ON BOARD I THINK IN 

4223
02:40:37,488 --> 02:40:40,858
THE SECOND ITERATION BECAUSE I 

4224
02:40:40,858 --> 02:40:43,260
LOOKED UP ON MY C.V. SO THE 

4225
02:40:43,260 --> 02:40:44,762
FIRST YEAR OF BEING DIRECTOR I 

4226
02:40:44,762 --> 02:40:47,531
GOT APPOINTED TO IT AND REMEMBER

4227
02:40:47,531 --> 02:40:48,566
SOME OF THOSE REPORTS.

4228
02:40:48,566 --> 02:40:49,066
>> RIGHT.

4229
02:40:49,066 --> 02:40:52,469
AND THE FIRST MEETING WAS IN 

4230
02:40:52,469 --> 02:40:53,837
2009 AND THE FIRST REPORT CAME 

4231
02:40:53,837 --> 02:40:55,072
OUT IN 2010.

4232
02:40:55,072 --> 02:40:58,275
>> SO THAT ALL MAKES SENSE
AND 

4233
02:40:58,275 --> 02:40:59,376
THEN DID YOU SAY WHEN IT MET 

4234
02:40:59,376 --> 02:41:02,346
LAST.

4235
02:41:02,346 --> 02:41:04,281
>> 2015.

4236
02:41:04,281 --> 02:41:06,817
>> THAT'S WHEN -- BUT IT
STILL 

4237
02:41:06,817 --> 02:41:08,986
ISSUED A REPORT IN 2016.

4238
02:41:08,986 --> 02:41:09,987
>> 2016 THE LAST REPORT.

4239
02:41:09,987 --> 02:41:12,056
>> NO, I JUST WANTED TO
MAKE 

4240
02:41:12,056 --> 02:41:14,291
SURE I UNDERSTOOD.

4241
02:41:14,291 --> 02:41:16,927
IT DOES -- YOU MADE THE POINT 

4242
02:41:16,927 --> 02:41:21,632
BUT I WOULD REITERATE ONCE IT 

4243
02:41:21,632 --> 02:41:23,200
STARTS GOING -- THE PRINCIPLE 

4244
02:41:23,200 --> 02:41:24,702
REPORT WAS THE FIRST TIME.

4245
02:41:24,702 --> 02:41:27,605
>> THE FIRST YEAR THERE
WERE 

4246
02:41:27,605 --> 02:41:35,279
ACTUALLY 2010 WAS THE FIRST 

4247
02:41:35,279 --> 02:41:35,546
REPORT.

4248
02:41:35,546 --> 02:41:37,381
THERE WERE THREE OTHER REPORTS.

4249
02:41:37,381 --> 02:41:38,582
>> DOES EVERYONE KNOW THE 

4250
02:41:38,582 --> 02:41:39,850
MAXIMUM NUMBER OF WORKING GROUPS

4251
02:41:39,850 --> 02:41:50,060
IN PARALLEL.

4252
02:42:03,207 --> 02:42:04,341
YOU CAN'T INSPECT IT.

4253
02:42:04,341 --> 02:42:08,579
>> I'M REMINDED BY THE
COMMENT 

4254
02:42:08,579 --> 02:42:11,048
MADE BY FORMER COLLEAGUES ON 

4255
02:42:11,048 --> 02:42:14,418
THESE TYPES OF ADVISORY BOARDS, 

4256
02:42:14,418 --> 02:42:17,554
DON'T BOIL THE OCEAN.

4257
02:42:17,554 --> 02:42:19,490
SO PROBABLY THEY'LL WANT TO BE 

4258
02:42:19,490 --> 02:42:21,191
MORE PRECISE, YEAH.

4259
02:42:21,191 --> 02:42:24,295
PROBABLY WE NEED TO BE MORE 

4260
02:42:24,295 --> 02:42:25,195
PRECISE AND THEN LET'S SEE WHERE

4261
02:42:25,195 --> 02:42:29,199
IT TAKES US.

4262
02:42:29,199 --> 02:42:32,603
>> SO IT STRIKES ME AS WE
LISTEN

4263
02:42:32,603 --> 02:42:35,072
TO WHAT YOU'RE SAYING AND GOING 

4264
02:42:35,072 --> 02:42:39,376
THROUGH SOME OF THE REPORTS THAT

4265
02:42:39,376 --> 02:42:42,146
AN YOU SUMMARIZED NICELY BUT 

4266
02:42:42,146 --> 02:42:42,880
SOME IS OBVIOUS ONCE YOU HAVE 

4267
02:42:42,880 --> 02:42:43,514
THE DATA.

4268
02:42:43,514 --> 02:42:46,550
YOU LOOK AT THE FIRST CENTER 

4269
02:42:46,550 --> 02:42:50,587
THAT HAD 1600 PHYSICIANS AND 650

4270
02:42:50,587 --> 02:42:51,622
NURSES AND IT'S LOGICAL THAT'S 

4271
02:42:51,622 --> 02:42:53,057
NOT GOING TO BE A FINANCIALLY 

4272
02:42:53,057 --> 02:43:01,432
STABLE ENTITY.

4273
02:43:01,432 --> 02:43:04,301
WE SHOULD HAVE BETTER ACCESS TO 

4274
02:43:04,301 --> 02:43:05,803
DATA THAN 10 YEARS AGO.

4275
02:43:05,803 --> 02:43:07,371
ONCE THE DATA IS THERE WE CAN 

4276
02:43:07,371 --> 02:43:10,207
ALL SEE IT AND WE CAN MAKE AN 

4277
02:43:10,207 --> 02:43:12,843
ASSESSMENT ON WHAT WE THINK OUR 

4278
02:43:12,843 --> 02:43:13,143
OPINION IS.

4279
02:43:13,143 --> 02:43:14,745
>> WE SHOULD PRIORITIZE.

4280
02:43:14,745 --> 02:43:15,179
>> EXACTLY.

4281
02:43:15,179 --> 02:43:16,747
THE BY THE NUMBERS PART OF IT 

4282
02:43:16,747 --> 02:43:18,415
WILL WE BE ABLE TO -- 

4283
02:43:18,415 --> 02:43:23,954
>> AS LONG AS WE CAN
ARTICULATE 

4284
02:43:23,954 --> 02:43:28,792
WHAT WE NEED' WE WILL GET IT.

4285
02:43:28,792 --> 02:43:30,260
SOME IS OFF THE SHELF AND SOME 

4286
02:43:30,260 --> 02:43:32,763
WILL HAVE TO BE GENERATED BUT 

4287
02:43:32,763 --> 02:43:34,365
WE'LL PROVIDE THE DATA REQUIRED.

4288
02:43:34,365 --> 02:43:35,165
>> THAT'S GREAT.

4289
02:43:35,165 --> 02:43:36,900
AS YOU READ THROUGH IT AT THAT 

4290
02:43:36,900 --> 02:43:38,635
TIME AND HOPEFULLY THAT WILL 

4291
02:43:38,635 --> 02:43:40,871
HAPPEN NOW IT BECOMES -- I WON'T

4292
02:43:40,871 --> 02:43:41,905
SAY OBVIOUS BUT BECOMES PRETTY 

4293
02:43:41,905 --> 02:43:45,409
CLEAR WHEN YOU LOOK AT PURPOSE, 

4294
02:43:45,409 --> 02:43:47,211
VISION, FINANCIAL STABILITY, 

4295
02:43:47,211 --> 02:43:49,113
OUTCOME, VALUE, THIS IS EITHER 

4296
02:43:49,113 --> 02:43:51,682
WORKING OR NOT OR IT'S WORKING 

4297
02:43:51,682 --> 02:43:52,449
MOSTLY JUST NEEDS MORE 

4298
02:43:52,449 --> 02:43:53,016
EFFICIENCIES, THAT TYPE OF 

4299
02:43:53,016 --> 02:43:56,520
THING.

4300
02:43:56,520 --> 02:43:58,589
>> SOME OF THE QUESTIONS
LEND 

4301
02:43:58,589 --> 02:44:02,259
THEMSELVES TO THAT CLARITY.

4302
02:44:02,259 --> 02:44:02,860
OTHER QUESTIONS PERHAPS ARE 

4303
02:44:02,860 --> 02:44:06,663
LET'S MORE COMPLICATED.

4304
02:44:06,663 --> 02:44:08,966
I SEE JEANNE AND THEN DEB.

4305
02:44:08,966 --> 02:44:10,968
>> THAT WAS INCREDIBLY
HELPFUL.

4306
02:44:10,968 --> 02:44:13,337
I'M NOT SURE THIS IS A RELEVANT 

4307
02:44:13,337 --> 02:44:15,372
QUESTION BUT IS IT RELEVANT OR 

4308
02:44:15,372 --> 02:44:17,207
HELPFUL TO TALK ABOUT WHY THE 

4309
02:44:17,207 --> 02:44:19,042
COMMITTEE STOPPED MEETING GIVEN 

4310
02:44:19,042 --> 02:44:22,179
WHAT SOUNDED LIKE VARYING USEFUL

4311
02:44:22,179 --> 02:44:24,648
PRODUCTS BASED ON WHAT YOU JUST 

4312
02:44:24,648 --> 02:44:24,948
SUMMARIZED.

4313
02:44:24,948 --> 02:44:29,520
>> I GUESS I'M GOING IT
TAKE 

4314
02:44:29,520 --> 02:44:33,690
THAT ONE.

4315
02:44:33,690 --> 02:44:36,994
SO, WHILE DR. COLLINS WAS 

4316
02:44:36,994 --> 02:44:39,396
DIRECTOR OF NIH HE INCREASINGLY 

4317
02:44:39,396 --> 02:44:41,231
USED THE ADVISORY COMMITTEE TO 

4318
02:44:41,231 --> 02:44:42,800
THE DIRECTOR TO WRESTLE WITH 

4319
02:44:42,800 --> 02:44:48,806
THESE TYPES OF QUESTIONS.

4320
02:44:48,806 --> 02:44:51,208
PRIOR TO DR. COLLINS AND IT WAS 

4321
02:44:51,208 --> 02:45:01,718
DR. SAHUNE COP CONCEIVED THE 

4322
02:45:02,653 --> 02:45:04,354
SCIENTIFIC MANAGEMENT REVIEW 

4323
02:45:04,354 --> 02:45:06,490
BOARD AND THERE WAS AN INTEREST 

4324
02:45:06,490 --> 02:45:09,159
IN REDUCING THE NUMBER OF FACA 

4325
02:45:09,159 --> 02:45:12,529
COMMITTEES AND AS YOU HEARD THIS

4326
02:45:12,529 --> 02:45:14,698
MORNING, NIH HAS A LARGE NUMBER 

4327
02:45:14,698 --> 02:45:17,267
OF THESE MEETINGS AND BECAUSE 

4328
02:45:17,267 --> 02:45:24,808
THE MSRB HAD MORE OR LESS GONE 

4329
02:45:24,808 --> 02:45:28,111
DORMANT WE OFFERED IT UP 

4330
02:45:28,111 --> 02:45:29,913
INTERESTINGLY ENOUGH IT WAS 

4331
02:45:29,913 --> 02:45:34,985
NEVER DONE AWAY WITH BUT WAS 

4332
02:45:34,985 --> 02:45:37,154
DORMANT AND WHEN DR. BERTAGNOLLI

4333
02:45:37,154 --> 02:45:39,056
CAME ON BOARD SHE DECIDED THIS 

4334
02:45:39,056 --> 02:45:42,659
WOULD BE A VERY VALUABLE TOOL TO

4335
02:45:42,659 --> 02:45:44,761
AUGMENT THE OTHER SORTS OF 

4336
02:45:44,761 --> 02:45:45,829
THINGS YOU'VE BEEN THINK ABOUT 

4337
02:45:45,829 --> 02:45:47,397
AND IN ADDITION WE DID GET 

4338
02:45:47,397 --> 02:45:52,202
REPORT LANGUAGE BY THE CONGRESS.

4339
02:45:52,202 --> 02:45:54,605
SO THE VARIOUS THINGS WORK TAKEN

4340
02:45:54,605 --> 02:45:57,241
TOGETHER MADE IT APPROPRIATE TO 

4341
02:45:57,241 --> 02:45:59,810
RESTART THIS COMMITTEE.

4342
02:45:59,810 --> 02:46:03,847
SO HOPEFULLY THAT HELPS EXPLAIN.

4343
02:46:03,847 --> 02:46:08,151
OKAY, DEB AND THEN MIKE.

4344
02:46:08,151 --> 02:46:10,120
>> YEAH, THANK YOU, THAT
WAS 

4345
02:46:10,120 --> 02:46:11,121
EXTREMELY HELPFUL.

4346
02:46:11,121 --> 02:46:12,256
I WAS VERY INTERESTED IN THE 

4347
02:46:12,256 --> 02:46:13,624
REPORT ON THE CLINICAL CENTER 

4348
02:46:13,624 --> 02:46:16,493
BECAUSE OF OUR UPCOMING 

4349
02:46:16,493 --> 02:46:18,061
DISCUSSIONS AND I WAS VERY 

4350
02:46:18,061 --> 02:46:19,897
INTERESTED AT THE FACT IT WAS 

4351
02:46:19,897 --> 02:46:21,398
DETERMINED THAT THE FINANCIAL 

4352
02:46:21,398 --> 02:46:22,933
MODEL WAS NOT A VIABLE ONE AND 

4353
02:46:22,933 --> 02:46:26,203
THEN SOLUTIONS WERE PROPOSED TO 

4354
02:46:26,203 --> 02:46:28,639
ADDRESS THAT SUCH AS MAKING THE 

4355
02:46:28,639 --> 02:46:30,874
CLINICAL CENTER AVAILABLE FOR 

4356
02:46:30,874 --> 02:46:31,842
INVESTIGATORS AND A SCHEME WAS 

4357
02:46:31,842 --> 02:46:39,049
LAID OUT FOR THAT AND OF COURSE 

4358
02:46:39,049 --> 02:46:42,452
NOTHING HAPPENED WITH THAT AND 

4359
02:46:42,452 --> 02:46:44,721
WONDERING IF THERE'S LESSONS 

4360
02:46:44,721 --> 02:46:47,190
LEARNS OR A SPECIFIC TYPE OF 

4361
02:46:47,190 --> 02:46:49,760
PROCESS CARRIED OUT INTERNALLY 

4362
02:46:49,760 --> 02:46:51,094
AT NIH TO CONSIDER AND ADDRESS 

4363
02:46:51,094 --> 02:46:54,164
ALL THE RECOMMENDATIONS AND 

4364
02:46:54,164 --> 02:46:55,732
SECONDLY, ARE THERE LESSONS 

4365
02:46:55,732 --> 02:46:56,667
LEARNED ABOUT RECOMMENDATIONS 

4366
02:46:56,667 --> 02:46:59,603
THAT WERE PUT FORWARD THAT WERE 

4367
02:46:59,603 --> 02:47:03,073
POTENTIALLY VERY DISRUPTIVE AND 

4368
02:47:03,073 --> 02:47:04,975
THE DECISION WAS MADE NOT TO 

4369
02:47:04,975 --> 02:47:07,911
POWER THROUGH JUST FOR OUR 

4370
02:47:07,911 --> 02:47:09,012
FUTURE WORK IS THERE SOMETHING 

4371
02:47:09,012 --> 02:47:10,614
TO BE LEARNED THERE?

4372
02:47:10,614 --> 02:47:11,715
>> I THINK TO ANSWER THAT 

4373
02:47:11,715 --> 02:47:13,150
SPECIFIC QUESTION RELATED TO 

4374
02:47:13,150 --> 02:47:16,820
THAT REPORT ON THE CLINICAL 

4375
02:47:16,820 --> 02:47:18,255
CENTER FROM MY REMEMBRANCE OF 

4376
02:47:18,255 --> 02:47:20,757
THIS, THERE WERE AS I POINTED 

4377
02:47:20,757 --> 02:47:27,064
OUT THREE OR FOUR 

4378
02:47:27,064 --> 02:47:28,599
RECOMMENDATIONS ONE WAS ACTED 

4379
02:47:28,599 --> 02:47:30,734
UPON QUICKLY RELATED TO THE OF 

4380
02:47:30,734 --> 02:47:34,371
THE CLINICAL CENTER.

4381
02:47:34,371 --> 02:47:37,174
SO NOW THERE'S A SINGLE CLINICAL

4382
02:47:37,174 --> 02:47:39,610
CENTER GOVERNING BOARD THAT 

4383
02:47:39,610 --> 02:47:41,211
ADVISES THE CLINICAL CENTER 

4384
02:47:41,211 --> 02:47:41,612
DIRECTOR.

4385
02:47:41,612 --> 02:47:44,448
THERE WAS ALSO PUT IN PLACE THE 

4386
02:47:44,448 --> 02:47:45,716
RENT WHICH CONSIDERED SOME 

4387
02:47:45,716 --> 02:47:49,052
ASPECTS OF THE CLINICAL CENTER 

4388
02:47:49,052 --> 02:47:53,323
THAT REALLY SORT OF NEEDED 

4389
02:47:53,323 --> 02:47:55,659
IMMEDIATE ATTENTION.

4390
02:47:55,659 --> 02:47:56,660
THE QUESTION ABOUT THE VISION 

4391
02:47:56,660 --> 02:48:01,498
AND THAT IS OPENING UP TO 

4392
02:48:01,498 --> 02:48:04,234
EXTRAMURAL AND INTRAMURAL WAS 

4393
02:48:04,234 --> 02:48:06,403
ACTED UPON TO SOME EXTENT.

4394
02:48:06,403 --> 02:48:08,772
THERE'S A BENCH TO BEDSIDE AWARD

4395
02:48:08,772 --> 02:48:13,276
THAT ARE MADE THAT ALLOW THE 

4396
02:48:13,276 --> 02:48:17,047
CLINICAL CENTER TO BE USED BY 

4397
02:48:17,047 --> 02:48:17,848
INTRAMURAL AND EXTRAMURAL 

4398
02:48:17,848 --> 02:48:20,317
COLLABORATORS BUT AS PART OF 

4399
02:48:20,317 --> 02:48:23,720
THAT, THERE WERE AT LEAST TWO OR

4400
02:48:23,720 --> 02:48:27,290
THREE MEETINGS WITH A NUMBER OF 

4401
02:48:27,290 --> 02:48:30,560
ACADEMIC INSTITUTIONS IN THIS 

4402
02:48:30,560 --> 02:48:33,196
AREA TO GET THEIR SENSE OF HOW 

4403
02:48:33,196 --> 02:48:34,231
THIS COULD BEST BE 

4404
02:48:34,231 --> 02:48:38,902
OPERATIONALIZED.

4405
02:48:38,902 --> 02:48:43,106
THERE WERE A NUMBER OF OPTIONS 

4406
02:48:43,106 --> 02:48:44,274
SUGGESTED AND OTHER THAN THIS 

4407
02:48:44,274 --> 02:48:48,045
AGREEMENT OF THE BENCH TO 

4408
02:48:48,045 --> 02:48:51,048
BEDSIDE, THERE WEREN'T UNANIMOUS

4409
02:48:51,048 --> 02:48:52,783
OR EVEN MAJORITY AGREEMENT OB 

4410
02:48:52,783 --> 02:48:55,052
MANY OF THOSE DECISIONS.

4411
02:48:55,052 --> 02:48:57,154
BUT AT LEAST THERE WAS SOME 

4412
02:48:57,154 --> 02:48:57,487
PROGRESS.

4413
02:48:57,487 --> 02:48:59,523
THE THIRD AREA WAS THE STABLE 

4414
02:48:59,523 --> 02:49:05,629
FINANCING FOR THE CLINICAL 

4415
02:49:05,629 --> 02:49:07,497
CENTER AND MANY AREAS WERE 

4416
02:49:07,497 --> 02:49:09,266
MAPPED OUT INCLUDING HAVING A 

4417
02:49:09,266 --> 02:49:11,268
LINE ITEM.

4418
02:49:11,268 --> 02:49:15,072
I THINK WHEN NEAL JUST MENTIONED

4419
02:49:15,072 --> 02:49:19,443
THE FUNDING OF THE NIH, THERE'S 

4420
02:49:19,443 --> 02:49:21,712
27 INSTITUTES BUT ONLY 24 

4421
02:49:21,712 --> 02:49:23,046
INSTITUTES ACTUALLY GET AN 

4422
02:49:23,046 --> 02:49:24,614
APPROPRIATION FROM CONGRESS.

4423
02:49:24,614 --> 02:49:28,652
THE CLINICAL CENTER, THE CENTER 

4424
02:49:28,652 --> 02:49:30,587
FOR INFORMATION TECHNOLOGY AND 

4425
02:49:30,587 --> 02:49:33,123
THE CENTER FOR SCIENTIFIC REVIEW

4426
02:49:33,123 --> 02:49:35,425
RELY ON CENTRAL SERVICES TO 

4427
02:49:35,425 --> 02:49:36,359
PROVIDE THEIR FUNDING.

4428
02:49:36,359 --> 02:49:39,496
SO ONE OF THE OPTIONS THAT WAS 

4429
02:49:39,496 --> 02:49:40,964
ENVISIONED AND RECOMMENDED TO 

4430
02:49:40,964 --> 02:49:43,066
THIS GROUP WAS HAVING A SEPARATE

4431
02:49:43,066 --> 02:49:46,236
LINE ITEM AND THAT'S BEEN A 

4432
02:49:46,236 --> 02:49:46,970
LITTLE BIT MORE OF A CHALLENGE 

4433
02:49:46,970 --> 02:49:49,272
TO ANSWER THAT QUESTION.

4434
02:49:49,272 --> 02:49:50,173
>> OKAY.

4435
02:49:50,173 --> 02:49:51,141
THANK YOU.

4436
02:49:51,141 --> 02:49:54,911
WE HAVE MIKE AND THEN WE HAVE 

4437
02:49:54,911 --> 02:49:55,912
ONE MORE.

4438
02:49:55,912 --> 02:49:56,580
>> THANK YOU, I THOUGHT
THAT WAS

4439
02:49:56,580 --> 02:49:59,316
AWESOME.

4440
02:49:59,316 --> 02:50:02,686
AS I LOOK BACK ON THESE WORKING 

4441
02:50:02,686 --> 02:50:05,489
GROUP REPORTS, TO ME IT SEEMS 

4442
02:50:05,489 --> 02:50:07,057
LIKE SOME OF THEM IN THE TEN 

4443
02:50:07,057 --> 02:50:09,526
PLUS YEARS THAT HAVE GONE SINCE 

4444
02:50:09,526 --> 02:50:11,495
THE REPORTS WERE PUBLISHED I DO 

4445
02:50:11,495 --> 02:50:13,163
THINK SOME OF THEM WERE 

4446
02:50:13,163 --> 02:50:14,197
COMPLETELY ACTIONED AND FOR 

4447
02:50:14,197 --> 02:50:15,432
OTHER REPORTS IT SEEMS LIKE 

4448
02:50:15,432 --> 02:50:16,833
WE'RE STILL ASKING THOSE 

4449
02:50:16,833 --> 02:50:20,203
QUESTIONS YOU WERE ASKING BACK 

4450
02:50:20,203 --> 02:50:21,271
IN 2009.

4451
02:50:21,271 --> 02:50:23,073
AND I DON'T THINK WE'RE STILL 

4452
02:50:23,073 --> 02:50:24,474
ASKING THEM BECAUSE WE HAVEN'T 

4453
02:50:24,474 --> 02:50:26,710
DONE ANYTHING, THEY'RE JUST 

4454
02:50:26,710 --> 02:50:28,311
AHARD QUESTIONS THAT ARE BEING 

4455
02:50:28,311 --> 02:50:28,712
ASKED.

4456
02:50:28,712 --> 02:50:30,347
FROM THAT PERSPECTIVE, I WAS 

4457
02:50:30,347 --> 02:50:34,117
WONDERING IF YOU HAVE ADVICE.

4458
02:50:34,117 --> 02:50:37,687
TO ME IT SEEMS LIKE WE SHOULD WE

4459
02:50:37,687 --> 02:50:42,259
DECIDE BIG QUESTIONS OR MORE 

4460
02:50:42,259 --> 02:50:43,059
BITE-SIZED QUESTIONS?

4461
02:50:43,059 --> 02:50:45,195
ANOTHER QUESTION I'M WONDERING 

4462
02:50:45,195 --> 02:50:47,230
IS HOW DO WE SELECT QUESTIONS 

4463
02:50:47,230 --> 02:50:49,966
THAT HAVE THE BEST PATHWAY 

4464
02:50:49,966 --> 02:50:55,438
TOWARD BEING IMPLEMENTED AND 

4465
02:50:55,438 --> 02:51:05,982
ANOTHER QUESTION IS WE MAY ASK 

4466
02:51:06,416 --> 02:51:08,285
MAY NEED ADDITIONAL RESOURCES 

4467
02:51:08,285 --> 02:51:09,920
AND DO YOU HAVE ADVICE HAVING 

4468
02:51:09,920 --> 02:51:11,688
DONE THIS ONCE BEFORE OF WHAT 

4469
02:51:11,688 --> 02:51:14,090
QUESTIONS WE SHOULD DECIDE TO 

4470
02:51:14,090 --> 02:51:14,324
TACKLE?

4471
02:51:14,324 --> 02:51:21,898
>> YEAH, YOU KNOW, I THINK
YOU 

4472
02:51:21,898 --> 02:51:26,236
RAISE VALUABLE OPTION OR 

4473
02:51:26,236 --> 02:51:26,570
CONFIGURATION.

4474
02:51:26,570 --> 02:51:28,872
DO YOU TACKLE VERY LARGE 

4475
02:51:28,872 --> 02:51:31,575
TAUNTING PROBLEMS OR DO YOU TAKE

4476
02:51:31,575 --> 02:51:33,410
SMALL PALATABLE PIECES THAT 

4477
02:51:33,410 --> 02:51:43,053
MAYBE NOT HAVE THE EXTERNALITIES

4478
02:51:43,053 --> 02:51:46,489
AND MAYBE DO BOTH BUT ING TIME 

4479
02:51:46,489 --> 02:51:48,625
LINES WILL BE LONGER FOR SOME 

4480
02:51:48,625 --> 02:51:50,060
THAN OTHERS.

4481
02:51:50,060 --> 02:51:51,061
I'M SURE THERE ARE AREAS WE CAN 

4482
02:51:51,061 --> 02:51:53,129
CONSIDER AND AGAIN THIS IS GOING

4483
02:51:53,129 --> 02:51:55,065
TO BE SOMETHING THAT ANDREA AND 

4484
02:51:55,065 --> 02:51:58,702
WE WILL SORT OF THINK ABOUT 

4485
02:51:58,702 --> 02:51:59,636
UNDER THE CURRENT CIRCUMSTANCES.

4486
02:51:59,636 --> 02:52:01,838
I POINTED OUT THE CLINICAL 

4487
02:52:01,838 --> 02:52:03,440
CENTER THOUGH BUDGET WAS A MAJOR

4488
02:52:03,440 --> 02:52:06,409
ISSUE, THERE WERE OTHER ISSUES 

4489
02:52:06,409 --> 02:52:10,847
THAT LAT TO BE TACKLED AND SOME 

4490
02:52:10,847 --> 02:52:11,982
RECOMMENDATIONS MADE WERE 

4491
02:52:11,982 --> 02:52:13,884
IMPLEMENTED WHICH PARTIALLY 

4492
02:52:13,884 --> 02:52:16,152
IMPROVED THE SITUATION BUT GIVEN

4493
02:52:16,152 --> 02:52:17,888
WHERE WE ARE TODAY, WHICH IS 

4494
02:52:17,888 --> 02:52:20,090
DIFFERENT THAN 10 YEARS AGO, 

4495
02:52:20,090 --> 02:52:22,993
SOME OF THE PROBLEMS MIGHT BE 

4496
02:52:22,993 --> 02:52:26,196
MORE DAUNTING AND TAKE A LONGER 

4497
02:52:26,196 --> 02:52:30,734
TIME HORIZON TO ACCOMPLISH.

4498
02:52:30,734 --> 02:52:32,068
>> THAT DOESN'T MEAN WE 

4499
02:52:32,068 --> 02:52:33,103
SHOULDN'T LEAVE ANY STONE 

4500
02:52:33,103 --> 02:52:33,370
UNTURNED.

4501
02:52:33,370 --> 02:52:34,638
>> YES.

4502
02:52:34,638 --> 02:52:35,839
>> I THINK WE MIGHT SPEND
MORE 

4503
02:52:35,839 --> 02:52:37,140
TIME ON ONE THING OR ANOTHER BUT

4504
02:52:37,140 --> 02:52:43,046
WANT TO MAKE SURE WE DO THAT.

4505
02:52:43,046 --> 02:52:44,547
>> WILL LINDSEY.

4506
02:52:44,547 --> 02:52:46,249
>> YES, THANKS VERY MUCH
GRIF 

4507
02:52:46,249 --> 02:52:47,951
FOR REVIEWING THAT HISTORY.

4508
02:52:47,951 --> 02:52:48,885
SUPER HELPFUL.

4509
02:52:48,885 --> 02:52:50,854
IN ADDITION TO THE QUESTION OF 

4510
02:52:50,854 --> 02:52:54,958
WHAT LESSONS WERE LEARNED WHICH 

4511
02:52:54,958 --> 02:52:57,494
I THINK IS VERY IMPORTANT, 

4512
02:52:57,494 --> 02:52:58,128
BECAUSE SOME PREVIOUS REPORTS 

4513
02:52:58,128 --> 02:53:01,064
WERE IMPLEMENTS TO SOME EXTENT, 

4514
02:53:01,064 --> 02:53:03,066
IS THERE AN EXPECTATION WE 

4515
02:53:03,066 --> 02:53:04,167
ASSESS WHETHER THE EXPECTATIONS 

4516
02:53:04,167 --> 02:53:07,037
WERE MED OR CAN WE REALLY HAVE 

4517
02:53:07,037 --> 02:53:09,005
MORE OF A FORWARD LOOKING 

4518
02:53:09,005 --> 02:53:09,873
APPROACH.

4519
02:53:09,873 --> 02:53:13,476
WHAT CHALLENGES DO WE FACE TODAY

4520
02:53:13,476 --> 02:53:15,045
AND WHAT RECOMMENDATIONS MIGHT 

4521
02:53:15,045 --> 02:53:16,913
WE RECOMMEND TO ADDRESS THOSE?

4522
02:53:16,913 --> 02:53:20,550
>> THAT'S A GOOD POINT.

4523
02:53:20,550 --> 02:53:23,486
I DO A SURVEY OF WHAT THE 

4524
02:53:23,486 --> 02:53:26,589
OUTCOME WAS OF MAYBE VERSION 1.0

4525
02:53:26,589 --> 02:53:29,125
OR IF I UNDERSTAND THE QUESTION 

4526
02:53:29,125 --> 02:53:31,027
CORRECTLY, ARE THERE STILL SOME 

4527
02:53:31,027 --> 02:53:33,063
AREAS THAT ARE STILL REMAINING 

4528
02:53:33,063 --> 02:53:35,765
PROBLEMATIC NOW AND SHOULD WE 

4529
02:53:35,765 --> 02:53:38,068
LOOK AT THEM AGAIN OR JUST 

4530
02:53:38,068 --> 02:53:41,571
LOOKING BACKWARDS, DOES THIS 

4531
02:53:41,571 --> 02:53:43,039
GIVE US A BETTER PREDICTION OF 

4532
02:53:43,039 --> 02:53:44,975
WHAT AREAS WE MIGHT BE MORE 

4533
02:53:44,975 --> 02:53:46,176
SUCCESSFUL IN ACCOMPLISHING?

4534
02:53:46,176 --> 02:53:48,812
IT'S A VALUABLE POINT.

4535
02:53:48,812 --> 02:53:51,715
AGAIN, I CAN'T SPEAK TO THAT AS 

4536
02:53:51,715 --> 02:53:53,283
A GROUP COLLECTIVELY WE'LL HAVE 

4537
02:53:53,283 --> 02:53:53,717
TO DECIDE.

4538
02:53:53,717 --> 02:53:56,152
BUT I THINK YOUR QUESTION, IF I 

4539
02:53:56,152 --> 02:54:00,123
GOT YOU RIGHT, ARE THERE STILL 

4540
02:54:00,123 --> 02:54:02,058
AREAS THAT OR RECOMMENDATIONS 

4541
02:54:02,058 --> 02:54:03,626
PROPOSED SAY, 10 YEARS AGO THAT 

4542
02:54:03,626 --> 02:54:07,364
ARE STILL PROBLEMS AND WE SHOULD

4543
02:54:07,364 --> 02:54:08,865
REVISIT THEM IF THAT'S WHAT 

4544
02:54:08,865 --> 02:54:09,299
YOU'RE ASKING.

4545
02:54:09,299 --> 02:54:10,667
I THINK THAT'S SOMETHING WE 

4546
02:54:10,667 --> 02:54:11,634
SHOULD CONSIDER.

4547
02:54:11,634 --> 02:54:17,407
THAT'S MY OWN PERSONAL OPINION.

4548
02:54:17,407 --> 02:54:17,941
>> ANY FINAL COMMENTS OR 

4549
02:54:17,941 --> 02:54:23,413
QUESTIONS?

4550
02:54:23,413 --> 02:54:23,847
>> YES.

4551
02:54:23,847 --> 02:54:27,884
>> SO, EARLIER IN THE DAY
WE 

4552
02:54:27,884 --> 02:54:29,319
TALKED ABOUT A PROPOSAL THAT 

4553
02:54:29,319 --> 02:54:32,288
DIDN'T GO FORWARD AND I THINK 

4554
02:54:32,288 --> 02:54:34,157
LARRY MENTIONED SOMETHING ABOUT 

4555
02:54:34,157 --> 02:54:35,925
LACK OF STAKEHOLDER ENGAGEMENT.

4556
02:54:35,925 --> 02:54:38,395
COULD YOU COMMENT ON HOW THE 

4557
02:54:38,395 --> 02:54:42,866
PRIOR GROUP ENGAGED STAKEHOLDERS

4558
02:54:42,866 --> 02:54:44,901
AND PERHAPS OTHER ADDITIONAL IN 

4559
02:54:44,901 --> 02:54:46,136
YOUR EXPERIENCE MAY BE HELPFUL.

4560
02:54:46,136 --> 02:54:50,073
>> WELL, ON MANY OF THESE
GROUPS

4561
02:54:50,073 --> 02:54:52,108
I WAS ON A WORK GROUP THE 

4562
02:54:52,108 --> 02:54:53,910
COMMITTEE OR THE WORKING GROUP 

4563
02:54:53,910 --> 02:54:59,282
WAS VERY INTENTIONAL ABOUT 

4564
02:54:59,282 --> 02:55:09,793
HAVING SEVERAL PANELS TO GIVE 

4565
02:55:13,329 --> 02:55:14,264
REPRESENTATION PRESENTATIONS AND

4566
02:55:14,264 --> 02:55:18,234
SOME DIDN'T COME BUT SENT A LONG

4567
02:55:18,234 --> 02:55:20,103
DESCRIPT OF THEIR VIEW AND THE 

4568
02:55:20,103 --> 02:55:20,370
RATIONALE.

4569
02:55:20,370 --> 02:55:24,774
I WE DID TRY TO MAKE SURE THAT 

4570
02:55:24,774 --> 02:55:27,377
EVERY VOICE WAS HEARD BUT WE 

4571
02:55:27,377 --> 02:55:33,316
WERE FOCUSSING IN I THINK ON 

4572
02:55:33,316 --> 02:55:37,587
PEOPLE IN ADVOCACY GROUPS AND 

4573
02:55:37,587 --> 02:55:38,822
PROFESSIONAL SOCIETIES AND I 

4574
02:55:38,822 --> 02:55:42,659
THINK AS POINTED OUT, THERE ARE 

4575
02:55:42,659 --> 02:55:43,493
OTHER GROUPS THAT PERHAPS COULD 

4576
02:55:43,493 --> 02:55:45,695
HAVE HAD A CHANCE TO WEIGH IN SO

4577
02:55:45,695 --> 02:55:48,998
WE WOULD HAVE HAD A BETTER 

4578
02:55:48,998 --> 02:55:50,934
ESTIMATE OF WHAT THE LIKELY 

4579
02:55:50,934 --> 02:55:52,402
OUTCOME OF WOULD HAVE BEEN.

4580
02:55:52,402 --> 02:55:55,038
SO I WANT TO MAKE SURE THAT NO 

4581
02:55:55,038 --> 02:55:59,042
STONE IS UNTEURNED AND HAVE TO 

4582
02:55:59,042 --> 02:56:00,944
THINK MORE BROADLY ABOUT WHO TO 

4583
02:56:00,944 --> 02:56:03,980
GET INPUT FROM AS WE DELIBERATE 

4584
02:56:03,980 --> 02:56:09,052
ADDITIONAL ISSUES, I THINK.

4585
02:56:09,052 --> 02:56:09,752
>> OKAY.

4586
02:56:09,752 --> 02:56:12,889
PART 2, DR. TABAK.

4587
02:56:12,889 --> 02:56:13,923
>> AFTER LARRY SPEAKS WE
WILL 

4588
02:56:13,923 --> 02:56:24,400
HAVE TIME FOR A SHORT BREAK.

4589
02:56:29,973 --> 02:56:32,775
>> OKAY, THANKS, GRIF.

4590
02:56:32,775 --> 02:56:36,513
SO, NOW I WANT TO DO A DEEP DIVE

4591
02:56:36,513 --> 02:56:38,848
INTO THIS ONE REPORT, WHICH WAS 

4592
02:56:38,848 --> 02:56:42,452
THE FIRST, TALKING ABOUT HOW ONE

4593
02:56:42,452 --> 02:56:44,220
GOES ABOUT DELIBERATING 

4594
02:56:44,220 --> 02:56:46,523
ORGANIZATIONAL CHANGE AND 

4595
02:56:46,523 --> 02:56:46,856
EFFECTIVENESS.

4596
02:56:46,856 --> 02:56:50,493
SO, A FEW INTRODUCTORY REMARKS.

4597
02:56:50,493 --> 02:56:53,363
UM, I THINK MANY AND PERHAPS ALL

4598
02:56:53,363 --> 02:56:55,231
THE PRINCIPLES DESCRIBED IN THIS

4599
02:56:55,231 --> 02:56:57,867
REPORT MAY PROVE USEFUL TO GUIDE

4600
02:56:57,867 --> 02:57:00,336
THE CURRENT COMMITTEE'S WORK BUT

4601
02:57:00,336 --> 02:57:02,438
PLEASE UNDERSTAND WE ARE NOT 

4602
02:57:02,438 --> 02:57:03,339
BOUND BY THIS REPORT.

4603
02:57:03,339 --> 02:57:06,209
I'M JUST PRESENTING IT TO 

4604
02:57:06,209 --> 02:57:07,610
PROVIDE YOU BACKGROUND.

4605
02:57:07,610 --> 02:57:13,283
YOU CAN ACCEPT, MODIFY OR IGNORE

4606
02:57:13,283 --> 02:57:13,716
ANYTHING.

4607
02:57:13,716 --> 02:57:15,318
BUT THERE MAY BE SOME THINGS 

4608
02:57:15,318 --> 02:57:17,854
HERE THAT AT LEAST COULD BE A 

4609
02:57:17,854 --> 02:57:19,589
STARTING POINT FOR HOW THE GROUP

4610
02:57:19,589 --> 02:57:24,394
CHOOSES TO GO FORWARD.

4611
02:57:24,394 --> 02:57:24,661
OKAY.

4612
02:57:24,661 --> 02:57:29,832
SO YOU'VE HEARD ABOUT THIS 

4613
02:57:29,832 --> 02:57:34,871
BACKGROUND AND THERE IS A GREAT 

4614
02:57:34,871 --> 02:57:37,507
DEAL OF INTEREST IN THE 

4615
02:57:37,507 --> 02:57:40,243
COMMUNITIES, PLURAL, ABOUT THE 

4616
02:57:40,243 --> 02:57:44,781
NUMBER AND TYPES OF NIH 

4617
02:57:44,781 --> 02:57:47,050
INSTITUTES AND CENTERS.

4618
02:57:47,050 --> 02:57:51,854
OBVIOUSLY WE ALL UNDERSTAND THAT

4619
02:57:51,854 --> 02:57:53,356
INTERDISCIPLINARY, 

4620
02:57:53,356 --> 02:57:55,024
MULTIDISCIPLINARY TYPES OF 

4621
02:57:55,024 --> 02:57:56,226
RESEARCH ABOUND NOW.

4622
02:57:56,226 --> 02:58:01,064
NOT SO MAYBE 40 YEARS AGO.

4623
02:58:01,064 --> 02:58:03,566
AND CLEARLY AND EVERY ONE OF US 

4624
02:58:03,566 --> 02:58:05,435
COULD COME UP WITH AN EXAMPLE OF

4625
02:58:05,435 --> 02:58:07,036
DISCOVERY IN ONE FIELD HAS A 

4626
02:58:07,036 --> 02:58:10,240
PROFOUND IMPACT ON A COMPLETELY 

4627
02:58:10,240 --> 02:58:11,040
UNRELATED FIELD.

4628
02:58:11,040 --> 02:58:15,044
IT'S ACTUALLY FUN TO DO THAT 

4629
02:58:15,044 --> 02:58:16,179
EXERCISE.

4630
02:58:16,179 --> 02:58:19,315
AND SO IT'S POSSIBLE THAT A 

4631
02:58:19,315 --> 02:58:21,351
STRICT DISEASE FOCUS AND 

4632
02:58:21,351 --> 02:58:23,720
ORGANIZATIONAL UNITS MAY NOT 

4633
02:58:23,720 --> 02:58:25,555
FULLY CATALYZE SCIENTIFIC 

4634
02:58:25,555 --> 02:58:26,856
DISCOVERIES THAT LEAD TO THE 

4635
02:58:26,856 --> 02:58:27,357
MORE SUCCESSFUL TRUTH.

4636
02:58:27,357 --> 02:58:28,124
IT'S A QUESTION THAT NEEDS TO BE

4637
02:58:28,124 --> 02:58:32,495
ASKED.

4638
02:58:32,495 --> 02:58:34,063
YOU'VE SEEN THIS SLIDE OFTEN.

4639
02:58:34,063 --> 02:58:37,600
ONE COMMENT THAT'S BEEN MADE 

4640
02:58:37,600 --> 02:58:40,136
MANY TIMES IS THAT THE BUDGETS 

4641
02:58:40,136 --> 02:58:50,680
OF THE NIH INSTITUTES HAVE GROWN

4642
02:58:54,183 --> 02:58:59,055
IN EXTRICABLY AND THAT THE NOT 

4643
02:58:59,055 --> 02:59:04,027
TRUE AND NCI WAS ONE OF THE TWO 

4644
02:59:04,027 --> 02:59:05,328
INSTITUTES CREATE AND OTHERS 

4645
02:59:05,328 --> 02:59:05,995
WERE CREATED EARLY ON AND 

4646
02:59:05,995 --> 02:59:10,066
THEY'RE BUDGETS HAVE NOT GROWN 

4647
02:59:10,066 --> 02:59:10,933
TO THE SAME EXTENT.

4648
02:59:10,933 --> 02:59:13,736
AGAIN, I'M NOT MAKING A VALUE 

4649
02:59:13,736 --> 02:59:15,038
JUDGMENT WHETHER IT'S GOOD OR 

4650
02:59:15,038 --> 02:59:16,806
BAD BUT THE BLANKET STATEMENT 

4651
02:59:16,806 --> 02:59:18,141
THAT WELL, THEY'VE BEEN AROUND 

4652
02:59:18,141 --> 02:59:20,810
SO LONG AND KEEP GROWING 

4653
02:59:20,810 --> 02:59:21,077
UNCHECKED.

4654
02:59:21,077 --> 02:59:21,678
THAT'S NOT REALLY AN ACCURATE 

4655
02:59:21,678 --> 02:59:28,718
STATEMENT.

4656
02:59:28,718 --> 02:59:30,453
SO, JUST TO GIVE YOU A LITTLE 

4657
02:59:30,453 --> 02:59:35,591
BIT BACKGROUND THE NRC IN 2003 

4658
02:59:35,591 --> 02:59:38,528
OBSERVED THE FOLLOWING TWO 

4659
02:59:38,528 --> 02:59:39,062
THINGS.

4660
02:59:39,062 --> 02:59:40,630
THE EXISTING STRUCTURED RESULT 

4661
02:59:40,630 --> 02:59:43,499
WITH A SET OF COMPLEX EVOLVING 

4662
02:59:43,499 --> 02:59:46,436
SOCIAL AND POLITICAL 

4663
02:59:46,436 --> 02:59:48,805
NEGOTIATIONS AMONG A VARIETY OF 

4664
02:59:48,805 --> 02:59:49,339
CONSTITUENCIES INCLUDING 

4665
02:59:49,339 --> 02:59:51,040
CONGRESS, THE ADMINISTRATION, 

4666
02:59:51,040 --> 02:59:53,443
THE SCIENTIFIC COMMUNITY, HEALTH

4667
02:59:53,443 --> 02:59:55,044
ADVOCACY COMMUNITY AND OTHERS 

4668
02:59:55,044 --> 02:59:57,814
INTERESTED IN RESEARCH, RESEARCH

4669
02:59:57,814 --> 02:59:58,748
TRAINING AND PUBLIC POLICY 

4670
02:59:58,748 --> 03:00:03,219
RELATED TO RESEARCH.

4671
03:00:03,219 --> 03:00:04,520
THIS IS TRUE TODAY AS IT WAS 

4672
03:00:04,520 --> 03:00:09,359
BACK IN FWROOE.

4673
03:00:09,359 --> 03:00:18,401
-- 2003 FOR ANY POINT OF VIEW OR

4674
03:00:18,401 --> 03:00:22,038
PERFECT BUT NOT ONE CONGRESS OR 

4675
03:00:22,038 --> 03:00:23,673
THE SCIENTIFIC COMMUNITY WOULD 

4676
03:00:23,673 --> 03:00:25,975
HAVE BUT A USEFUL AND LIVELY 

4677
03:00:25,975 --> 03:00:28,945
PRODUCTIVE OUTCOME, ETCETERA.

4678
03:00:28,945 --> 03:00:31,914
SO THE POINT BEING THAT THIS 

4679
03:00:31,914 --> 03:00:33,349
ISSUE HAS BEEN OBSERVED 

4680
03:00:33,349 --> 03:00:37,754
MR. YEARS AGO AND IN FACT IF 

4681
03:00:37,754 --> 03:00:43,059
YOU'RE INSISTENT YOU CAN FIND 

4682
03:00:43,059 --> 03:00:45,061
DISCUSSIONS OF THIS IN THE '50 

4683
03:00:45,061 --> 03:00:49,899
RASE AND '60s AND THIS SAYS IT 

4684
03:00:49,899 --> 03:00:50,299
PRETTY CLEAR.

4685
03:00:50,299 --> 03:00:55,037
THIS FRAMEWORK PROVIDED SOME 

4686
03:00:55,037 --> 03:00:56,339
GUIDING PRINCIPLES AROUND STEPS 

4687
03:00:56,339 --> 03:00:58,508
AND CONSIDERATIONS AND THEN 

4688
03:00:58,508 --> 03:01:01,277
UNDERPINNING ATTRIBUTES.

4689
03:01:01,277 --> 03:01:02,979
AGAIN, SOME OF WHICH, ALL OF 

4690
03:01:02,979 --> 03:01:04,747
WHICH, NONE OF WHICH MAY BE 

4691
03:01:04,747 --> 03:01:05,415
USEFUL TO YOU.

4692
03:01:05,415 --> 03:01:08,618
AMONG THE GUIDING PRINCIPLES, 

4693
03:01:08,618 --> 03:01:10,787
WE'RE DOING THIS TO STRENGTHEN 

4694
03:01:10,787 --> 03:01:14,257
THE ABILITIES OF NIH TO CARRY 

4695
03:01:14,257 --> 03:01:15,324
OUT IT'S MISSION.

4696
03:01:15,324 --> 03:01:16,993
HOPEFULLY EVERYONE AGREES WITH 

4697
03:01:16,993 --> 03:01:17,560
THAT.

4698
03:01:17,560 --> 03:01:18,928
PROVIDE ENVIRONMENT FOR 

4699
03:01:18,928 --> 03:01:19,562
COLLABORATION, COORDINATION AND 

4700
03:01:19,562 --> 03:01:22,165
INTERACTION.

4701
03:01:22,165 --> 03:01:23,866
BRING TOGETHER SYNERGIES, 

4702
03:01:23,866 --> 03:01:26,302
ENHANCE PUBLIC UNDERSTANDING, 

4703
03:01:26,302 --> 03:01:27,103
CONFIDENCE AND SUPPORT AND 

4704
03:01:27,103 --> 03:01:29,639
INCREASE OPERATIONAL EFFICIENCY.

4705
03:01:29,639 --> 03:01:30,807
HARD TO VOTE AGAINST ANY OF 

4706
03:01:30,807 --> 03:01:32,775
THOSE GUIDING PRINCIPLES BUT 

4707
03:01:32,775 --> 03:01:34,877
PERHAPS WE CAN UPDATE THEM, 

4708
03:01:34,877 --> 03:01:36,045
PERHAPS THEY CAN BE MADE 

4709
03:01:36,045 --> 03:01:39,048
CLEARER, BETTER, SO FORTH.

4710
03:01:39,048 --> 03:01:40,183
THE STEPS AND CONSIDERATIONS 

4711
03:01:40,183 --> 03:01:41,918
THAT ONE NEEDS TO TAKE.

4712
03:01:41,918 --> 03:01:43,085
THE FIRST STEP, ASSESS THE NEED 

4713
03:01:43,085 --> 03:01:46,322
FOR CHANGE.

4714
03:01:46,322 --> 03:01:48,591
TO USE THE COLLOQUIAL, WHAT'S 

4715
03:01:48,591 --> 03:01:48,991
BROKEN.

4716
03:01:48,991 --> 03:01:51,360
STEP TWO, EVALUATE OPTIONS FOR 

4717
03:01:51,360 --> 03:01:54,497
CHANGE, HOW DO YOU FIX IT, STEP 

4718
03:01:54,497 --> 03:01:55,932
THREE, IMPLEMENT AND EVALUATE 

4719
03:01:55,932 --> 03:01:58,568
THE CHANGE AND THE DISCUSSION WE

4720
03:01:58,568 --> 03:02:00,736
JUST HAD SPEAKS TO THAT.

4721
03:02:00,736 --> 03:02:02,205
THERE WERE CERTAIN THINGS THAT 

4722
03:02:02,205 --> 03:02:03,573
WERE IMPLEMENTED.

4723
03:02:03,573 --> 03:02:05,508
CERTAIN THINGS WEREN'T.

4724
03:02:05,508 --> 03:02:06,309
WHY NOT?

4725
03:02:06,309 --> 03:02:08,110
COULD THAT BE INSTRUCTIVE GOING 

4726
03:02:08,110 --> 03:02:10,646
FORWARD PARTICULARLY IF IT'S THE

4727
03:02:10,646 --> 03:02:12,148
SAME OR RELATED QUESTION.

4728
03:02:12,148 --> 03:02:13,649
AND THE UNDERPINNING ATTRIBUTES 

4729
03:02:13,649 --> 03:02:16,486
AND HOPEFULLY NO ONE HAS ISSUES 

4730
03:02:16,486 --> 03:02:17,887
WITH THESE, TRANSPARENCY 

4731
03:02:17,887 --> 03:02:18,321
COMMUNICATION AND 

4732
03:02:18,321 --> 03:02:18,888
ACCOUNTABILITY.

4733
03:02:18,888 --> 03:02:20,656
WE HAVE TO DO EVERYTHING 

4734
03:02:20,656 --> 03:02:22,859
POSSIBLE TO MAKE SURE THAT AS 

4735
03:02:22,859 --> 03:02:23,659
MANY STAKEHOLDER GROUP 

4736
03:02:23,659 --> 03:02:25,728
UNDERSTAND WHAT WE'RE DOING, WHY

4737
03:02:25,728 --> 03:02:27,029
WE'RE DOING IT SO THERE'S NO 

4738
03:02:27,029 --> 03:02:32,702
SURPRISES IN THE END.

4739
03:02:32,702 --> 03:02:34,971
SO, THE GROUP DECIDED ON A 

4740
03:02:34,971 --> 03:02:37,073
WORKING DEFINITION OF 

4741
03:02:37,073 --> 03:02:39,375
ORGANIZATIONAL CHANGE.

4742
03:02:39,375 --> 03:02:40,843
ANY MODIFICATION OF THE 

4743
03:02:40,843 --> 03:02:42,378
STRUCTURE OR ITS WAYS OF 

4744
03:02:42,378 --> 03:02:44,413
ARRANGING AND COORDINATING THE 

4745
03:02:44,413 --> 03:02:45,882
COMPONENT PARTS TO ACHIEVE ITS 

4746
03:02:45,882 --> 03:02:48,384
MISSION, THIS IS DRIVEN BOTH 

4747
03:02:48,384 --> 03:02:51,354
INTERNALLY AND EXTERNALLY.

4748
03:02:51,354 --> 03:02:53,256
STRUCTURAL ORGANIZATIONAL CHANGE

4749
03:02:53,256 --> 03:02:55,725
ENTAILS A CREATION OF NEW 

4750
03:02:55,725 --> 03:02:57,393
ORGANIZATIONAL COMPONENTS AND/OR

4751
03:02:57,393 --> 03:03:02,164
MERGER OR ELIMINATION OF NIHs 27

4752
03:03:02,164 --> 03:03:04,567
INSTITUTES AND CENTERS.

4753
03:03:04,567 --> 03:03:05,468
FUNCTIONAL ORGANIZATIONAL CHANGE

4754
03:03:05,468 --> 03:03:06,869
CONSISTENT OF THE DESIGN AND 

4755
03:03:06,869 --> 03:03:10,239
IMPLEMENTATION OF NEW MECHANISMS

4756
03:03:10,239 --> 03:03:12,975
FOR COORDINATING THE WORK OF 

4757
03:03:12,975 --> 03:03:14,076
EXISTING COMPONENTS AND VARIOUS 

4758
03:03:14,076 --> 03:03:16,646
WAYS OF ACCOMPLISHING THAT.

4759
03:03:16,646 --> 03:03:18,981
SO IN OTHER WORDS, THERE'S TWO 

4760
03:03:18,981 --> 03:03:23,052
PATHWAYS AND THEY ARE NOT 

4761
03:03:23,052 --> 03:03:24,787
MUTUALLY EXCLUSIVE.

4762
03:03:24,787 --> 03:03:27,390
YOU CAN MERGE TWO INSTITUTES 

4763
03:03:27,390 --> 03:03:29,225
TOGETHER AND CREATE SOMETHING 

4764
03:03:29,225 --> 03:03:32,929
NEW OR FUNCTIONALLY YOU CAN HAVE

4765
03:03:32,929 --> 03:03:35,064
THEM WORK MORE CLOSELY TOGETHER 

4766
03:03:35,064 --> 03:03:40,469
USING VARIOUS MECHANISMS NORAH 

4767
03:03:40,469 --> 03:03:47,043
CAN SPEAK TO BECAUSE WE INVOKED 

4768
03:03:47,043 --> 03:03:56,118
FUNCTIONAL CHANGE WITH NNIA AND 

4769
03:03:56,118 --> 03:03:56,319
NIDA.

4770
03:03:56,319 --> 03:03:59,822
AND IN TERMS OF ASPECTS OF 

4771
03:03:59,822 --> 03:04:00,623
ORGANIZATIONAL CHANGE.

4772
03:04:00,623 --> 03:04:03,392
CHANGE IN GOVERNMENTAL ENTITIES 

4773
03:04:03,392 --> 03:04:05,094
IS COMPLICATED BY TLAURT AND 

4774
03:04:05,094 --> 03:04:11,033
LACK OF WELL DEFINED AND 

4775
03:04:11,033 --> 03:04:14,637
UNIVERSALLY AGREED UPON METRICS 

4776
03:04:14,637 --> 03:04:21,310
AND POWERFUL STAKEHOLDERS AND 

4777
03:04:21,310 --> 03:04:21,677
CONSTITUENCIES.

4778
03:04:21,677 --> 03:04:23,546
THAT'S NOT CHANGED.

4779
03:04:23,546 --> 03:04:28,951
IN THE SECTOR THE METRICS CAN 

4780
03:04:28,951 --> 03:04:30,052
INFORM DISCUSSIONS.

4781
03:04:30,052 --> 03:04:31,487
IN YOUR ORGANIZATIONS AND 

4782
03:04:31,487 --> 03:04:32,922
ACADEMIC ORGANIZATIONS, IF YOU 

4783
03:04:32,922 --> 03:04:39,395
HAVE THESE METRICS, PERHAPS SOME

4784
03:04:39,395 --> 03:04:40,830
HAVE BEEN USEFUL TO YOU AS YOU 

4785
03:04:40,830 --> 03:04:42,198
LEAD CHANGE IN YOUR 

4786
03:04:42,198 --> 03:04:42,531
ORGANIZATIONS.

4787
03:04:42,531 --> 03:04:43,566
WE HOPE YOU'LL SHARE THOSE 

4788
03:04:43,566 --> 03:04:48,237
EXAMPLES WITH US AND IF THIS 

4789
03:04:48,237 --> 03:04:50,039
ISN'T TAKEN ADVANTAGE OF WE 

4790
03:04:50,039 --> 03:04:51,374
BRING IN EXPERTS WHO ALSO THINK 

4791
03:04:51,374 --> 03:04:55,044
ABOUT THIS DEEPLY.

4792
03:04:55,044 --> 03:04:57,079
MAJOR CHANGES READILY 

4793
03:04:57,079 --> 03:04:59,048
IMPLEMENTED IN THE FACE OF 

4794
03:04:59,048 --> 03:05:03,052
CRISIS THREATENING THE EXISTENCE

4795
03:05:03,052 --> 03:05:04,320
OF THE ORGANIZATION.

4796
03:05:04,320 --> 03:05:07,056
WE REFERRED TO THE RED TEAM 

4797
03:05:07,056 --> 03:05:08,224
REPORT.

4798
03:05:08,224 --> 03:05:13,562
WE HAD A SENTINEL EVENT IN THE 

4799
03:05:13,562 --> 03:05:15,131
CLINICAL CENTER THAT REQUIRED 

4800
03:05:15,131 --> 03:05:17,199
IMMEDIATE WORK AND THAT DID 

4801
03:05:17,199 --> 03:05:21,270
CATALYZE CHANGE THERE.

4802
03:05:21,270 --> 03:05:23,572
CHANGE REQUIRES INVESTMENTS IN 

4803
03:05:23,572 --> 03:05:27,376
TIME AND POLITICAL.

4804
03:05:27,376 --> 03:05:28,377
SUFFICIENT RESOURCES FOR 

4805
03:05:28,377 --> 03:05:33,382
IMPLEMENTATION AND ATTENTION OF 

4806
03:05:33,382 --> 03:05:35,251
ORGANIZATIONAL LEADERS.

4807
03:05:35,251 --> 03:05:40,389
PART OF THE FAILURE, IF YOU WILL

4808
03:05:40,389 --> 03:05:42,058
OF IMPLEMENTING EVERYTHING IS 

4809
03:05:42,058 --> 03:05:43,592
ALONG THE WAY THERE'S LEADERSHIP

4810
03:05:43,592 --> 03:05:43,826
CHANGES.

4811
03:05:43,826 --> 03:05:45,695
WHEN YOU HAVE A NEW LEADER, HE 

4812
03:05:45,695 --> 03:05:48,931
OR SHE HAS SOME NEW IDEAS SO NOT

4813
03:05:48,931 --> 03:05:49,598
NECESSARILY DO YOU FEEL YOU HAVE

4814
03:05:49,598 --> 03:05:50,833
TO FOLLOW THE BLUEPRINT OF YOUR 

4815
03:05:50,833 --> 03:05:55,271
PREDECESSOR.

4816
03:05:55,271 --> 03:05:56,072
NOT ALWAYS BUT THAT'S SOMETIMES 

4817
03:05:56,072 --> 03:05:57,373
THE CASE.

4818
03:05:57,373 --> 03:05:57,573
OKAY.

4819
03:05:57,573 --> 03:05:58,541
SO THE FUNDAMENTAL PREMISE AND 

4820
03:05:58,541 --> 03:06:01,744
GUIDING PRINCIPLES.

4821
03:06:01,744 --> 03:06:03,713
ANY ORGANIZATIONAL CHANGE AT NIH

4822
03:06:03,713 --> 03:06:06,816
HAS TO SEEK TO IMPROVE THE 

4823
03:06:06,816 --> 03:06:07,450
AGENCY'S ABILITY TO FULFILL ITS 

4824
03:06:07,450 --> 03:06:12,354
MISSION.

4825
03:06:12,354 --> 03:06:13,789
TO THE NIH MISSION STATEMENT IS 

4826
03:06:13,789 --> 03:06:15,925
THERE.

4827
03:06:15,925 --> 03:06:17,126
PARENTHETICALLY WE'RE IN THE 

4828
03:06:17,126 --> 03:06:18,561
THROES OF WORKING THROUGH 

4829
03:06:18,561 --> 03:06:19,662
DELIBERATIVE PROCESS TO SEE IF 

4830
03:06:19,662 --> 03:06:26,402
WE WANT TO CHANGE THE MISSION 

4831
03:06:26,402 --> 03:06:28,671
STATEMENT THERE'S ISSUES RELATED

4832
03:06:28,671 --> 03:06:31,607
TO CALLING OUT THE BURDENS OF 

4833
03:06:31,607 --> 03:06:33,876
DISABILITY AND SOME MEMBERS OF 

4834
03:06:33,876 --> 03:06:34,844
THE DISABILITY COMMUNITY ARE 

4835
03:06:34,844 --> 03:06:37,713
OFFENDED BY THAT AND SOME ARE 

4836
03:06:37,713 --> 03:06:38,547
OFFENDED BY THE QUESTION SHOULD 

4837
03:06:38,547 --> 03:06:40,616
WE REMOVE IT.

4838
03:06:40,616 --> 03:06:42,017
WE COUNTED ALL THE VOTES AND 

4839
03:06:42,017 --> 03:06:45,054
THEY'RE EXACTLY THE SAME ON BOTH

4840
03:06:45,054 --> 03:06:45,955
SIDES OF THE ARGUMENT AND 

4841
03:06:45,955 --> 03:06:50,826
CONTINUE TO WORK THAT BY WAY OF 

4842
03:06:50,826 --> 03:06:51,193
BACKGROUND.

4843
03:06:51,193 --> 03:06:54,163
BUT THAT SAID, CHANGE TO THE 

4844
03:06:54,163 --> 03:06:56,999
FOUR BULLETS LISTED THERE, I'M 

4845
03:06:56,999 --> 03:06:59,068
NOT GOING TO READ THROUGH THEM, 

4846
03:06:59,068 --> 03:07:02,338
BUT YOU CAN SEE THESE ARE PRETTY

4847
03:07:02,338 --> 03:07:03,939
MUCH UNDERSTANDABLE AND I DON'T 

4848
03:07:03,939 --> 03:07:04,774
THINK ANYBODY WOULD BE SURPRISE 

4849
03:07:04,774 --> 03:07:08,110
BY THIS.

4850
03:07:08,110 --> 03:07:11,046
SO, WE HAVE TO STRENGTHEN NIH'S 

4851
03:07:11,046 --> 03:07:13,449
ABILITY TO CARRY OUT ITS 

4852
03:07:13,449 --> 03:07:13,682
MISSION.

4853
03:07:13,682 --> 03:07:14,416
I THINK EVERYBODY APPRECIATED 

4854
03:07:14,416 --> 03:07:18,821
WE'VE GOT TO CONTINUE TO ADAPT 

4855
03:07:18,821 --> 03:07:20,256
BOTH STRUCTURALLY AND 

4856
03:07:20,256 --> 03:07:22,124
FUNCTIONALLY TO THIS HIGHLY 

4857
03:07:22,124 --> 03:07:24,293
DYNAMIC SCIENTIFIC DISCOVERY AND

4858
03:07:24,293 --> 03:07:26,095
TRANSLATIONAL PROCESS TO MEET 

4859
03:07:26,095 --> 03:07:27,396
UNFORESEEN CHALLENGES AND 

4860
03:07:27,396 --> 03:07:28,964
CAPITALIZE ON EMERGING 

4861
03:07:28,964 --> 03:07:29,532
OPPORTUNITIES.

4862
03:07:29,532 --> 03:07:31,033
WELL, JUST THINK BACK A FEW 

4863
03:07:31,033 --> 03:07:33,903
YEARS WHEN WE WERE CONFRONTED 

4864
03:07:33,903 --> 03:07:39,041
WITH THE GREATEST PANDEMIC OF 

4865
03:07:39,041 --> 03:07:43,646
OUR GENERATION AND WE LEARNED A 

4866
03:07:43,646 --> 03:07:44,747
LOT ABOUT STRESSES IN OUR 

4867
03:07:44,747 --> 03:07:45,848
ORGANIZATION AND LEARNED SOME 

4868
03:07:45,848 --> 03:07:48,117
THINGS WE WERE ABLE TO NAVIGATE 

4869
03:07:48,117 --> 03:07:49,852
PRETTY QUICKLY AND SOMEWHERE WE 

4870
03:07:49,852 --> 03:07:51,620
HAD SOME BARRIERS.

4871
03:07:51,620 --> 03:07:53,489
THAT MAY GAVE US SOME INSIGHT 

4872
03:07:53,489 --> 03:07:56,992
GOING FORWARD OR AT LEAST SUBSET

4873
03:07:56,992 --> 03:07:58,594
OF THESE THINGS.

4874
03:07:58,594 --> 03:08:01,730
BUT IN FACT, THIS WAS 

4875
03:08:01,730 --> 03:08:02,898
HYPOTHETICAL WHEN IT WAS 

4876
03:08:02,898 --> 03:08:05,935
WRITTEN, UNFORESEEN CHALLENGES.

4877
03:08:05,935 --> 03:08:06,569
NOW WE KNOW THEY CAN ACTUALLY 

4878
03:08:06,569 --> 03:08:08,137
EMERGE.

4879
03:08:08,137 --> 03:08:10,339
THE SECOND IS THAT WE SHOULD 

4880
03:08:10,339 --> 03:08:13,375
PROVIDE AN ENVIRONMENT TO ENABLE

4881
03:08:13,375 --> 03:08:15,044
MORE EFFECTIVE COLLABORATION.

4882
03:08:15,044 --> 03:08:17,213
AGAIN, I THINK NO BUN WOULD 

4883
03:08:17,213 --> 03:08:18,781
AGREE WITH THAT THE QUESTION IS 

4884
03:08:18,781 --> 03:08:20,049
HOW BEST TO DO THAT BECAUSE 

4885
03:08:20,049 --> 03:08:21,617
OBVIOUSLY THERE'S MANY WAYS OF 

4886
03:08:21,617 --> 03:08:25,154
DOING THAT.

4887
03:08:25,154 --> 03:08:26,755
ORGANIZATIONAL CHANGE AND BRING 

4888
03:08:26,755 --> 03:08:28,691
TOGETHER UNITS WHERE THERE'S 

4889
03:08:28,691 --> 03:08:29,258
ENERGIES.

4890
03:08:29,258 --> 03:08:32,461
BRING TOGETHER IS AMBIGUOUS 

4891
03:08:32,461 --> 03:08:32,728
PURPOSELY.

4892
03:08:32,728 --> 03:08:38,133
AGAIN IS IT STRUCTURAL OR 

4893
03:08:38,133 --> 03:08:39,468
FUNCTIONAL OR COMBINATION 

4894
03:08:39,468 --> 03:08:43,939
THEREOF.

4895
03:08:43,939 --> 03:08:47,276
CONFIDENCE IN AND SUPPORT FOR 

4896
03:08:47,276 --> 03:08:51,046
SCIENCE IN THE NIH, WELL THAT 

4897
03:08:51,046 --> 03:08:53,115
WAS PRESCIENT AND HERE WE ARE 

4898
03:08:53,115 --> 03:08:55,217
AND ALL THOSE THINGS ARE TRUE 

4899
03:08:55,217 --> 03:08:57,887
AND HOW DO WE GO ABOUT 

4900
03:08:57,887 --> 03:08:58,187
IMPROVING?

4901
03:08:58,187 --> 03:09:02,892
WE HAD INITIAL DISCUSSION ABOUT 

4902
03:09:02,892 --> 03:09:13,135
THIS ALREADY.

4903
03:09:19,108 --> 03:09:21,010
WE HAVE TO WORRY ABOUT NIH SO 

4904
03:09:21,010 --> 03:09:24,780
IT'S ONE WE HAVE TO TAKE INTO 

4905
03:09:24,780 --> 03:09:25,581
ACCOUNT.

4906
03:09:25,581 --> 03:09:26,949
ORGANIZATIONAL CHANGE SHOULD 

4907
03:09:26,949 --> 03:09:28,951
INCREASE OPERATIONAL EFFICIENCY 

4908
03:09:28,951 --> 03:09:33,989
AND A HIGH RETURN ON PUBLIC 

4909
03:09:33,989 --> 03:09:34,290
INVESTMENT.

4910
03:09:34,290 --> 03:09:37,693
FROM A STRICTLY ADMINISTRATIVE 

4911
03:09:37,693 --> 03:09:38,928
VIEW POINT THERE'S ECONOMIES OF 

4912
03:09:38,928 --> 03:09:41,163
SCALE TO BE HAD.

4913
03:09:41,163 --> 03:09:45,267
NOT NECESSARILY BY MERGING 

4914
03:09:45,267 --> 03:09:45,801
EVERYTHING BUT THERE ARE 

4915
03:09:45,801 --> 03:09:48,170
NEVERTHELESS ECONOMIES OF SCALE.

4916
03:09:48,170 --> 03:09:51,040
SOME OF THE INSTITUTES HAVE 

4917
03:09:51,040 --> 03:09:57,212
REALLY PIONEERED THE USE OF 

4918
03:09:57,212 --> 03:09:59,581
MACHINE LEARNING TO REALLY 

4919
03:09:59,581 --> 03:10:01,317
INCREASE EFFICIENCY OF CERTAIN 

4920
03:10:01,317 --> 03:10:02,217
ROUTINE KINDS OF THINGS.

4921
03:10:02,217 --> 03:10:05,754
THERE'S THAT TYPE OF 

4922
03:10:05,754 --> 03:10:06,055
APPLICATION.

4923
03:10:06,055 --> 03:10:08,691
SO I THINK WE'RE NOW IN A SPACE 

4924
03:10:08,691 --> 03:10:10,859
WHERE IT'S MUCH MORE 

4925
03:10:10,859 --> 03:10:12,027
SOPHISTICATED THAN SIMPLY TAKING

4926
03:10:12,027 --> 03:10:13,228
TWO ENTITIES, MUSHING THEM 

4927
03:10:13,228 --> 03:10:14,563
TOGETHER AND SAYING NOW WE NEED 

4928
03:10:14,563 --> 03:10:17,032
ONE OF EVERYTHING.

4929
03:10:17,032 --> 03:10:18,267
OBVIOUSLY THAT'S A TREMENDOUS 

4930
03:10:18,267 --> 03:10:19,802
OVER SIMPLIFICATION.

4931
03:10:19,802 --> 03:10:22,104
I THINK WE CAN GO WELL BEYOND 

4932
03:10:22,104 --> 03:10:23,439
THAT SIMPLE PARADIGM.

4933
03:10:23,439 --> 03:10:27,042
OKAY.

4934
03:10:27,042 --> 03:10:29,912
SO THE PROCESS OF EVERYTHING.

4935
03:10:29,912 --> 03:10:31,347
SO THE FIRST, ASSESS THE NEED 

4936
03:10:31,347 --> 03:10:32,948
FOR CHANGE.

4937
03:10:32,948 --> 03:10:36,652
CLARIFY THE NATURE OF THE 

4938
03:10:36,652 --> 03:10:38,253
ALLEGED NEED.

4939
03:10:38,253 --> 03:10:39,221
SIMPLE TO SAY, NOT NECESSARILY 

4940
03:10:39,221 --> 03:10:40,823
EASY TO DO.

4941
03:10:40,823 --> 03:10:42,558
AND ABOUT THE EVIDENCE REQUIRED 

4942
03:10:42,558 --> 03:10:45,160
FOR ESTABLISHING SUCH A NEED TO 

4943
03:10:45,160 --> 03:10:47,730
THE CLAIR'S POINT, ARE WE GOING 

4944
03:10:47,730 --> 03:10:48,764
TO GET THE DATA 

4945
03:10:48,764 --> 03:10:50,499
>> YES, BECAUSE WITHOUT
THE DATA

4946
03:10:50,499 --> 03:10:51,767
WE'RE WORKING BLIND.

4947
03:10:51,767 --> 03:10:54,169
IS THERE A HEALTH PROBLEM OR 

4948
03:10:54,169 --> 03:10:56,372
IMPORTANT AREA OF SCIENTIFIC 

4949
03:10:56,372 --> 03:11:05,647
INQUIRY BEING NEGLECTED OR 

4950
03:11:05,647 --> 03:11:06,582
INADEQUATELY ADDRESSED AND GOING

4951
03:11:06,582 --> 03:11:07,683
BACK TO THE NCATS THERE WAS A 

4952
03:11:07,683 --> 03:11:12,421
THOUGHT THERE WAS A VOID IN 

4953
03:11:12,421 --> 03:11:13,088
ENHANCING TRANSLATIONAL SCIENCES

4954
03:11:13,088 --> 03:11:15,824
IN GENERAL AND THE IMPETUS WHERE

4955
03:11:15,824 --> 03:11:16,492
NCATS WERE BORN.

4956
03:11:16,492 --> 03:11:21,663
IS THERE A WAY TO IMPROVE THE 

4957
03:11:21,663 --> 03:11:24,633
WAY THE AGENCY'S FULFILL OUR 

4958
03:11:24,633 --> 03:11:28,437
MISSION AND WHAT IS THE BEST 

4959
03:11:28,437 --> 03:11:28,937
APPROACH.

4960
03:11:28,937 --> 03:11:31,807
HOW DO WE FOSTER INNOVATION AND 

4961
03:11:31,807 --> 03:11:32,674
SCIENTIFIC ADVANCEMENT.

4962
03:11:32,674 --> 03:11:35,978
HOW DO WE PROTECT AND IMPROVE 

4963
03:11:35,978 --> 03:11:37,579
PUBLIC HEALTH?

4964
03:11:37,579 --> 03:11:38,981
AGAIN, PRESCIENT.

4965
03:11:38,981 --> 03:11:40,649
WE WEREN'T NECESSARILY THINKING 

4966
03:11:40,649 --> 03:11:42,785
AS SERIOUSLY ABOUT IT THEN AS WE

4967
03:11:42,785 --> 03:11:44,119
DO TODAY BECAUSE OF WHAT WE'VE 

4968
03:11:44,119 --> 03:11:46,388
BEEN THROUGH IN TERMS OF THE 

4969
03:11:46,388 --> 03:11:47,489
PANDEMIC.

4970
03:11:47,489 --> 03:11:48,757
STEWARDING THE HUMAN AND 

4971
03:11:48,757 --> 03:11:53,028
PHYSICAL RESOURCES TO PREVENT 

4972
03:11:53,028 --> 03:11:55,064
DISEASE, PROMOTING SCIENTIFIC 

4973
03:11:55,064 --> 03:11:57,199
INTEGRITY, PUBLIC ACCOUNTABILITY

4974
03:11:57,199 --> 03:11:58,233
AND SOCIAL RESPONSIBILITY AGAIN 

4975
03:11:58,233 --> 03:12:00,502
HAVING COME THROUGH THE 

4976
03:12:00,502 --> 03:12:01,503
PANDEMIC, THIS SORT OF TAKES ON 

4977
03:12:01,503 --> 03:12:04,273
A BIT OF A NEW MEANING AND MORE 

4978
03:12:04,273 --> 03:12:07,943
IMPORTANT MEANING I THINK.

4979
03:12:07,943 --> 03:12:10,646
HOW DO YOU EVALUATE THE OPTIONS 

4980
03:12:10,646 --> 03:12:11,313
FOR CHANGE?

4981
03:12:11,313 --> 03:12:12,314
SUFFICIENT NEED FOR CHANGE CAN 

4982
03:12:12,314 --> 03:12:14,149
BE DEMONSTRATED THE NEXT STEP IS

4983
03:12:14,149 --> 03:12:16,318
TO CLEARLY EVALUATE THE OPTIONS.

4984
03:12:16,318 --> 03:12:18,921
WHAT ARE THE VIABLE OPTIONS, 

4985
03:12:18,921 --> 03:12:20,823
WHAT ARE THE RISK BENEFIT 

4986
03:12:20,823 --> 03:12:23,225
ANALYSTSES FOR EACH OPTION AND 

4987
03:12:23,225 --> 03:12:24,860
SOLICIT AND ANALYZE KEY 

4988
03:12:24,860 --> 03:12:26,628
STAKEHOLDER PERSPECTIVES ON EACH

4989
03:12:26,628 --> 03:12:28,397
OPTION, IDENTIFY AND ANALYZE THE

4990
03:12:28,397 --> 03:12:31,066
BROADER IMPLICATIONS OF EACH 

4991
03:12:31,066 --> 03:12:31,533
OPTION.

4992
03:12:31,533 --> 03:12:33,669
AS WE THINK BACK AND WITH THE 

4993
03:12:33,669 --> 03:12:35,938
BENEFIT OF HINDSIGHT AND WE 

4994
03:12:35,938 --> 03:12:38,941
ALREADY ALLUDED TO IT, STEP C, 

4995
03:12:38,941 --> 03:12:40,375
ANALYZING KEY STAKEHOLDER 

4996
03:12:40,375 --> 03:12:41,577
PERSPECTIVES, WE HAVE TO BE MUCH

4997
03:12:41,577 --> 03:12:42,811
BROADER IN OUR VIEW OF WHO THOSE

4998
03:12:42,811 --> 03:12:46,448
STAKEHOLDERS ARE.

4999
03:12:46,448 --> 03:12:48,650
SO WE DON'T RUN OURSELVES INTO 

5000
03:12:48,650 --> 03:12:51,053
ANOTHER IMPRACTICAL OR 

5001
03:12:51,053 --> 03:12:53,088
IMPOSSIBLE SITUATION.

5002
03:12:53,088 --> 03:12:55,724
SO THIS IS A CARTOON FOR THOSE 

5003
03:12:55,724 --> 03:13:00,696
WHO ARE VISUAL.

5004
03:13:00,696 --> 03:13:02,598
I AM NOT BUT IT LISTS THE 

5005
03:13:02,598 --> 03:13:07,503
SPECTRUM OF OPTIONS FROM NO 

5006
03:13:07,503 --> 03:13:09,204
CHANGE TO A NEW INSTITUTE ON 

5007
03:13:09,204 --> 03:13:12,341
YOUR RIGHT.

5008
03:13:12,341 --> 03:13:13,976
YOU CAN MERGE INITIATIVES AMONG 

5009
03:13:13,976 --> 03:13:16,411
TWO OR MORE INSTITUTES, WHICH 

5010
03:13:16,411 --> 03:13:18,046
CREATES A NEW INITIATIVE.

5011
03:13:18,046 --> 03:13:20,082
YOU CAN PUT INITIATIVES ACROSS 

5012
03:13:20,082 --> 03:13:24,486
MULTIPLE INSTITUTES AND CENTERS.

5013
03:13:24,486 --> 03:13:28,056
YOU CAN CLUSTER FUNCTIONS, YOU 

5014
03:13:28,056 --> 03:13:30,626
CAN MERGE INSTITUTES OR MAKE A 

5015
03:13:30,626 --> 03:13:32,294
HYBRID NAME OR CREATE AN 

5016
03:13:32,294 --> 03:13:33,228
ENTIRELY NEW INSTITUTE.

5017
03:13:33,228 --> 03:13:36,765
AGAIN, AS YOU READ FROM LEFT TO 

5018
03:13:36,765 --> 03:13:39,201
RIGHT, FUNCTIONAL OR MORE ON THE

5019
03:13:39,201 --> 03:13:43,038
LEFT SIDE OF THE SCHEMA AND THE 

5020
03:13:43,038 --> 03:13:44,373
STRUCTURAL CHANGES MORE ON THE 

5021
03:13:44,373 --> 03:13:50,679
RIGHT SIDE OF THE SCHEMA, THEY 

5022
03:13:50,679 --> 03:13:51,547
ARE CAN ACCOMPLISH DIFFERENT 

5023
03:13:51,547 --> 03:13:52,181
THINGS.

5024
03:13:52,181 --> 03:13:52,948
NIH NOW HAS EXPERIENCE WITH 

5025
03:13:52,948 --> 03:14:03,392
EVERY SINGLE ONE OF THESE.

5026
03:14:05,060 --> 03:14:09,531
INCLUDING THE NEW INSTITUTE AND 

5027
03:14:09,531 --> 03:14:11,633
NIBIB AND NCATS 10 YEARS LATER.

5028
03:14:11,633 --> 03:14:12,267
HOW DO YOU IMPLEMENT AND 

5029
03:14:12,267 --> 03:14:14,603
EVALUATE ONCE THE NEED FOR 

5030
03:14:14,603 --> 03:14:15,571
CHANGE HAS BEEN ESTABLISHED?

5031
03:14:15,571 --> 03:14:16,772
ANY APPROPRIATE SOLUTION HAS 

5032
03:14:16,772 --> 03:14:22,010
BEEN IDENTIFIED AND THE THIRD 

5033
03:14:22,010 --> 03:14:27,049
AND FINAL STEP IMPLEMENT AND 

5034
03:14:27,049 --> 03:14:30,152
EVALUATE AND THOSE WHO HAVE GONE

5035
03:14:30,152 --> 03:14:32,621
THROUGH MAJOR RE-ORGANIZERS THIS

5036
03:14:32,621 --> 03:14:35,524
IS TEXTBOOK.

5037
03:14:35,524 --> 03:14:36,959
OPERATIONALIZE WITH TIME FRAMES 

5038
03:14:36,959 --> 03:14:38,126
AND TASK AND KEY 

5039
03:14:38,126 --> 03:14:45,534
RESPONSIBILITIES AND 

5040
03:14:45,534 --> 03:14:47,035
ACCOUNTABILI

5041
03:14:47,035 --> 03:14:48,136
ACCOUNTABILITIES.

5042
03:14:48,136 --> 03:14:51,039
HOW DO YOU SPECIFY THE CHANGE AT

5043
03:14:51,039 --> 03:14:52,708
INTERVALS AND RELEVANT DATA AND 

5044
03:14:52,708 --> 03:14:55,077
INFORMATION AND COMMUNICATION.

5045
03:14:55,077 --> 03:14:56,878
YOU CANNOT OVER COMMUNICATE IN A

5046
03:14:56,878 --> 03:15:05,020
CHANGE MANAGEMENT PROCESS.

5047
03:15:05,020 --> 03:15:06,722
THERE'S NO SUCH THING AS OVER 

5048
03:15:06,722 --> 03:15:07,923
COMMUNICATE AND WHEN YOU THINK 

5049
03:15:07,923 --> 03:15:10,125
YOU'VE COMMUNICATED ENOUGH, 

5050
03:15:10,125 --> 03:15:10,626
COMMUNICATE MORE.

5051
03:15:10,626 --> 03:15:17,332
YOU KNOW THAT TO BE A TRUTH.

5052
03:15:17,332 --> 03:15:22,571
FINALLY, THE PINNING ATTRIBUTES,

5053
03:15:22,571 --> 03:15:23,972
WE HAVE TO BE TRANSPARENT AND 

5054
03:15:23,972 --> 03:15:28,510
HENCE THE WAY WE SET THIS UP, 

5055
03:15:28,510 --> 03:15:31,046
THERE'S GOT TO BE COMMUNICATION 

5056
03:15:31,046 --> 03:15:33,582
AT LARGE TO ALL INTERESTED 

5057
03:15:33,582 --> 03:15:38,553
PARTIES AND OF COURSE THE 

5058
03:15:38,553 --> 03:15:39,054
ACCOUNTABILITY.

5059
03:15:39,054 --> 03:15:42,924
AND FRANKLY, OUR VIABILITY AND 

5060
03:15:42,924 --> 03:15:43,959
VITALITY DEPEND ON THE TRUST OF 

5061
03:15:43,959 --> 03:15:45,160
THE PUBLIC.

5062
03:15:45,160 --> 03:15:46,295
WE'VE SEEN THIS NOT JUST DURING 

5063
03:15:46,295 --> 03:15:48,930
THE PANDEMIC BUT IN YEARS PAST.

5064
03:15:48,930 --> 03:15:53,702
AND SO EVERY CONTRIBUTOR TO THIS

5065
03:15:53,702 --> 03:15:55,504
PROCESS HAS TO BE CONSCIOUS OF 

5066
03:15:55,504 --> 03:15:59,041
THE PUBLIC TO WHICH HE OR SHE IS

5067
03:15:59,041 --> 03:16:00,275
ULTIMATELY ACCOUNTABLE.

5068
03:16:00,275 --> 03:16:00,475
OKAY.

5069
03:16:00,475 --> 03:16:01,843
SO I RAN THROUGH THAT PRETTY 

5070
03:16:01,843 --> 03:16:04,946
QUICKLY BUT I HOPE NOW WE CAN 

5071
03:16:04,946 --> 03:16:08,016
TAKE A LITTLE TIME AND TO BEGIN 

5072
03:16:08,016 --> 03:16:12,187
TO START TO THINK THROUGH SOME 

5073
03:16:12,187 --> 03:16:15,057
OF THESE THINGS BECAUSE AGAIN, 

5074
03:16:15,057 --> 03:16:18,593
YOU CAN ACCEPT IT ALL OR REJECT 

5075
03:16:18,593 --> 03:16:23,031
IT ALL OR COME SOMEWHERE IN THE 

5076
03:16:23,031 --> 03:16:23,265
MIDDLE.

5077
03:16:23,265 --> 03:16:26,168
WHY DON'T YOU PULL BACK UP THE 

5078
03:16:26,168 --> 03:16:26,401
SCRIPT.

5079
03:16:26,401 --> 03:16:28,670
>> THANK YOU, THAT WAS
EXTREMELY

5080
03:16:28,670 --> 03:16:30,172
HELPFUL.

5081
03:16:30,172 --> 03:16:32,007
WHEN YOU ALL RECEIVE THE 

5082
03:16:32,007 --> 03:16:33,542
DOCUMENT YOU'LL NOTE FROM WHAT 

5083
03:16:33,542 --> 03:16:37,212
LARRY'S SUMMARY WAS, PAGE 15, 19

5084
03:16:37,212 --> 03:16:41,516
AND 23 ARE VERY SUCCINCT AND I'M

5085
03:16:41,516 --> 03:16:43,518
VISUAL SO THEY HAVE COLORS TO 

5086
03:16:43,518 --> 03:16:47,356
TALK ABOUT JUST WHAT LARRY WAS 

5087
03:16:47,356 --> 03:16:47,689
EMPHASIZING.

5088
03:16:47,689 --> 03:16:51,226
I WONDER IF WE CAN GO BACK TO 

5089
03:16:51,226 --> 03:17:01,436
THIS SLIDE.

5090
03:17:04,339 --> 03:17:05,941
I'LL CHALLENGE US BETWEEN NOW 

5091
03:17:05,941 --> 03:17:06,842
AND THE NEXT TIME WE COME 

5092
03:17:06,842 --> 03:17:09,311
TOGETHER IF WE WANT TO FOLLOW 

5093
03:17:09,311 --> 03:17:13,415
THIS EXACTLY WHICH IS FINE, IF 

5094
03:17:13,415 --> 03:17:15,717
WE WANT TO MAKE SEPARATE 

5095
03:17:15,717 --> 03:17:16,051
SUBCATEGORIES.

5096
03:17:16,051 --> 03:17:21,590
I'VE HAD A FEW HOURS TO THINK 

5097
03:17:21,590 --> 03:17:32,067
ABOUT THIS AND WE MAY NEED 

5098
03:17:44,346 --> 03:17:45,580
EFFICIENCIES BASED ON THE CHANGE

5099
03:17:45,580 --> 03:17:47,682
YOU OUTLINED, FINANCIAL 

5100
03:17:47,682 --> 03:17:48,250
STABILITY, DEFINITIONS FOR 

5101
03:17:48,250 --> 03:17:49,518
SUCCESS AND ONE THING I WANTED 

5102
03:17:49,518 --> 03:17:52,387
TO EMPHASIZE I THINK WAS IN YOUR

5103
03:17:52,387 --> 03:17:53,789
SLIDES IS IMPORTANT IS THE VALUE

5104
03:17:53,789 --> 03:17:54,923
OF THAT INSTITUTION.

5105
03:17:54,923 --> 03:17:57,592
SO I THINK WE SHOULD THINK ABOUT

5106
03:17:57,592 --> 03:17:59,528
ASSESSING THE VALUE AND IF THE 

5107
03:17:59,528 --> 03:18:07,502
VALUE IS TANGIBLE OR NOT AND IT 

5108
03:18:07,502 --> 03:18:07,836
MIGHT BE BOTH.

5109
03:18:07,836 --> 03:18:08,336
IT MAY BE TANGIBLE AND 

5110
03:18:08,336 --> 03:18:08,904
INTANGIBLE BUT IF IT'S NOT 

5111
03:18:08,904 --> 03:18:09,571
TANGIBLE, IS THAT SOMETHING WE 

5112
03:18:09,571 --> 03:18:10,972
CAN MAKE RECOMMENDATIONS TO HELP

5113
03:18:10,972 --> 03:18:14,242
IT BE MORE TANGIBLE SO THE VALUE

5114
03:18:14,242 --> 03:18:18,980
OF THAT SITUATION CAN BE 

5115
03:18:18,980 --> 03:18:26,221
HIGHLIGHTED?

5116
03:18:26,221 --> 03:18:30,592
AND SOME ARE GREAT BUD NEED IN 

5117
03:18:30,592 --> 03:18:36,665
DEPTH OVERHAUL OR NEED 

5118
03:18:36,665 --> 03:18:38,500
EFFICIENCIES AND THAT PLAY MEAN 

5119
03:18:38,500 --> 03:18:44,339
AN EFFICIENT OR MERGING WITH 

5120
03:18:44,339 --> 03:18:54,983
OTHER INITIATIVES AND COME UP 

5121
03:19:04,593 --> 03:19:05,060
WITH WHAT WE NEED AS OUR 

5122
03:19:05,060 --> 03:19:05,727
ORGANIZATIONAL CHANGE MAP SO HE 

5123
03:19:05,727 --> 03:19:06,361
WHEN WE GO THROUGH THEM WE CAN 

5124
03:19:06,361 --> 03:19:06,995
USE THE SAME MAP WITH EACH 

5125
03:19:06,995 --> 03:19:10,799
INSTITUTE THAT WE G 

5126
03:19:10,799 --> 03:19:11,833
INFORMATION FOR.

5127
03:19:11,833 --> 03:19:15,003
JUST WANTED TO HIGHLIGHT THAT.

5128
03:19:15,003 --> 03:19:17,305
>> COMMENTS OR QUESTIONS.

5129
03:19:17,305 --> 03:19:19,007
>> OKAY.

5130
03:19:19,007 --> 03:19:22,477
COMMENTS OR QUESTIONS?

5131
03:19:22,477 --> 03:19:24,813
 I KIND OF LIKE THE SUGGESTION 

5132
03:19:24,813 --> 03:19:26,982
THAT IF WE COULD VISIT THE EIGHT

5133
03:19:26,982 --> 03:19:30,919
OR NINE REPORTS OR WHATEVER AND 

5134
03:19:30,919 --> 03:19:36,691
SEE WHAT THINGS HAVE BEEN DONE 

5135
03:19:36,691 --> 03:19:40,562
VERSUS NOT DONE AND IF THOSE ARE

5136
03:19:40,562 --> 03:19:42,731
ISSUES STILL RELEVANT TO FOCUS 

5137
03:19:42,731 --> 03:19:42,898
ON.

5138
03:19:42,898 --> 03:19:45,534
THAT FOR THE WOULD BE HELPFUL AS

5139
03:19:45,534 --> 03:19:50,472
AN OUTSIDE PERSON.

5140
03:19:50,472 --> 03:19:55,777
TO SEE WHAT THE FORMER GROUPS 

5141
03:19:55,777 --> 03:19:56,111
HAD.

5142
03:19:56,111 --> 03:19:57,112
AND THICKS LIKE THAT THAT ARE 

5143
03:19:57,112 --> 03:19:58,747
VERY IMPORTANT FOR ALL OF US, I 

5144
03:19:58,747 --> 03:19:59,447
THINK THAT WOULD BE REALLY 

5145
03:19:59,447 --> 03:20:02,918
HELPFUL.

5146
03:20:02,918 --> 03:20:05,320
IT SOUND LIKE THE ORGANIZATIONAL

5147
03:20:05,320 --> 03:20:08,890
ONE IS SOME FROM YOUR 

5148
03:20:08,890 --> 03:20:09,491
PRESENTATION, THANK YOU VERY 

5149
03:20:09,491 --> 03:20:12,160
MUCH, IS ON A LOT OF PEOPLE'S 

5150
03:20:12,160 --> 03:20:13,461
MINDS.

5151
03:20:13,461 --> 03:20:16,031
I WANT TO MAKE A COMMENT THERE 

5152
03:20:16,031 --> 03:20:18,199
FOR ME AS BE AN OUTSIDER LOOKING

5153
03:20:18,199 --> 03:20:20,735
AT NIH THOUGH I'M FUNDED BY THE 

5154
03:20:20,735 --> 03:20:25,073
NIH BUT WHEN WE WERE TRYING AT 

5155
03:20:25,073 --> 03:20:28,209
MY INSTITUTION TO CREATE WHAT WE

5156
03:20:28,209 --> 03:20:29,644
CALL RESEARCH PRIORITY AREAS 

5157
03:20:29,644 --> 03:20:34,916
LIKE CANCER AND CARDIOVASCULAR 

5158
03:20:34,916 --> 03:20:40,455
DISEASE, WE USED THE NCI 

5159
03:20:40,455 --> 03:20:42,157
DESIGNATION AND CTSA DESIGNATION

5160
03:20:42,157 --> 03:20:47,762
TO BASICALLY STRUCTURE OUR 

5161
03:20:47,762 --> 03:20:51,333
ENTIRE APPROACH HOW TO ALIGN 

5162
03:20:51,333 --> 03:20:54,135
OURSELVES AND ALSO IT HELPED US 

5163
03:20:54,135 --> 03:20:59,207
IMMENSELY IN RELATIONSHIP TO OUR

5164
03:20:59,207 --> 03:21:01,142
HEALTH CARE PROCESS.

5165
03:21:01,142 --> 03:21:02,544
HEART, LUNG AND BLOOD, WHERE I 

5166
03:21:02,544 --> 03:21:05,614
GET FUNDING THEY DON'T HAVE THAT

5167
03:21:05,614 --> 03:21:05,814
KIND.

5168
03:21:05,814 --> 03:21:11,453
SO FOR OUTSIDE PEOPLE TRYING TO 

5169
03:21:11,453 --> 03:21:13,088
DO THINGS WE THINK ARE WONDERFUL

5170
03:21:13,088 --> 03:21:15,290
PROGRAMS THAT HAVE HELPED US 

5171
03:21:15,290 --> 03:21:17,559
ALL, IT SEEMS LIKE THOSE KINDS 

5172
03:21:17,559 --> 03:21:21,596
OF DIFFERENCES SHOULDN'T EXIST 

5173
03:21:21,596 --> 03:21:28,003
FOR INSTITUTES HONESTLY.

5174
03:21:28,003 --> 03:21:30,005
IF THIS IS A PRIORITY THEN WE 

5175
03:21:30,005 --> 03:21:34,209
SHOULD HAVE IS SOME OF THESE 

5176
03:21:34,209 --> 03:21:35,377
COMMENTS NO MATTER WHAT THE AREA

5177
03:21:35,377 --> 03:21:39,214
OF STUDY THAT FORMULATED A 

5178
03:21:39,214 --> 03:21:43,018
STRONG PROGRAM EXTERNALLY YOU 

5179
03:21:43,018 --> 03:21:47,989
WANT TO SUPPORT.

5180
03:21:47,989 --> 03:21:49,491
>> LINDSEY AND THEN NORA.

5181
03:21:49,491 --> 03:22:00,035
>> I WANTED TO REACT TO
COMMENTS

5182
03:22:03,605 --> 03:22:06,841
ANDREA MADE AND MY QUESTION IS 

5183
03:22:06,841 --> 03:22:10,245
WHAT SORT OF DATA WILL WE HAVE 

5184
03:22:10,245 --> 03:22:11,646
TO INFORM THESE SORTS OF 

5185
03:22:11,646 --> 03:22:11,946
ASSESSMENTS.

5186
03:22:11,946 --> 03:22:13,415
WHAT ABOUT THE QUALITY OF THE 

5187
03:22:13,415 --> 03:22:13,615
DATA?

5188
03:22:13,615 --> 03:22:16,418
I HAVE CONCERNS THOSE SORTS OF 

5189
03:22:16,418 --> 03:22:18,887
ASSESSMENTS THAT WOULD BE 

5190
03:22:18,887 --> 03:22:20,088
EXTREMELY HELPFUL AND 

5191
03:22:20,088 --> 03:22:21,456
INFORMATIVE NOT SURE WE HAVE 

5192
03:22:21,456 --> 03:22:25,160
DATA THAT WE CAN ALL AGREE SPEAK

5193
03:22:25,160 --> 03:22:28,096
TO THESE THINGS IN A CONSISTENT,

5194
03:22:28,096 --> 03:22:29,631
ACCURATE WAY.

5195
03:22:29,631 --> 03:22:31,566
I'M WONDERING WHAT AT WHAT POINT

5196
03:22:31,566 --> 03:22:42,077
WE'LL HAVE ACCESS TO CONSIDER.

5197
03:22:44,412 --> 03:22:45,413
UP THIS EXAMPLE THE EXAMPLE IS 

5198
03:22:45,413 --> 03:22:46,981
LESS SO.

5199
03:22:46,981 --> 03:22:51,219
IT MIGHT BE WHAT TYPE OF DATA 

5200
03:22:51,219 --> 03:22:52,721
WOULD YOU WANT TO HAVE TO MAKE 

5201
03:22:52,721 --> 03:22:53,888
THOSE ASSESSMENTS AND THE ONUS 

5202
03:22:53,888 --> 03:23:00,495
IS ON US TO SEE IF WE CAN FIND 

5203
03:23:00,495 --> 03:23:02,664
THOSE DATA OR DEVELOP THEM 

5204
03:23:02,664 --> 03:23:03,398
DEPENDING ON THE NATURE.

5205
03:23:03,398 --> 03:23:04,833
>> I THINK THE DATA IN THE

5206
03:23:04,833 --> 03:23:09,437
PREVIOUS REPORT IS THE MINIMUM.

5207
03:23:09,437 --> 03:23:10,438
HOW MANY EMPLOYEES BUT IF 

5208
03:23:10,438 --> 03:23:11,573
THERE'S ANYTHING ELSE WE CAN 

5209
03:23:11,573 --> 03:23:13,074
THINK OF IN THE MEANTIME WE 

5210
03:23:13,074 --> 03:23:23,485
SHOULD JUST REQUEST IT.

5211
03:23:30,191 --> 03:23:31,459
WITH A LITTLE GO WITH NORA THEN 

5212
03:23:31,459 --> 03:23:31,693
JEANNE.

5213
03:23:31,693 --> 03:23:33,061
>> AS I THINK ABOUT IT IN
TERMS 

5214
03:23:33,061 --> 03:23:34,863
OF WHAT WE WANT TO ACHIEVE AND 

5215
03:23:34,863 --> 03:23:41,503
WHAT I WOULD SAY TO MY OWN 

5216
03:23:41,503 --> 03:23:43,705
FRIEND IS FROM WHERE WE GO TO 

5217
03:23:43,705 --> 03:23:45,840
NOW THE STRUCTURE OF THE 

5218
03:23:45,840 --> 03:23:48,810
ORGANIZATION WE MAY HAVE HAD IS 

5219
03:23:48,810 --> 03:23:50,411
NOT THE SAME NOR I THINK I LIKE 

5220
03:23:50,411 --> 03:23:51,446
THAT ONE VERY MUCH BECAUSE AS 

5221
03:23:51,446 --> 03:23:56,384
LARRY SAID, WE HAVE ALL THESE 

5222
03:23:56,384 --> 03:24:01,756
INITIATIVES HOWEVER, HOW WE ARE 

5223
03:24:01,756 --> 03:24:04,225
FUNDING RESEARCH IS GOING MORE 

5224
03:24:04,225 --> 03:24:05,093
TO FUNCTIONAL RESOURCES AND 

5225
03:24:05,093 --> 03:24:05,760
INVESTMENTS AND WE WERE 

5226
03:24:05,760 --> 03:24:09,330
DISCUSSING THIS, LARRY, IF WE 

5227
03:24:09,330 --> 03:24:14,469
COULD GET NOT JUST SHOWING THE 

5228
03:24:14,469 --> 03:24:15,436
INTERACTIONS IN THE SLIDE AND 

5229
03:24:15,436 --> 03:24:16,237
SPEAKING WITH ONE ANOTHER AND 

5230
03:24:16,237 --> 03:24:18,373
HOW THAT CHANGED OVER TIME.

5231
03:24:18,373 --> 03:24:20,041
IT WOULD BE ALSO EXTREMELY 

5232
03:24:20,041 --> 03:24:22,811
VALUABLE IF WE HAVE A SENSE 

5233
03:24:22,811 --> 03:24:28,383
ABOUT HOW THE DOLLAR AMOUNT HAS 

5234
03:24:28,383 --> 03:24:31,820
BEEN INCREASING OVER TIME IT'S 

5235
03:24:31,820 --> 03:24:32,620
MOSQUE TOWARDS THE FUNCTIONAL 

5236
03:24:32,620 --> 03:24:33,421
INTEGRATION WHICH IS THE WAY THE

5237
03:24:33,421 --> 03:24:43,631
BRAIN WORKS.

5238
03:24:47,135 --> 03:24:48,903
ONE OF THE MORE CHALLENGES 

5239
03:24:48,903 --> 03:24:53,007
ASPECTS WE NEED TO ADDRESS IS 

5240
03:24:53,007 --> 03:24:54,709
HOW WE ACCESS TO COMPLEX QUALITY

5241
03:24:54,709 --> 03:24:58,780
DATA THAT CAN ENABLE US TO

5242
03:24:58,780 --> 03:25:00,582
ADDRESS CO QUESTIONS AND 

5243
03:25:00,582 --> 03:25:01,449
TARGET THEM.

5244
03:25:01,449 --> 03:25:03,818
THAT REQUIRES AN INTEGRATED 

5245
03:25:03,818 --> 03:25:04,252
FUNCTIONAL MODEL.

5246
03:25:04,252 --> 03:25:06,855
I THINK IN LOOKING AT HOW WE 

5247
03:25:06,855 --> 03:25:10,358
ACTUALLY MOVE FORWARD, WE HAVE 

5248
03:25:10,358 --> 03:25:11,526
TO CONSIDER THAT ELEMENT OF 

5249
03:25:11,526 --> 03:25:13,061
WHERE IS THE SCIENCE GOING AND 

5250
03:25:13,061 --> 03:25:19,667
WE HAVE THE CURRENT STRUCTURES 

5251
03:25:19,667 --> 03:25:22,103
THAT IF WE EMPLOY THEM THAT WAY 

5252
03:25:22,103 --> 03:25:22,570
LD

5253
03:25:22,570 --> 03:25:23,404
 CRYSTALIZE AND DON'T 

5254
03:25:23,404 --> 03:25:23,771
ADVANCE.

5255
03:25:23,771 --> 03:25:26,641
MY POINT IS WE NEED TO SEE INTO 

5256
03:25:26,641 --> 03:25:31,179
THE FACT THAT THINGS ARE BEING 

5257
03:25:31,179 --> 03:25:36,284
DONE VERY DIFFERENTLY THAN EVEN 

5258
03:25:36,284 --> 03:25:38,152
ONE DECADE AGO.

5259
03:25:38,152 --> 03:25:40,755
>> WE HAVE JEANNE AND THEN
MIKE.

5260
03:25:40,755 --> 03:25:43,358
>> THANKS AGAIN.

5261
03:25:43,358 --> 03:25:43,758
VERY HELPFUL L

5262
03:25:43,758 --> 03:25:48,529
MY QUESTION IS ALONG THE LINE OF

5263
03:25:48,529 --> 03:25:49,998
SOME OF THESE PROPOSALS AND 

5264
03:25:49,998 --> 03:25:54,569
THINGS IN THE REPORT WE RECEIVED

5265
03:25:54,569 --> 03:25:56,437
FROM HOUSE AND SENATE GROUPS ARE

5266
03:25:56,437 --> 03:25:57,705
VERY SPECIFIC ABOUT INSTITUTE 

5267
03:25:57,705 --> 03:25:58,006
REFORM.

5268
03:25:58,006 --> 03:26:01,476
GETTING TO THE DATA OF WHAT'S 

5269
03:26:01,476 --> 03:26:04,012
NEEDED AND I MENTIONED THIS I.C.

5270
03:26:04,012 --> 03:26:05,480
DIRECTOR'S MEETING WE'VE BEEN 

5271
03:26:05,480 --> 03:26:12,487
TALKING ABOUT HAVING EXTERNAL 

5272
03:26:12,487 --> 03:26:16,891
REVIEWS AND TRYING TO CLARIFY 

5273
03:26:16,891 --> 03:26:24,098
THE PROCESS, I DO WONDER IF IT'S

5274
03:26:24,098 --> 03:26:25,333
WORTH OUTLINING THE QUESTIONS 

5275
03:26:25,333 --> 03:26:28,770
AND DO WE HAVE GUIDANCE AND HOW 

5276
03:26:28,770 --> 03:26:32,674
DO WE GET THE DATA 

5277
03:26:32,674 --> 03:26:33,541
>> FOR INSTITUTE SPIFFING 

5278
03:26:33,541 --> 03:26:34,108
HARDCORE STUFF IT WILL BE 

5279
03:26:34,108 --> 03:26:35,410
IMPORTANT TO LOOK AT SOME OF 

5280
03:26:35,410 --> 03:26:42,050
THOSE PIECES OF DATA.

5281
03:26:42,050 --> 03:26:42,583
THANKS.

5282
03:26:42,583 --> 03:26:48,656
6:

5283
03:26:48,656 --> 03:26:50,525
>> THE PROBLEM WE ARE
TRYING TO 

5284
03:26:50,525 --> 03:26:52,994
SOLVE IS ALL THE THINGS MONICA 

5285
03:26:52,994 --> 03:26:53,795
HIGHLIGHTED.

5286
03:26:53,795 --> 03:26:57,198
DOING A BETTER JOB OF DISCOVERY 

5287
03:26:57,198 --> 03:27:00,034
TO REAL WORLD TRANSLATION.

5288
03:27:00,034 --> 03:27:02,103
I THINK IT'S EASY TO PUT ON NIH 

5289
03:27:02,103 --> 03:27:03,705
BECAUSE OF OUR ORGANIZATIONAL 

5290
03:27:03,705 --> 03:27:04,238
STRUCTURE NOTHING'S NOT 

5291
03:27:04,238 --> 03:27:08,676
HAPPENING QUICKLY ENOUGH.

5292
03:27:08,676 --> 03:27:13,681
ONE OF THE CHALLENGES IS WE HAVE

5293
03:27:13,681 --> 03:27:15,149
SOME OF THE SMARTEST PEOPLE 

5294
03:27:15,149 --> 03:27:16,718
WORKING AND THEY'RE TOLD THEY 

5295
03:27:16,718 --> 03:27:22,290
HAVE TO PUT OUT A PIECE OF 

5296
03:27:22,290 --> 03:27:23,291
SCIENCE AND THERE'S SOMETHING 

5297
03:27:23,291 --> 03:27:26,527
ABOUT THE SCIENTIFIC SYSTEM THAT

5298
03:27:26,527 --> 03:27:27,462
COULD BE ADDRESSED TO HELP 

5299
03:27:27,462 --> 03:27:29,797
EVERYBODY WORK TOGETHER AS A 

5300
03:27:29,797 --> 03:27:32,266
TEAM AND WE LACK THE FUNDAMENTAL

5301
03:27:32,266 --> 03:27:34,202
INCENTIVE TO PROMOTE TEAM 

5302
03:27:34,202 --> 03:27:34,435
SCIENCE.

5303
03:27:34,435 --> 03:27:35,069
I SUGGEST THAT'S ONE THING THE 

5304
03:27:35,069 --> 03:27:37,038
GROUP CONSIDER.

5305
03:27:37,038 --> 03:27:42,410
WHAT WE CAN DO AT NIH TO HELP 

5306
03:27:42,410 --> 03:27:43,511
PUSH THE SCIENTIFIC CULTURE TO 

5307
03:27:43,511 --> 03:27:48,082
TEAM SCIENCE AND INCENTIVIZINGZ 

5308
03:27:48,082 --> 03:27:48,282
IT.

5309
03:27:48,282 --> 03:27:50,318
MY SECOND COMMENT IS IT'S WORTH 

5310
03:27:50,318 --> 03:27:52,220
LOOKING AT WHAT IS DIFFERENT NOW

5311
03:27:52,220 --> 03:27:55,723
AND WHAT'S EITHER WORK NOT AS 

5312
03:27:55,723 --> 03:27:58,059
WELL IN THE WORLD COMPARED TO TO

5313
03:27:58,059 --> 03:27:58,292
2015.

5314
03:27:58,292 --> 03:27:59,460
AND MAYBE WHAT THE OPPORTUNITIES

5315
03:27:59,460 --> 03:28:03,297
ARE.I WOULD SLLY HIGHLIGHT 

5316
03:28:03,297 --> 03:28:05,299
OBVIOUSLY MISTRUST IN SCIENCE, 

5317
03:28:05,299 --> 03:28:08,970
INFORMATION OVERLOAD AND PEOPLE 

5318
03:28:08,970 --> 03:28:14,342
ARE GETTING THEIR NEWS FROM 

5319
03:28:14,342 --> 03:28:18,046
SHORT BLURBS ON SOCIAL MEDIA AND

5320
03:28:18,046 --> 03:28:19,614
DATA SCIENCE AND COMPUTATIONAL 

5321
03:28:19,614 --> 03:28:22,350
TECHNOLOGY TO ALLOW US TO MAKE 

5322
03:28:22,350 --> 03:28:25,620
THE CONNECTIONS YOU AND ANDREA 

5323
03:28:25,620 --> 03:28:26,020
TALKED ABOUT.

5324
03:28:26,020 --> 03:28:27,455
I HOPE THOSE SOME HAVE OF MY 

5325
03:28:27,455 --> 03:28:37,832
THOUGHTS IN REACTION.

5326
03:28:41,769 --> 03:28:44,839
>> ANY THOUGHT IS STARTING
OFF 

5327
03:28:44,839 --> 03:28:46,074
WITH THE THINGS THAT HAVE COME 

5328
03:28:46,074 --> 03:28:48,142
UP ARE THE NEXT GENERATION AND 

5329
03:28:48,142 --> 03:28:49,577
WHAT WE RECOMMEND AND IMPACT THE

5330
03:28:49,577 --> 03:28:55,349
NEXT GENERATION AND HOW DO WE 

5331
03:28:55,349 --> 03:29:00,021
BECOME NIMBLE FOR TECHNOLOGY 

5332
03:29:00,021 --> 03:29:00,388
LIKE A.I.

5333
03:29:00,388 --> 03:29:06,694
HOW DO THEY TRANSLATE TO THE 

5334
03:29:06,694 --> 03:29:07,895
PUBLIC.

5335
03:29:07,895 --> 03:29:15,937
IMPACT TEAM SCIENCE AND 

5336
03:29:15,937 --> 03:29:20,875
RECOMMENDATIONS ON THOSE SO 

5337
03:29:20,875 --> 03:29:26,514
THEY'RE NOT THECOMMENDINS 

5338
03:29:26,514 --> 03:29:29,884
THAT DON'T HAVE IMPACT AND THE 

5339
03:29:29,884 --> 03:29:32,153
PRIOR REPORTS RECOMMENDED AND 

5340
03:29:32,153 --> 03:29:34,222
WAS IT ADOPTED, YES, NO.

5341
03:29:34,222 --> 03:29:37,525
IF YES WHAT WAS THE OUTCOME AND 

5342
03:29:37,525 --> 03:29:39,994
IF NO WHY.

5343
03:29:39,994 --> 03:29:42,263
TO HAVE AN EASY VISUAL TO ALIGN 

5344
03:29:42,263 --> 03:29:44,065
WITH WHATEVER WE DETERMINE THE 

5345
03:29:44,065 --> 03:29:54,408
OVER ARCHING GOALS.

5346
03:29:57,578 --> 03:30:02,116
IT'S ALL IN THE REPORT BUT YOU 

5347
03:30:02,116 --> 03:30:05,086
HAVE THE ASSESSMENTS OR CHECK 

5348
03:30:05,086 --> 03:30:10,925
MARK ON THINGS CHECK MARKED OR 

5349
03:30:10,925 --> 03:30:17,165
UNCHECK BOX OB PAGE 15 THERE'S 

5350
03:30:17,165 --> 03:30:20,168
THE GUIDING PRINCIPLES AND THE 

5351
03:30:20,168 --> 03:30:22,003
STEPS AND CONSIDERATIONS AND 

5352
03:30:22,003 --> 03:30:23,738
UNDER THAT THE UNDERPINNING 

5353
03:30:23,738 --> 03:30:24,038
ATTRIBUTES.

5354
03:30:24,038 --> 03:30:34,549
YOU CAN MAKE A SIMILAR IMAGE.

5355
03:30:37,518 --> 03:30:42,890
>> NOW JOSHUA AND JAMES.

5356
03:30:42,890 --> 03:30:43,057
>> 

5357
03:30:43,057 --> 03:30:44,959
>> I HAD A DEPRESSING
THOUGHT 

5358
03:30:44,959 --> 03:30:50,798
AND MY DEPRESSING THOUGHT IS ARE

5359
03:30:50,798 --> 03:30:59,740
WE TRYING TO INTELLIGENCE AND 

5360
03:30:59,740 --> 03:31:00,775
RATIONALITY TO SOMETHING 

5361
03:31:00,775 --> 03:31:01,108
UNPREDICTABLE.

5362
03:31:01,108 --> 03:31:03,644
WE TALKED ABOUT THE BREAKTHROUGH

5363
03:31:03,644 --> 03:31:04,412
FINDING IN FUNDAMENTAL SCIENCE 

5364
03:31:04,412 --> 03:31:14,922
COULDN'T HAVE BEEN PREDICTED.

5365
03:31:16,157 --> 03:31:18,092
ARE WE TRYING TO CREATE A 

5366
03:31:18,092 --> 03:31:20,461
STRUCTURE WHERE WE CAN'T PREDICT

5367
03:31:20,461 --> 03:31:21,929
WHERE THE REAL BREAKTHROUGHS 

5368
03:31:21,929 --> 03:31:25,466
WILL BE THE ONES THA CHANGE 

5369
03:31:25,466 --> 03:31:27,134
SCIENCE AND MAY CHANGE OUR 

5370
03:31:27,134 --> 03:31:28,402
ABILITY TO TREAT DISEASE.

5371
03:31:28,402 --> 03:31:30,338
BECAUSE IF WE COULD DO THAT WE 

5372
03:31:30,338 --> 03:31:31,405
SHOULD POUR ALL OUR RESOURCES 

5373
03:31:31,405 --> 03:31:32,406
INTO THOSE AREAS AND WE DON'T 

5374
03:31:32,406 --> 03:31:39,113
KNOW HOW TO DO THAT.

5375
03:31:39,113 --> 03:31:40,982
 THINK IT IS UNKNOWABLE.

5376
03:31:40,982 --> 03:31:42,149
THAT'S MY DEPRESSING THOUGHT AS 

5377
03:31:42,149 --> 03:31:46,087
I WAS THINKING ABOUT SOME OF 

5378
03:31:46,087 --> 03:31:46,787
THESE COMMENTS.

5379
03:31:46,787 --> 03:31:52,560
SORRY TO GO THERE BUT IT 

5380
03:31:52,560 --> 03:31:54,962
OCCURRED TO ME WE'RE TRYING TO 

5381
03:31:54,962 --> 03:31:57,865
BRING LOGIC TO SOMETHING THAT 

5382
03:31:57,865 --> 03:32:02,536
PROBABLY ISN'T LOGICAL.

5383
03:32:02,536 --> 03:32:03,771
>> 

5384
03:32:03,771 --> 03:32:09,877
>> THERE'S SOME PLACES
WHERE IT 

5385
03:32:09,877 --> 03:32:12,880
DOES LEND ITSELF.

5386
03:32:12,880 --> 03:32:15,416
>> I THINK OF IT AS WE ARE

5387
03:32:15,416 --> 03:32:21,122
TRYING TO MAKE STRUCTURE SO WHEN

5388
03:32:21,122 --> 03:32:25,159
UNPREDICTABLE THINGS HAPPEN THEY

5389
03:32:25,159 --> 03:32:26,827
CAN BE MORE EFFECTIVE.

5390
03:32:26,827 --> 03:32:27,295
>> THANK YOU.

5391
03:32:27,295 --> 03:32:37,638
JAMES AND THEN ERIC.

5392
03:32:40,574 --> 03:32:46,847
THANK YOU, I READ REPORTS AND MY

5393
03:32:46,847 --> 03:32:50,551
REACTION WAS TO SAY THAT IS 

5394
03:32:50,551 --> 03:32:53,654
NINNING TO TO HAVE A CHANCE TO 

5395
03:32:53,654 --> 03:32:56,390
HAVE A REBUTTAL.

5396
03:32:56,390 --> 03:32:58,459
SOME OF THESE THINGS STATED 

5397
03:32:58,459 --> 03:32:59,794
WHICH I ALMOST FIND OFFENSIVE 

5398
03:32:59,794 --> 03:32:59,994
LIKE.

5399
03:32:59,994 --> 03:33:02,997
CAN YOU READ ONE SENTENCE TO YOU

5400
03:33:02,997 --> 03:33:03,497
IF THAT'S OKAY?

5401
03:33:03,497 --> 03:33:04,565
>> PLEASE.

5402
03:33:04,565 --> 03:33:06,267
>> IS THAT ALL RIGHT?

5403
03:33:06,267 --> 03:33:07,702
>> YES, OF COURSE.

5404
03:33:07,702 --> 03:33:15,609
>> DECADES OF
NON-STRATEGIC 

5405
03:33:15,609 --> 03:33:20,848
GROWTH FOR GAPS AND MISCONDUCT 

5406
03:33:20,848 --> 03:33:23,484
AND I MEAN -- I THINK THERE 

5407
03:33:23,484 --> 03:33:25,319
SHOULD BE AN OPPORTUNITY FOR THE

5408
03:33:25,319 --> 03:33:26,954
LEADERSHIP AT NIH TO RESPOND AND

5409
03:33:26,954 --> 03:33:29,590
THE OTHER WAS WHICH I FIND 

5410
03:33:29,590 --> 03:33:30,624
CHALLENGING, ENCOURAGING EACH 

5411
03:33:30,624 --> 03:33:33,527
I.C. TO UTILIZE A HOLISTIC STAGE

5412
03:33:33,527 --> 03:33:36,263
APPROACH OUR GOAL IS TO 

5413
03:33:36,263 --> 03:33:38,065
ELIMINATE DISEASE SPECIFIC 

5414
03:33:38,065 --> 03:33:40,735
SILOED NATURE OF THE CURRENT 

5415
03:33:40,735 --> 03:33:41,802
STRUCTURE  ENSURE EACH I.C. 

5416
03:33:41,802 --> 03:33:42,336
IS CONSIDERING THE WHOLE 

5417
03:33:42,336 --> 03:33:47,441
INDIVIDUAL.

5418
03:33:47,441 --> 03:33:49,443
HOW CAN EACH I.C.ONSIDER THE 

5419
03:33:49,443 --> 03:33:50,478
WHOLE INDIVIDUAL?

5420
03:33:50,478 --> 03:33:53,447
THAT DOESN'T MAKE SENSE.

5421
03:33:53,447 --> 03:33:55,750
MY POINT IS WILL THE NIH 

5422
03:33:55,750 --> 03:33:56,517
DIRECTOR OR SOMEONE HAVE A 

5423
03:33:56,517 --> 03:33:58,252
CHANCE TO OFFER A REBUTTAL TO 

5424
03:33:58,252 --> 03:34:04,525
SOME OF THESE THINGS AT LEAST TO

5425
03:34:04,525 --> 03:34:06,827
DEMONSTRATE AUTHOR NOT CORRECT?

5426
03:34:06,827 --> 03:34:08,796
I'M NOT NIH BUT I'VE BEEN 

5427
03:34:08,796 --> 03:34:10,498
AFFILIATED WITH COUNCILS, 

5428
03:34:10,498 --> 03:34:12,166
COMMITTEES, STUDY SECTIONS, ALL 

5429
03:34:12,166 --> 03:34:15,636
THAT FOR 30 YEARS NOW.

5430
03:34:15,636 --> 03:34:17,438
AND I DON'T THINK I AGREE WITH 

5431
03:34:17,438 --> 03:34:18,739
ANY OF THE THINGS I READ.

5432
03:34:18,739 --> 03:34:22,710
IN FACT I FOUND SOME OFFENSIVE.

5433
03:34:22,710 --> 03:34:26,180
I KNOW WE'RE NOT SUPPOSED TO LET

5434
03:34:26,180 --> 03:34:27,381
POLITICS GET INTO WHAT WE'RE 

5435
03:34:27,381 --> 03:34:34,188
DOING HERE BUT HOW CAN WE NOT?

5436
03:34:34,188 --> 03:34:35,656
>> I THINK NIH WILL HAVE
AN 

5437
03:34:35,656 --> 03:34:39,193
OPPORTUNITY TO ENGAGE WITH 

5438
03:34:39,193 --> 03:34:40,327
MEMBERS OF CONGRESS AND STAFF ON

5439
03:34:40,327 --> 03:34:44,899
THESE ISSUES.

5440
03:34:44,899 --> 03:34:46,333
I HAVE A HEARING THURSDAY I'LL 

5441
03:34:46,333 --> 03:34:51,972
BE WITNESS AT AND MONICA WILL 

5442
03:34:51,972 --> 03:35:02,450
HAVE A HEARING NEXT WEEK I 

5443
03:35:04,618 --> 03:35:09,056
SUSPECT SOME WILL COME UP AND 

5444
03:35:09,056 --> 03:35:12,226
CONGRESS TOLD US TO RESTART THE 

5445
03:35:12,226 --> 03:35:14,395
MSRB AND DELIBERATE ISSUES OF 

5446
03:35:14,395 --> 03:35:15,830
THESE TYPE WHICH IS WHY WE'RE 

5447
03:35:15,830 --> 03:35:21,402
ASSEMBLED AND THE WORK OF THIS 

5448
03:35:21,402 --> 03:35:28,776
COMMITTEE IS VERY IMPORTANT.

5449
03:35:28,776 --> 03:35:32,546
WE HAVE TO DO THINGS RAPIDLY 

5450
03:35:32,546 --> 03:35:37,751
 RND BECAUSE EVERYTHING IS

5451
03:35:37,751 --> 03:35:39,086
PUBLIC PEOPLE WILL HEAR THE 

5452
03:35:39,086 --> 03:35:40,254
CONVERSATION AND DISCUSSION.

5453
03:35:40,254 --> 03:35:42,790
IN AN INTERIM WAY HOPEFULLY THAT

5454
03:35:42,790 --> 03:35:51,298
WILL HELP INFORM SOME THINGS.

5455
03:35:51,298 --> 03:35:56,370
I THINK THAT'S INITIALLY THE 

5456
03:35:56,370 --> 03:35:59,940
APPROACH.

5457
03:35:59,940 --> 03:36:01,242
>> AND WE TALKED ABOUT THE

5458
03:36:01,242 --> 03:36:02,610
EDUCATION OF THE PUBLIC AND MOST

5459
03:36:02,610 --> 03:36:07,748
ARE NOT IN SCIENCE.

5460
03:36:07,748 --> 03:36:18,025
I THINK WE SHOULD INCORPORATE 

5461
03:36:18,025 --> 03:36:19,827
THE LACK OF KNOWLEDGE AND IT 

5462
03:36:19,827 --> 03:36:21,529
TELLS ME WE'RE NOT INFORMING 

5463
03:36:21,529 --> 03:36:23,964
ENOUGH WHAT NIH IS DOING AND 

5464
03:36:23,964 --> 03:36:24,665
THOUGH EVERY INSTITUTE LOOKS 

5465
03:36:24,665 --> 03:36:27,234
LIKE IT PLAY BE ORGAN SPECIFIC 

5466
03:36:27,234 --> 03:36:28,435
DOES RELATE TO THE WHOLE PATIENT

5467
03:36:28,435 --> 03:36:28,736
POPULATION.

5468
03:36:28,736 --> 03:36:31,572
I THINK THAT'S PART OF OUR 

5469
03:36:31,572 --> 03:36:33,040
EDUCATIONAL CHALLENGE AND I HOPE

5470
03:36:33,040 --> 03:36:34,141
YOU KEEP REMINDING US THROUGH 

5471
03:36:34,141 --> 03:36:36,644
THE PROCESS THAT PART OF IT IS 

5472
03:36:36,644 --> 03:36:39,179
GOING TO BE A PUBLIC REPORT IS 

5473
03:36:39,179 --> 03:36:44,451
TO BREAK DOWN SOME OF THE 

5474
03:36:44,451 --> 03:36:49,156
UNDERSTANDING THAT SOME PLAY 

5475
03:36:49,156 --> 03:36:54,562
HAVE OF WHAT THE NIH IS OR 

5476
03:36:54,562 --> 03:36:54,762
ISN'T.

5477
03:36:54,762 --> 03:36:57,231
>> I WANT URGE US TO FOCUS
ON 

5478
03:36:57,231 --> 03:36:58,265
IMPLEMENTATION SCIENCE AND I 

5479
03:36:58,265 --> 03:37:01,201
HAVEN'T HEARD IT ONCE IN THE 

5480
03:37:01,201 --> 03:37:11,745
PRESENTATIONS I'VE HEARD TODAY.

5481
03:37:16,417 --> 03:37:19,019
>> I HEARD THIS FROM
SEVERAL 

5482
03:37:19,019 --> 03:37:22,389
OTHER SPEAKERS THEY'RE TIP 

5483
03:37:22,389 --> 03:37:24,091
TOEING MY QUESTION WHEN I WAS 

5484
03:37:24,091 --> 03:37:25,426
TRYING TO JUMP THE QUEUE.

5485
03:37:25,426 --> 03:37:31,065
THERE'S A CONTEXT THAT THERE'S 

5486
03:37:31,065 --> 03:37:38,005
THINGS WE TRY TO ADDRESS AND 

5487
03:37:38,005 --> 03:37:41,609
WE'LL HEAR FROM KATE KATE 

5488
03:37:41,609 --> 03:37:43,444
THE BREAK BUT AT SOME POINT WE 

5489
03:37:43,444 --> 03:37:48,182
NEED A DISCUSSION WILL WE BE 

5490
03:37:48,182 --> 03:37:49,950
BLUE SKY AND LOOKK FOR 

5491
03:37:49,950 --> 03:37:54,888
OPPORTUNITIES OR BE MORE 

5492
03:37:54,888 --> 03:37:55,289
TACTICAL?

5493
03:37:55,289 --> 03:37:56,657
WE'LL HAVE MORE DISCUSSION WITH 

5494
03:37:56,657 --> 03:37:59,159
KATE THOUGH SOME CREPT INTO THAT

5495
03:37:59,159 --> 03:38:01,462
DISCUSSION AND JAMES HIT IT HEAD

5496
03:38:01,462 --> 03:38:03,197
ON BUT I WAS READY TO DO IT FIVE

5497
03:38:03,197 --> 03:38:04,365
PEOPLE AGO.

5498
03:38:04,365 --> 03:38:05,699
>> THE TWO REPORTS ARE NOT
THE 

5499
03:38:05,699 --> 03:38:11,438
ONLY DOCUMENTS THAT WILL LIKELY 

5500
03:38:11,438 --> 03:38:13,941
INFORM OUR DISCUSSIONS.

5501
03:38:13,941 --> 03:38:19,246
OTHER GROUPS ARE PREPARING 

5502
03:38:19,246 --> 03:38:24,151
THEY'RE VIEW OF THINGS 

5503
03:38:24,151 --> 03:38:26,720
>> ARE WE GOING TO WAIT
AFTER 

5504
03:38:26,720 --> 03:38:27,988
THE KATE'S PRESENTATION TO HAVE 

5505
03:38:27,988 --> 03:38:33,594
A DISCUSSION ON WHETHER WE THINK

5506
03:38:33,594 --> 03:38:44,138
WE SHOULD BE MORE DELIBERATIVE?

5507
03:38:45,239 --> 03:38:48,275
>> WE SHOULD START TO
THINK 

5508
03:38:48,275 --> 03:38:49,143
ABOUT IT FOR THE NEXT TIME BUT 

5509
03:38:49,143 --> 03:38:53,013
THAT'S THE CENTER OF WHAT WE 

5510
03:38:53,013 --> 03:38:54,915
HAVE TO DECIDE AND I DON'T WANT 

5511
03:38:54,915 --> 03:38:58,152
TO PUSH US TO DO THAT IN 15 

5512
03:38:58,152 --> 03:38:58,385
MINUTES.

5513
03:38:58,385 --> 03:39:01,855
>> I CAN'T IMAGINE WE CAN
SET UP

5514
03:39:01,855 --> 03:39:02,990
WORKING GROUPS UNTIL WE HAVE 

5515
03:39:02,990 --> 03:39:04,191
THAT DISCUSSION.

5516
03:39:04,191 --> 03:39:04,758
>> WE'RE THOUGHT DOING IT 

5517
03:39:04,758 --> 03:39:09,863
BETWEEN NOW AND OUR FIRST 

5518
03:39:09,863 --> 03:39:15,135
MEETING BUT THINKING EVERYBODY 

5519
03:39:15,135 --> 03:39:17,171
WRITE DOWN TACTICS TO HAVE A 

5520
03:39:17,171 --> 03:39:20,274
HEALTHY DISCUSSION.

5521
03:39:20,274 --> 03:39:30,684
>> JOANIE AND MEN MARK.

5522
03:39:49,403 --> 03:39:52,673
WHAT WE DO DOESN'T END AT NIH 

5523
03:39:52,673 --> 03:39:53,373
AND IMPLEMENTATION SCIENCE AND 

5524
03:39:53,373 --> 03:39:55,876
HOW WE NEED TO REQUIRE THE IDEA 

5525
03:39:55,876 --> 03:40:01,749
OF BROADENING TO THE ECO

5526
03:40:01,749 --> 03:40:12,292
SYSTEM OF NOT JUST THE ASPECT OF

5527
03:40:15,629 --> 03:40:21,135
WHAT WE DO AND THINKING ABOUT 

5528
03:40:21,135 --> 03:40:22,102
TRANSFORMATION OF OUR BROADER 

5529
03:40:22,102 --> 03:40:24,271
ECO SYSTEM AND A HOW WE'RE DOIN 

5530
03:40:24,271 --> 03:40:24,638
OUR WORK.

5531
03:40:24,638 --> 03:40:27,040
I DON'T WANT US TO FORGET WE ARE

5532
03:40:27,040 --> 03:40:28,075
IN THAT BROADER CONTEXT.

5533
03:40:28,075 --> 03:40:31,078
NOT TO SAY THAT WE NEED TO 

5534
03:40:31,078 --> 03:40:32,279
DETERMINE WHAT THE CHANGES ARE 

5535
03:40:32,279 --> 03:40:34,948
IN THE OTHER ECO SYSTEMS BUT TO 

5536
03:40:34,948 --> 03:40:38,285
RECOGNIZE THAT WE AREN'T IN A 

5537
03:40:38,285 --> 03:40:39,653
VACUUM AND TO DO IMPLEMENTATION 

5538
03:40:39,653 --> 03:40:41,155
SCIENCE WILL REQUIRE AN ABILITY 

5539
03:40:41,155 --> 03:40:43,423
TO UNDERSTAND HOW TO WORK BETTER

5540
03:40:43,423 --> 03:40:44,057
WITH OTHER AREAS OF THE ECO 

5541
03:40:44,057 --> 03:40:45,859
SYSTEM.

5542
03:40:45,859 --> 03:40:54,168
>> THANK YOU.

5543
03:40:54,168 --> 03:40:54,368
MARK.

5544
03:40:54,368 --> 03:40:56,203
>> THANKS.

5545
03:40:56,203 --> 03:40:57,171
IT'S BEEN A VERY INTERESTING 

5546
03:40:57,171 --> 03:40:58,906
DISCUSSION ANDRAGE US TO 

5547
03:40:58,906 --> 03:40:59,506
RECOGNIZE IT'S ALL ABOUT THE 

5548
03:40:59,506 --> 03:41:07,047
SCIENCE.

5549
03:41:07,047 --> 03:41:08,782
THERE'S SO COMPETING NATIONS WE 

5550
03:41:08,782 --> 03:41:16,523
HAVE TO MAKE SUREUR NOT TO 

5551
03:41:16,523 --> 03:41:16,757
IMPLODE.

5552
03:41:16,757 --> 03:41:20,427
THAT SAID, RECOGNIZING THE 

5553
03:41:20,427 --> 03:41:22,396
HORIZONS IT'S PROBABLY A GOOD 

5554
03:41:22,396 --> 03:41:24,464
RISK AND GOOD WAY TODE 

5555
03:41:24,464 --> 03:41:28,001
STRUCTURES TO ADVANCE THOSE.

5556
03:41:28,001 --> 03:41:31,071
IN MY VIEW WE CREATE AN 

5557
03:41:31,071 --> 03:41:32,272
INCUBATOR ENVIRONMENT WHERE 

5558
03:41:32,272 --> 03:41:37,411
SCIENTISTS, YOUNG AND OLD CAN 

5559
03:41:37,411 --> 03:41:42,249
GET TOGETHER AND ENVISION THE 

5560
03:41:42,249 --> 03:41:43,917
NEXT AND FUNDAMENTAL PROCESS 

5561
03:41:43,917 --> 03:41:48,922
THAT NEEDS TO BE EXPLORED TO 

5562
03:41:48,922 --> 03:41:50,490
UNDERSTAND BETTER SOME DISEASE 

5563
03:41:50,490 --> 03:41:57,764
PROCESS I SUSPECT WE DON'T HAVE 

5564
03:41:57,764 --> 03:42:00,467
INNOVATION TO SATISFY HUMAN 

5565
03:42:00,467 --> 03:42:00,667
NEED.

5566
03:42:00,667 --> 03:42:03,537
IF YOU LOOK AT NIH'S OR OTHER 

5567
03:42:03,537 --> 03:42:04,671
STRATEGIC PLANS THERE'S MANY 

5568
03:42:04,671 --> 03:42:13,280
CHALLENGES THAT AWA US AND WE 

5569
03:42:13,280 --> 03:42:16,250
NEED TO CREATE INCUBATORS TO 

5570
03:42:16,250 --> 03:42:21,588
BEGIN TO APPROACH THEM.

5571
03:42:21,588 --> 03:42:21,955
>> THANK YOU.

5572
03:42:21,955 --> 03:42:26,560
OTHER COMMENTS OR QUESTIONS?

5573
03:42:26,560 --> 03:42:28,195
ARE YOU READY FOR A BREAK?

5574
03:42:28,195 --> 03:42:30,597
  SMILES WHEN I SAID THAT.

5575
03:42:30,597 --> 03:42:31,131
FINALLY, A SMILE.

5576
03:42:31,131 --> 03:42:34,935
GREAT.

5577
03:42:34,935 --> 03:42:37,237
SO WE'LL COME BACK AT 4:30?

5578
03:42:37,237 --> 03:42:39,072
>> YEAH.

5579
03:42:39,072 --> 03:42:40,240
YOU HAVE HALF AN HOUR.

5580
03:42:40,240 --> 03:42:43,110
WELL, LESS THAN HALF AN HOUR.

5581
03:42:43,110 --> 03:42:44,803
IF YOU COME BACK ABOUT 4:25.

5582
03:42:44,803 --> 03:42:45,437
>> GOOD AFTERNOON.

5583
03:42:45,437 --> 03:42:51,910
FOR THOSE I DON'T KNOW, I'M KATE

5584
03:42:51,910 --> 03:42:52,811
KLIMCZAK THE DIRECTOR OF OFFICE 

5585
03:42:52,811 --> 03:42:53,812
OF LEGISLATIVE POLICY AND 

5586
03:42:53,812 --> 03:42:54,213
ANALYSIS.

5587
03:42:54,213 --> 03:42:55,814
I APPRECIATE THE OPPORTUNITY TO 

5588
03:42:55,814 --> 03:43:01,487
MEET WITH YOU ALL TODAY TO 

5589
03:43:01,487 --> 03:43:04,623
PROVIDE AN UPDATE ON 

5590
03:43:04,623 --> 03:43:06,558
CONGRESSIONAL PROPOSALS WE'VE 

5591
03:43:06,558 --> 03:43:09,862
SEEN TO DATE RELATED TO NIH 

5592
03:43:09,862 --> 03:43:13,899
RE-AUTHORIZATION AND MOD

5593
03:43:13,899 --> 03:43:14,700
MODERNIZA

5594
03:43:14,700 --> 03:43:15,034
MODERNIZATION.

5595
03:43:15,034 --> 03:43:16,235
OVER THE PAST YEAR THE LEVEL OF 

5596
03:43:16,235 --> 03:43:20,472
CONGRESSIONAL INTEREST HAS BEEN 

5597
03:43:20,472 --> 03:43:22,674
INCREASING AND WE ARE EAGER TO 

5598
03:43:22,674 --> 03:43:25,444
CONTINUE OUR ENGAGEMENT WITH 

5599
03:43:25,444 --> 03:43:26,578
VARIOUS CONGRESSIONAL COMMITTEES

5600
03:43:26,578 --> 03:43:31,150
AND MEMBERS ON THEIR IDEAS AND 

5601
03:43:31,150 --> 03:43:33,419
PROPOSALS TO STRENGTHEN NIH'S 

5602
03:43:33,419 --> 03:43:34,887
STRUCTURE AND POLICIES.

5603
03:43:34,887 --> 03:43:36,188
I'M GOING TO TAKE THE NU NEXT 

5604
03:43:36,188 --> 03:43:38,357
FEW MINUTES TO WALK THROUGH THE 

5605
03:43:38,357 --> 03:43:42,761
MAIN PROPOSALS AND THE EMERGING 

5606
03:43:42,761 --> 03:43:45,197
THEMES THAT WE HAVE SEEN AROUND 

5607
03:43:45,197 --> 03:43:45,998
RE-AUTHORIZATION AND REFORM THAT

5608
03:43:45,998 --> 03:43:48,267
HAVE EMERGED OVER THE PAST YEAR 

5609
03:43:48,267 --> 03:43:48,901
OR SO.

5610
03:43:48,901 --> 03:43:53,038
I WON'T HAVE TIME TO GET INTO 

5611
03:43:53,038 --> 03:43:55,074
THE DETAILS OF EVERY IDEA 

5612
03:43:55,074 --> 03:43:58,444
PROPOSED BUT I HOPE TO LEAVE YOU

5613
03:43:58,444 --> 03:44:00,412
WITH AN UNDERSTANDING OF THE 

5614
03:44:00,412 --> 03:44:04,450
THREE KEY PROPOSALS AND 

5615
03:44:04,450 --> 03:44:06,318
RECURRING THEMES THAT COME FROM 

5616
03:44:06,318 --> 03:44:06,685
THOSE.

5617
03:44:06,685 --> 03:44:11,090
AS YOU MAY KNOW WE ARE RAPIDLY 

5618
03:44:11,090 --> 03:44:12,891
APPROACHING THE END OF THE 

5619
03:44:12,891 --> 03:44:14,393
CONGRESSIONAL SESSION AND 

5620
03:44:14,393 --> 03:44:17,396
CURRENT ADMINISTRATION.

5621
03:44:17,396 --> 03:44:20,232
I DO EXPECT WE'LL SEE SIMILAR 

5622
03:44:20,232 --> 03:44:24,670
LEVELS OF CONSIDERATIONAL 

5623
03:44:24,670 --> 03:44:29,475
INTEREST NEXT YEAR THOUGH A LOT 

5624
03:44:29,475 --> 03:44:36,014
WELL DEPEND ON WHEN AND HOW NIH 

5625
03:44:36,014 --> 03:44:36,982
REAUTHORIZATION FITS ON THE 

5626
03:44:36,982 --> 03:44:47,159
PRIORITIES AND THE CALENDAR.

5627
03:44:47,159 --> 03:44:49,962
A BRIEF HISTORY ON THE RECENT 

5628
03:44:49,962 --> 03:44:55,667
NIH REAUTHORIZATIONS IN 2006 

5629
03:44:55,667 --> 03:44:58,203
THEY PASSED THE REFORM ACT OF 

5630
03:44:58,203 --> 03:44:59,872
2006 WHICH AUTHORIZED THE 

5631
03:44:59,872 --> 03:45:02,708
ESTABLISHMENT OF THE SMRB, 

5632
03:45:02,708 --> 03:45:07,379
ESTABLISHED THE DIVISION OF 

5633
03:45:07,379 --> 03:45:08,247
PROGRAM COORDINATION PLANNING 

5634
03:45:08,247 --> 03:45:11,049
AND INITIATIVES AND AUTHORIZED 

5635
03:45:11,049 --> 03:45:13,685
THE COMMON FUND AND REAFFIRMED 

5636
03:45:13,685 --> 03:45:15,287
THE IMPORTANCE OF THE NIH AND 

5637
03:45:15,287 --> 03:45:16,989
ITS VITAL ROLE IN ADVANCING 

5638
03:45:16,989 --> 03:45:20,993
BIOMEDICAL RESEARCH.

5639
03:45:20,993 --> 03:45:27,232
ABOUT A DECADE LATER CONGRESS 

5640
03:45:27,232 --> 03:45:32,404
PASSED THE BIPARTISAN 21st CURES

5641
03:45:32,404 --> 03:45:34,506
ACT TO INCREASE OUR 

5642
03:45:34,506 --> 03:45:35,274
ADMINISTRATIVE FLEXIBILITY AT 

5643
03:45:35,274 --> 03:45:37,209
NIH AND HELP REDUCE BURDEN.

5644
03:45:37,209 --> 03:45:38,944
THE CURES ACT ALSO AS MANY OF 

5645
03:45:38,944 --> 03:45:40,946
YOU KNOW INCLUDED THE INNOVATION

5646
03:45:40,946 --> 03:45:42,614
FUND WHICH PROVIDED FUNDING FOR 

5647
03:45:42,614 --> 03:45:44,416
A NUMBER OF INNOVATIVE PROGRAMS 

5648
03:45:44,416 --> 03:45:46,652
INCLUDING THE ALL OF US RESEARCH

5649
03:45:46,652 --> 03:45:49,555
PROGRAM, THE BRAIN INITIATIVE, 

5650
03:45:49,555 --> 03:45:52,891
CANCER MOON SHOOT AND 

5651
03:45:52,891 --> 03:45:54,660
REGENERATIVE MEDICINE INNOVATION

5652
03:45:54,660 --> 03:45:55,027
PROJECT.

5653
03:45:55,027 --> 03:45:57,596
I WANT TO NOTE WHILE NIH HAS NOT

5654
03:45:57,596 --> 03:46:02,901
RECENTLY BEEN REAUTHORIZED, OUR 

5655
03:46:02,901 --> 03:46:03,735
WORK WILL CONTINUE THROUGH OUR 

5656
03:46:03,735 --> 03:46:08,674
ANNUAL APPROPRIATION.

5657
03:46:08,674 --> 03:46:10,842
AS MENTIONED THERE'S BEEN 

5658
03:46:10,842 --> 03:46:12,511
GROWING CONGRESSIONAL INTEREST 

5659
03:46:12,511 --> 03:46:16,481
IN A REAUTHORIZATION 

5660
03:46:16,481 --> 03:46:17,449
MODERNIZATION REFORM OF NIH.

5661
03:46:17,449 --> 03:46:19,151
THE VARIOUS PROPOSALS THAT HAD 

5662
03:46:19,151 --> 03:46:21,853
BEEN PUT OUT SO FAR HAVE 

5663
03:46:21,853 --> 03:46:24,690
INCLUDED A NUMBER OF REFORMS TO 

5664
03:46:24,690 --> 03:46:26,925
NIH'S SUGGESTED REFORMS TO NIH'S

5665
03:46:26,925 --> 03:46:27,426
STRUCTURE, POLICIES AND 

5666
03:46:27,426 --> 03:46:30,395
PROCEDURES.

5667
03:46:30,395 --> 03:46:32,431
THE DIFFERENT MEMBERS AND 

5668
03:46:32,431 --> 03:46:33,632
COMMITTEES THAT HAVE PUT OUT 

5669
03:46:33,632 --> 03:46:35,901
PROPOSALS HAVE TAKEN DIFFERENT 

5670
03:46:35,901 --> 03:46:37,469
APPROACHES AND HOW THEY HAVE 

5671
03:46:37,469 --> 03:46:40,772
EITHER REQUESTED INPUT FROM NIH 

5672
03:46:40,772 --> 03:46:42,341
STAKEHOLDERS, HOW THEY HAVE 

5673
03:46:42,341 --> 03:46:44,009
PRIORITIZED CERTAIN TOPICS OR 

5674
03:46:44,009 --> 03:46:45,711
ISSUES AND ALSO HOW THEY HAVE 

5675
03:46:45,711 --> 03:46:47,679
ACTUALLY PRESENTED THEIR 

5676
03:46:47,679 --> 03:46:50,415
PROPOSALS TO THE PUBLIC AND TO 

5677
03:46:50,415 --> 03:46:51,683
NIH.

5678
03:46:51,683 --> 03:46:52,851
THERE ARE THREE KEY PROPOSALS 

5679
03:46:52,851 --> 03:46:57,923
THAT I'M GOING TO FOCUS ON 

5680
03:46:57,923 --> 03:46:59,157
TODAY.

5681
03:46:59,157 --> 03:47:01,260
LAST YEAR U.S. SENATE HEALTH 

5682
03:47:01,260 --> 03:47:02,427
EDUCATION LABOR AND PENSION 

5683
03:47:02,427 --> 03:47:04,496
COMMITTEE RANKING MEM, BILL 

5684
03:47:04,496 --> 03:47:07,132
KASSIDY RELEASED A REQUEST FOR 

5685
03:47:07,132 --> 03:47:07,733
INFORMATION.

5686
03:47:07,733 --> 03:47:10,602
HE WAS SEEKING IDEAS FROM NIH 

5687
03:47:10,602 --> 03:47:14,439
PARTNERS HOW NIH COULD IMPROVE 

5688
03:47:14,439 --> 03:47:16,308
ITS PROCESS FOR APPROVING 

5689
03:47:16,308 --> 03:47:17,709
RESEARCH GRANTS.

5690
03:47:17,709 --> 03:47:19,244
IDEAS TO BETTER SUPPORT THE 

5691
03:47:19,244 --> 03:47:22,214
BIOMEDICAL WORKFORCE, WAYS TO 

5692
03:47:22,214 --> 03:47:26,184
BOLSTER COLLABORATION ACROSS 

5693
03:47:26,184 --> 03:47:29,154
ACADEMIA AND INDUSTRY AND IDEAS 

5694
03:47:29,154 --> 03:47:31,323
TO INCREASE TRANSPARENCY INTO 

5695
03:47:31,323 --> 03:47:33,959
NIH ACTIVITIES AND OPERATIONS.

5696
03:47:33,959 --> 03:47:36,194
BASED ON A LOT OF THAT FEEDBACK 

5697
03:47:36,194 --> 03:47:38,263
AND SOME OF HIS IDEAS HE 

5698
03:47:38,263 --> 03:47:40,766
RELEASED A WHITE PAPER EARLIER 

5699
03:47:40,766 --> 03:47:41,667
THIS YEAR.

5700
03:47:41,667 --> 03:47:43,001
I'LL TALK MORE ABOUT THE 

5701
03:47:43,001 --> 03:47:43,635
COMPONENTS IN THE RIGHT PAPER IN

5702
03:47:43,635 --> 03:47:49,374
A MINUTE.

5703
03:47:49,374 --> 03:47:51,043
UNJUNE THE HOUSE ENERGY AND 

5704
03:47:51,043 --> 03:47:54,046
COMMERCE COMMITTEE RELEASED A 

5705
03:47:54,046 --> 03:47:55,113
FRAMEWORK FOCUSSING ON 

5706
03:47:55,113 --> 03:47:58,717
CHALLENGES THE COMMITTEE SEES 

5707
03:47:58,717 --> 03:48:02,354
FACING NIN, RECOMMENDATIONS AND 

5708
03:48:02,354 --> 03:48:06,291
THE XT SOLICITED FEEDBACK ON 

5709
03:48:06,291 --> 03:48:08,460
TERN TOPICS AND QUESTIONS.

5710
03:48:08,460 --> 03:48:10,962
NIH STAKEHOLDERS WERE ENCOURAGED

5711
03:48:10,962 --> 03:48:14,466
TO ENGAGE AND SHARED THEIR IDEAS

5712
03:48:14,466 --> 03:48:18,036
WITH THE COMMITTEE.

5713
03:48:18,036 --> 03:48:21,306
FINALLY THE HOUSE LABOR 

5714
03:48:21,306 --> 03:48:22,774
SUBCOMMITTEE RELEASED ITS 

5715
03:48:22,774 --> 03:48:27,479
PROPOSED SPENDING BILL.

5716
03:48:27,479 --> 03:48:33,585
THAT PIECE OF LEGISLATION 

5717
03:48:33,585 --> 03:48:35,620
INCLUDED POLICY REFORMS IN THE 

5718
03:48:35,620 --> 03:48:42,094
ENERGY AND COMMERCE PROPOSAL.

5719
03:48:42,094 --> 03:48:45,297
I INCLUDED A PROPOSAL TO 

5720
03:48:45,297 --> 03:48:47,599
CONSOLIDATE NIH INSTITUTES AND 

5721
03:48:47,599 --> 03:48:48,934
CENTERS AND BEFORE DIVING INTO 

5722
03:48:48,934 --> 03:48:53,372
TE DETAILS HERE I ALSO WANTED TO

5723
03:48:53,372 --> 03:48:56,441
TAKE A MINUTE TO NOTE MANY OF 

5724
03:48:56,441 --> 03:49:01,980
NIH'S PARTNERS, STAKEHOLDERS, 

5725
03:49:01,980 --> 03:49:06,651
ADVOCATES HEARD THE REQUEST FOR 

5726
03:49:06,651 --> 03:49:08,453
INPUT AND OBLIGE.

5727
03:49:08,453 --> 03:49:11,623
WE HAVE SEEN REPRESENTATION OF 

5728
03:49:11,623 --> 03:49:13,959
ACADEMIC INSTITUTIONS AND GROUPS

5729
03:49:13,959 --> 03:49:19,097
THINKING DEEPLY HOW NIH CAN 

5730
03:49:19,097 --> 03:49:24,403
IMPROVE AND MODERNIZE AND HAVE 

5731
03:49:24,403 --> 03:49:31,143
PROVIDED A SIGNIFICANT AMOUNT OF

5732
03:49:31,143 --> 03:49:34,846
FEEDBACK THAT INFLUENCED 

5733
03:49:34,846 --> 03:49:36,948
PROPOSALS TO DATE AND I WANT TO 

5734
03:49:36,948 --> 03:49:41,920
NOTE THEY'VE SPURRED A LOT OF 

5735
03:49:41,920 --> 03:49:44,656
OUTSIDE INPUT AS WELL THAT'S 

5736
03:49:44,656 --> 03:49:45,824
BEEN FED TO THE CONGRESSIONAL 

5737
03:49:45,824 --> 03:49:47,225
COMMITTEES AND MEMBERS THINKING 

5738
03:49:47,225 --> 03:49:56,868
ABOUT THESE PROPOSALS.

5739
03:49:56,868 --> 03:50:03,141
AND FROM PROPOSALS AND 

5740
03:50:03,141 --> 03:50:11,016
COVERINGS, AND THERE'S STRONG 

5741
03:50:11,016 --> 03:50:11,750
BIPARTISAN SUPPORT FOR 

5742
03:50:11,750 --> 03:50:14,085
BIOMEDICAL RESEARCH AND CONGRESS

5743
03:50:14,085 --> 03:50:14,920
HAS BEEN CONSISTENTLY GENEROUS 

5744
03:50:14,920 --> 03:50:17,055
TO NIH IN THE AMOUNT OF FUNDING 

5745
03:50:17,055 --> 03:50:17,956
ITS PROVIDED TO US YEAR AFTER 

5746
03:50:17,956 --> 03:50:24,529
YEAR.

5747
03:50:24,529 --> 03:50:28,800
THAT THAT HAS BEEN APPROPRIATED 

5748
03:50:28,800 --> 03:50:30,302
BY THE COMMITTEES AND NIH HAS 

5749
03:50:30,302 --> 03:50:34,840
WORKED TO BE RESPONSIVE TO THAT 

5750
03:50:34,840 --> 03:50:36,541
OVERSIGHT BUT DESPITE THE 

5751
03:50:36,541 --> 03:50:39,244
INVESTMENT AND OVERSIGHT THERE'S

5752
03:50:39,244 --> 03:50:44,382
STILL CLEAR OPPORTUNITIES TO 

5753
03:50:44,382 --> 03:50:46,084
EMIMPROVE MISSION TO IMPROVE THE

5754
03:50:46,084 --> 03:50:47,152
WORKFORCE AND ADVANCE CURES AND 

5755
03:50:47,152 --> 03:50:54,292
TREMES FOR ALL PEOPLE.

5756
03:50:54,292 --> 03:50:56,495
AND THERE THE PROCESS IS LONG 

5757
03:50:56,495 --> 03:50:58,663
OVERDUE AND IT'S BEEN YEARS 

5758
03:50:58,663 --> 03:51:01,433
SINCE WE HAD OFFICIAL 

5759
03:51:01,433 --> 03:51:04,936
REAUTHORIZATION AND THE 

5760
03:51:04,936 --> 03:51:05,871
COMPREHENSIVE CONGRESSIONAL 

5761
03:51:05,871 --> 03:51:10,809
REVIEW OF HOW NIH OPERATES.

5762
03:51:10,809 --> 03:51:12,277
AGAIN, I WANT TO NOTE WE 

5763
03:51:12,277 --> 03:51:12,811
CONDITION WITH THE ANNUAL 

5764
03:51:12,811 --> 03:51:22,988
APPROPRIATION.

5765
03:51:22,988 --> 03:51:25,056
AND KEY AREAS OF PROPOSED ROW 

5766
03:51:25,056 --> 03:51:27,125
FORM THAT HAVE COME UP AND THIS 

5767
03:51:27,125 --> 03:51:28,226
IS OBVIOUS TO MANY THAT LOOKED 

5768
03:51:28,226 --> 03:51:30,695
AT THE PROPOSALS, STRUCTURAL 

5769
03:51:30,695 --> 03:51:35,133
REFORMS, LEADERSHIP REFORMS, 

5770
03:51:35,133 --> 03:51:38,803
POLICY GRANT REFORMS AND REFORMS

5771
03:51:38,803 --> 03:51:40,839
RELATED TO FUNDING ARE THE FOUR 

5772
03:51:40,839 --> 03:51:42,941
AREAS CONGRESS HAS BEEN MOST 

5773
03:51:42,941 --> 03:51:43,842
INTERESTED IN EXPLORING AND 

5774
03:51:43,842 --> 03:51:53,051
OFFERING IDEAS ON.

5775
03:51:53,051 --> 03:51:54,452
STARTING WITH STRUCTURAL REFORM,

5776
03:51:54,452 --> 03:51:55,820
BOTH ENERGY AND COMMERCE AND 

5777
03:51:55,820 --> 03:52:02,994
HOUSE APPROPRIATIONS PROPOSALS 

5778
03:52:02,994 --> 03:52:07,165
DID INCLUDE PROPOSALS TO CON

5779
03:52:07,165 --> 03:52:11,136
CONSOLIDATE UNDER THES SINCE 

5780
03:52:11,136 --> 03:52:18,944
FROM 27 TO 15.

5781
03:52:18,944 --> 03:52:19,444
THE STATED GOAL FOR THE 

5782
03:52:19,444 --> 03:52:22,280
CONSOLIDATION IS STREAMLINE THE 

5783
03:52:22,280 --> 03:52:24,950
INSTITUTES AROUND CENTERS AND 

5784
03:52:24,950 --> 03:52:25,850
BETTER CONSIDER THE WHOLE 

5785
03:52:25,850 --> 03:52:26,151
INDIVIDUAL.

5786
03:52:26,151 --> 03:52:28,153
I DO WANT TO NOTE THAT OUR 

5787
03:52:28,153 --> 03:52:31,056
CURRENT STRUCTURE WOMAN THE 27 

5788
03:52:31,056 --> 03:52:33,291
IS MANDATED BY LAW AND WOULD 

5789
03:52:33,291 --> 03:52:33,858
HAVE TO BE CHANGED THROUGH 

5790
03:52:33,858 --> 03:52:41,366
LEGISLATION.

5791
03:52:41,366 --> 03:52:42,767
AND CONGRESS APPROPRIATES 

5792
03:52:42,767 --> 03:52:43,768
FUNDING AMOUNTS TO THE SPECIFIC 

5793
03:52:43,768 --> 03:52:45,670
INSTITUTES AND CENTERS SO THAT 

5794
03:52:45,670 --> 03:52:51,376
WOULD ALSO HAVE TO BE ADDRESSED.

5795
03:52:51,376 --> 03:52:53,878
THIS PARTICULAR PROPOSAL HAS ED 

5796
03:52:53,878 --> 03:52:55,814
A SIGNIFICANT AMOUNT OF PUBLIC 

5797
03:52:55,814 --> 03:52:59,150
AND PRESS ATTENTION SINCE IT 

5798
03:52:59,150 --> 03:53:02,520
WOULD DRASTICALLY CHANGE HOW NIH

5799
03:53:02,520 --> 03:53:10,829
OPERATES AND FUNDS RESEARCH.

5800
03:53:10,829 --> 03:53:15,100
IN ADDITION TO THE REFORMS 

5801
03:53:15,100 --> 03:53:16,935
STAKEHOLDER FEEDBACK TOUCHED ON 

5802
03:53:16,935 --> 03:53:20,338
MISSION AND LEADERSHIP REFORMS.

5803
03:53:20,338 --> 03:53:22,007
IT WAS ONE CLEAR POINT THAT CAME

5804
03:53:22,007 --> 03:53:25,043
ACROSS ALL THE PROPOSALS WAS 

5805
03:53:25,043 --> 03:53:26,845
THERE'S A NEED FOR COMPREHENSIVE

5806
03:53:26,845 --> 03:53:33,284
REVIEW AT NIH'S OPERATIONS, 

5807
03:53:33,284 --> 03:53:34,819
STRUCTURE AND POLICIES THAT'S 

5808
03:53:34,819 --> 03:53:38,156
WHERE YOU COME IN AND NEAR 

5809
03:53:38,156 --> 03:53:40,692
UNANIMOUS NIH NEEDED TO 

5810
03:53:40,692 --> 03:53:44,029
ESTABLISH AND UTILIZE THE MSRB 

5811
03:53:44,029 --> 03:53:49,567
TO PROVIDE NEEDED FEEDBACK TO 

5812
03:53:49,567 --> 03:53:59,344
NIH LEADERSHIP 3: -- THE OTHER 

5813
03:53:59,344 --> 03:54:02,514
IS TERM LIMITS.

5814
03:54:02,514 --> 03:54:09,287
THE 21st CENTURY CURES ACT SET 

5815
03:54:09,287 --> 03:54:11,156
TERM LIMITS BUT NO LIMIT ON THE 

5816
03:54:11,156 --> 03:54:12,824
NUMBER OF TERMS.

5817
03:54:12,824 --> 03:54:14,125
THERE'S GROWING INTEREST ON 

5818
03:54:14,125 --> 03:54:15,927
SETTING THE TERMS A DIRECTOR CAN

5819
03:54:15,927 --> 03:54:16,127
SERVE.

5820
03:54:16,127 --> 03:54:17,796
FOR EXAMPLE, THE ENERGY AND 

5821
03:54:17,796 --> 03:54:20,065
COMMERCE PROPOSAL RECOMMENDS 

5822
03:54:20,065 --> 03:54:24,536
LIMITING I.C. DIRECTORS TO A 

5823
03:54:24,536 --> 03:54:26,204
FIVE-YEAR TERM WITH THE ABILITY 

5824
03:54:26,204 --> 03:54:28,740
TO SERVE TWO CONSECUTIVE TERM IF

5825
03:54:28,740 --> 03:54:30,875
APPROVED BY THE NIH DIRECTOR.

5826
03:54:30,875 --> 03:54:32,444
BREAKING DOWN SILOS BETWEEN THE 

5827
03:54:32,444 --> 03:54:33,378
INSTITUTE IS ANOTHER COMMON 

5828
03:54:33,378 --> 03:54:39,918
THEME WE SAW ACROSS ALL THE 

5829
03:54:39,918 --> 03:54:40,185
PROPOSALS.

5830
03:54:40,185 --> 03:54:44,255
THE CONSOLIDATION PIECE 

5831
03:54:44,255 --> 03:54:49,294
ATTEMPTED TO ADDRESS THAT ISSUE 

5832
03:54:49,294 --> 03:54:56,134
BUT OTHER THEMES THAT TOUCHED ON

5833
03:54:56,134 --> 03:54:56,668
REDUNDANT RESEARCH 

5834
03:54:56,668 --> 03:55:01,573
INFRASTRUCTURE AND CLINICAL 

5835
03:55:01,573 --> 03:55:02,574
TRIAL INFRASTRUCTURE AND 

5836
03:55:02,574 --> 03:55:05,877
DUPLICATION ACROSS THE I.C. 

5837
03:55:05,877 --> 03:55:06,344
RESEARCH PORTFOLIOS.

5838
03:55:06,344 --> 03:55:08,246
ANOTHER KEY THEME ACROSS THE 

5839
03:55:08,246 --> 03:55:11,282
PROPOSALS IS OVERSIGHT AND 

5840
03:55:11,282 --> 03:55:12,083
TRANSPARENCY WITHIN NIH AND FROM

5841
03:55:12,083 --> 03:55:16,988
OUR PARTNERS.

5842
03:55:16,988 --> 03:55:18,089
WITHIN THE BUCKET THERE'S A 

5843
03:55:18,089 --> 03:55:19,557
NUMBER OF THINGS.

5844
03:55:19,557 --> 03:55:22,494
I WON'T GET TO ALL OF THEM BUT 

5845
03:55:22,494 --> 03:55:24,562
KEY THINGS TO NOTE INTEREST IN 

5846
03:55:24,562 --> 03:55:29,267
MAKING AND SEEING MORE 

5847
03:55:29,267 --> 03:55:35,306
TRANSPARENCY RELATED FOR 

5848
03:55:35,306 --> 03:55:45,150
DISCLOSURES.

5849
03:55:45,150 --> 03:55:48,253
IN ADDITION ANOTHER THEME IS 

5850
03:55:48,253 --> 03:55:50,555
STRONG CONSISTENT OVERSIGHT OF 

5851
03:55:50,555 --> 03:55:56,027
MISCONDUCT INCLUDING SEXUAL 

5852
03:55:56,027 --> 03:56:01,466
HARASSMENT IN ADDITION, FUNDING 

5853
03:56:01,466 --> 03:56:05,937
REFORM IS ANOTHER AREA THAT 

5854
03:56:05,937 --> 03:56:08,573
WE'VE SEEN AND DISCUSSION OB NIH

5855
03:56:08,573 --> 03:56:09,808
FUNDING STREAMS.

5856
03:56:09,808 --> 03:56:11,476
KEY INTEREST IN MAKING SURE NIH 

5857
03:56:11,476 --> 03:56:13,711
IS ACCOUNTING FOR AND RECOVERING

5858
03:56:13,711 --> 03:56:15,380
MISUSED GRANT FUNDING.

5859
03:56:15,380 --> 03:56:20,084
ALSO THE ISSUE OF INDIRECT COSTS

5860
03:56:20,084 --> 03:56:25,423
OR ADMINISTRATIVE COSTS 

5861
03:56:25,423 --> 03:56:29,627
CONTINUES TO COME UP THE LABOR 

5862
03:56:29,627 --> 03:56:30,895
APPROPRIATION PROPOSALS 

5863
03:56:30,895 --> 03:56:35,133
EXAMINING THE COSTS AND LIMITING

5864
03:56:35,133 --> 03:56:43,408
THE ALLOWED COST AND PREVENTING 

5865
03:56:43,408 --> 03:56:45,577
WASTE AND FRAUD ON THE POLICY 

5866
03:56:45,577 --> 03:56:47,011
SIDE MANY IDEAS AND SUGGESTIONS 

5867
03:56:47,011 --> 03:56:52,684
HAVE BEEN OFFERED TO MODERNIZE 

5868
03:56:52,684 --> 03:56:54,686
AND REFORM NIH GRANT PROCESSES 

5869
03:56:54,686 --> 03:57:00,058
BUT A FEW COMMON THEMES I WANT 

5870
03:57:00,058 --> 03:57:02,260
TO TOUCH ON BRIEFLY A LARGER 

5871
03:57:02,260 --> 03:57:03,928
BUCKET OF RESEARCH MUST BE 

5872
03:57:03,928 --> 03:57:09,267
CREDIBLE, RELIABLE AND TIMELY.

5873
03:57:09,267 --> 03:57:15,139
THINGS UNDER THAT BUCKET A 

5874
03:57:15,139 --> 03:57:17,508
BALANCED PORTFOLIO ON BASIC TO 

5875
03:57:17,508 --> 03:57:18,276
TRANSLATIONAL RESEARCH AND THIS 

5876
03:57:18,276 --> 03:57:20,111
COMES UP IN DISCUSSION.

5877
03:57:20,111 --> 03:57:25,683
ENSURING STRICT OVERSIGHT OF 

5878
03:57:25,683 --> 03:57:35,159
RISKY RESEARCH IS VERY IMPORTANT

5879
03:57:35,159 --> 03:57:44,602
AND SUSPEND GRANTS AND ANIMAL 

5880
03:57:44,602 --> 03:57:55,013
RESEARCH AND HARASSMENT.

5881
03:57:56,648 --> 03:57:57,181
STREAMLINING REVIEW IS OF 

5882
03:57:57,181 --> 03:58:01,853
INTEREST OF ON THE SENATE SIDE.

5883
03:58:01,853 --> 03:58:04,722
THE WHITE PAPER INCLUDED 

5884
03:58:04,722 --> 03:58:06,190
SUGGESTIONS TO PILOTING, TRYING 

5885
03:58:06,190 --> 03:58:08,226
OUT AND EVALUATING DIFFERENT 

5886
03:58:08,226 --> 03:58:13,197
APPROACHES TO HENN'S PEER REVIEW

5887
03:58:13,197 --> 03:58:18,870
PROCESS SOME IDEAS INCLUDED MORE

5888
03:58:18,870 --> 03:58:22,540
GENERALIST TO PEER REVIEW MORE 

5889
03:58:22,540 --> 03:58:23,675
TRAINING TO ENSURE CONSISTENCY 

5890
03:58:23,675 --> 03:58:25,576
ACROSS THE PEER REVIEW PROCESS 

5891
03:58:25,576 --> 03:58:26,978
AND EVALUATING THE BALANCE 

5892
03:58:26,978 --> 03:58:30,581
BETWEEN FOCUSSING ON METHODOLOGY

5893
03:58:30,581 --> 03:58:38,589
AND POTENTIAL IMPACT AND VISION.

5894
03:58:38,589 --> 03:58:38,957
BHIEZ NEXT?

5895
03:58:38,957 --> 03:58:39,023
 

5896
03:58:42,493 --> 03:58:43,261
WHAT'S NEXT?

5897
03:58:43,261 --> 03:58:48,466
THERE'S MANY MANY DIFFERENT 

5898
03:58:48,466 --> 03:58:55,740
IDEAS AND PROPOSALS AND ACHIEVE 

5899
03:58:55,740 --> 03:58:56,874
THE PROPOSALS MENTIONED AND 

5900
03:58:56,874 --> 03:59:03,114
NUMBER OF PARTNERS AND ENGAGED 

5901
03:59:03,114 --> 03:59:05,917
SHAREHOLDERS HAVE COME UP WITH 

5902
03:59:05,917 --> 03:59:09,520
PROPOSALS AND THERE'S MORE 

5903
03:59:09,520 --> 03:59:11,322
PROPOSALS AND I TRIED TO TOUCH 

5904
03:59:11,322 --> 03:59:17,895
ON THE THEMES WE'VE BEEN SEEING.

5905
03:59:17,895 --> 03:59:20,131
THE CURRENT SESSION IS BIND 

5906
03:59:20,131 --> 03:59:26,104
WINDING DOWN BUT WE EXPECT 

5907
03:59:26,104 --> 03:59:27,705
CONGRESSIONAL INTEREST WILL 

5908
03:59:27,705 --> 03:59:29,674
CONTINUE NEXT YEAR AND NEW 

5909
03:59:29,674 --> 03:59:30,308
CONGRESSIONAL SESSION HEADING 

5910
03:59:30,308 --> 03:59:36,547
INTO NEXT YEAR WE LOOK FORWARD 

5911
03:59:36,547 --> 03:59:38,383
TO THE CONTINUED DISCUSSION ON 

5912
03:59:38,383 --> 03:59:41,452
IDEAS SO FAR.

5913
03:59:41,452 --> 03:59:44,622
NEW IDEAS AS THEY ARISE.

5914
03:59:44,622 --> 03:59:53,231
THE MESSAGE TO DATE WE'VE BEEN 

5915
03:59:53,231 --> 03:59:53,965
USING ENGAGEMENT IN DISCUSSION 

5916
03:59:53,965 --> 03:59:55,133
THERE'S ALWAYS ROOM FOR 

5917
03:59:55,133 --> 03:59:58,069
IMPROVEMENT AND WE'RE EAGER TO 

5918
03:59:58,069 --> 04:00:02,807
BE A PART OF THE CONVERSATION TO

5919
04:00:02,807 --> 04:00:04,442
IMPROVE AND MAXIMIZE OUR 

5920
04:00:04,442 --> 04:00:04,709
RESEARCH.

5921
04:00:04,709 --> 04:00:06,944
CONGRESS IS A KEY PARTNER FOR US

5922
04:00:06,944 --> 04:00:08,212
IN ACHIEVING THAT OBJECTIVE.

5923
04:00:08,212 --> 04:00:09,847
SO WE DO HOPE IF THERE'S 

5924
04:00:09,847 --> 04:00:13,618
MOVEMENT NEXT YEAR TOWARDS 

5925
04:00:13,618 --> 04:00:14,318
RE-AUTHORIZATION IT WILL BE 

5926
04:00:14,318 --> 04:00:16,354
AGAIN A BIPARTISAN THOROUGH 

5927
04:00:16,354 --> 04:00:19,323
PROCESS THAT WE SAW THROUGH 21st

5928
04:00:19,323 --> 04:00:22,326
CENTURY CURES AND THE REFORM ACT

5929
04:00:22,326 --> 04:00:23,127
2006.

5930
04:00:23,127 --> 04:00:31,135
I'LL LEAVE IT THERE.

5931
04:00:31,135 --> 04:00:34,038
AND AN ADDITIONAL OPPORTUNITY 

5932
04:00:34,038 --> 04:00:35,740
FOR THIS TO FEED INTO THE 

5933
04:00:35,740 --> 04:00:37,508
PROCESS AND WE LOOK FORWARD TO 

5934
04:00:37,508 --> 04:00:38,776
THE BOARD'S RECOMMENDATIONS.

5935
04:00:38,776 --> 04:00:39,444
>> THANK YOU.

5936
04:00:39,444 --> 04:00:43,147
IT GIVES US A LOT TO THINK 

5937
04:00:43,147 --> 04:00:50,621
ABOUT.

5938
04:00:50,621 --> 04:00:55,026
>> DO THE CONGRESSMEN AND 

5939
04:00:55,026 --> 04:00:55,693
SENATORS WERE LEADING THE 

5940
04:00:55,693 --> 04:00:57,328
REPORTS ARE THEY AWARE WE'RE 

5941
04:00:57,328 --> 04:01:03,134
WORKING ON A RESPONSE AND THE 

5942
04:01:03,134 --> 04:01:04,068
SECOND PART IS DO THEY HAVE THE 

5943
04:01:04,068 --> 04:01:05,770
TIME LINE?

5944
04:01:05,770 --> 04:01:10,741
ARE THEY EXPECTING SOMETHING?

5945
04:01:10,741 --> 04:01:13,978
>> THEY'RE AWARE SE SMRB
IS 

5946
04:01:13,978 --> 04:01:16,514
MEETING AND MY OFFICE'S JOB IS 

5947
04:01:16,514 --> 04:01:17,882
OKAY MAKE SURE WE'RE KEEPING ALL

5948
04:01:17,882 --> 04:01:19,851
MEMBERS INTERESTED AND 

5949
04:01:19,851 --> 04:01:20,918
PARTICULARLY THOSE THAT 

5950
04:01:20,918 --> 04:01:22,653
EXPRESSED AN INTEREST IN THE 

5951
04:01:22,653 --> 04:01:28,626
SMRB MAKING SURE WE'RE SHARING 

5952
04:01:28,626 --> 04:01:34,499
UPDATES AS WE GO ALONG SO WE'LL 

5953
04:01:34,499 --> 04:01:42,006
BE DOING THAT AND BEING UP TERMS

5954
04:01:42,006 --> 04:01:45,977
OF PRODUCING A REPORT AND 

5955
04:01:45,977 --> 04:01:50,615
EAGERLY AWAITING WHAT YOU COME 

5956
04:01:50,615 --> 04:01:50,848
UP WITH.

5957
04:01:50,848 --> 04:01:51,349
>> GREAT.

5958
04:01:51,349 --> 04:01:56,387
LINDSEY, YOU'RE UP FIRST.

5959
04:01:56,387 --> 04:01:58,156
>> THANK YOU VERY MUCH.

5960
04:01:58,156 --> 04:01:59,991
I NOTICED A NUMBER OF COMMENTS 

5961
04:01:59,991 --> 04:02:01,559
THAT SUGGEST THE NIH HAS NOT 

5962
04:02:01,559 --> 04:02:05,029
BEEN RESPONSIVE TO VARIOUS 

5963
04:02:05,029 --> 04:02:10,067
QUESTIONS AND CONCERNS AND 

5964
04:02:10,067 --> 04:02:10,334
INQUIRIES.

5965
04:02:10,334 --> 04:02:13,004
DOES THAT REFLECT WE DOESHTS 

5966
04:02:13,004 --> 04:02:14,472
HAVE STREAMLINED PROCESSES FOR 

5967
04:02:14,472 --> 04:02:14,805
COMMUNICATING?

5968
04:02:14,805 --> 04:02:17,475
ARE WE BEING OVERWHELMED WITH 

5969
04:02:17,475 --> 04:02:18,509
QUESTIONS AND CONCERNS?

5970
04:02:18,509 --> 04:02:21,245
ARE THEY COMING IN IN A WAY WE 

5971
04:02:21,245 --> 04:02:24,448
CAN'T EASILY IDENTIFY AND 

5972
04:02:24,448 --> 04:02:26,617
RESPOND?

5973
04:02:26,617 --> 04:02:31,822
I WANT TO UNDERSTAND BETTER.

5974
04:02:31,822 --> 04:02:37,595
WE WANT OUR COMMUNICATIONS WITH 

5975
04:02:37,595 --> 04:02:42,800
CONGRESSIONAL MEMBERS AND STAFF 

5976
04:02:42,800 --> 04:02:47,104
WE WANT TO BE RESPONSIVE TO 

5977
04:02:47,104 --> 04:02:47,471
CONCERNS.

5978
04:02:47,471 --> 04:02:52,577
WITHOUT KNOWING THE SPECIFIC 

5979
04:02:52,577 --> 04:02:56,614
CONCERN THEY WERE ASKING ABOUT 

5980
04:02:56,614 --> 04:02:57,715
IT MAY BE A SPECIFIC REPORT OR 

5981
04:02:57,715 --> 04:03:05,389
UPDATE ON A PARTICULAR ISSUE.

5982
04:03:05,389 --> 04:03:07,858
THOSE ARE THINGS WE STRIVE TO BE

5983
04:03:07,858 --> 04:03:09,860
RESPONSIVE ON AND PRIDE 

5984
04:03:09,860 --> 04:03:11,128
OURSELVES.

5985
04:03:11,128 --> 04:03:13,464
ANSWERING THE BIGGER QUESTION ON

5986
04:03:13,464 --> 04:03:14,799
THE PORTFOLIO BETWEEN BASIC AND 

5987
04:03:14,799 --> 04:03:15,466
TRANSLATIONAL RESEARCH IS MORE 

5988
04:03:15,466 --> 04:03:21,038
OF A DISCUSSION THAN ANSWERING A

5989
04:03:21,038 --> 04:03:28,079
CONCERN OR INVOLVING THAT 

5990
04:03:28,079 --> 04:03:28,713
PROBLEM.

5991
04:03:28,713 --> 04:03:31,249
THE ANNUAL APPROPRIATIONS BILL 

5992
04:03:31,249 --> 04:03:33,384
CONTAINS REPORTING REQUIREMENTS 

5993
04:03:33,384 --> 04:03:34,485
AND UPDATES.

5994
04:03:34,485 --> 04:03:36,420
WE WORK THROUGH THOSE 

5995
04:03:36,420 --> 04:03:37,421
METHODICALLY TO GET THOSE 

5996
04:03:37,421 --> 04:03:39,557
UPDATES TO CONGRESS.

5997
04:03:39,557 --> 04:03:41,792
THERE'S BEEN A MULTIYEAR PUSH TO

5998
04:03:41,792 --> 04:03:47,064
GET THE SMRB RECONSTITUTED SO 

5999
04:03:47,064 --> 04:03:48,299
SOME MEMBERS WOULD SAY IT TOOK 

6000
04:03:48,299 --> 04:03:50,568
TOO LONG TO GET RE-ESTABLISHED 

6001
04:03:50,568 --> 04:03:52,436
DESPITE THEM ASKING FOR IT BUT 

6002
04:03:52,436 --> 04:03:55,573
NOW THAT IT'S RE-ESTABLISHED 

6003
04:03:55,573 --> 04:03:57,108
WE'LL KEEP THEM UPDATED AND MAKE

6004
04:03:57,108 --> 04:03:58,109
SURE THEY HAVE ALL THE 

6005
04:03:58,109 --> 04:03:59,043
INFORMATION THEY NEED.

6006
04:03:59,043 --> 04:04:00,177
>> THERE'S SOME THINGS
THAT WERE

6007
04:04:00,177 --> 04:04:02,280
ASKED FOR THAT WE'RE NOT 

6008
04:04:02,280 --> 04:04:07,084
PERMITTED TO PROVIDE, FOR 

6009
04:04:07,084 --> 04:04:12,923
EXAMPLE, PERSONNEL ACTIONS.

6010
04:04:12,923 --> 04:04:13,691
THERE'S A CERTAIN CONSERVATIVE 

6011
04:04:13,691 --> 04:04:17,028
SHALT AND WE HONOR THAT.

6012
04:04:17,028 --> 04:04:19,030
CONFIDENTIALITY AND WE HONOR 

6013
04:04:19,030 --> 04:04:19,230
THAT.

6014
04:04:19,230 --> 04:04:20,564
MIKE AND THEN NORM.

6015
04:04:20,564 --> 04:04:23,000
>> KATE, THANKS.

6016
04:04:23,000 --> 04:04:24,502
I THOUGHT I'D GIVE A COUPLE 

6017
04:04:24,502 --> 04:04:28,639
REACTIONS ON THE TWO REPORTS IN 

6018
04:04:28,639 --> 04:04:31,609
THE CONTEXT OF SOME OF THE 

6019
04:04:31,609 --> 04:04:32,610
PRESENTATIONS THIS MORNING.

6020
04:04:32,610 --> 04:04:36,047
IN TERMS OF THE ISSUE OF 

6021
04:04:36,047 --> 04:04:41,852
FUNCTIONAL INTEGRATION, 27 TO 

6022
04:04:41,852 --> 04:04:47,491
15, I CAN UNDERSTAND TO SAY 27 

6023
04:04:47,491 --> 04:04:50,494
IS HIGH BUT TO ME THE REALITY IS

6024
04:04:50,494 --> 04:04:52,930
PEOPLE HAVE BODY PARTS, SOME 

6025
04:04:52,930 --> 04:04:54,165
INSTITUTES ARE BASED ON BODY 

6026
04:04:54,165 --> 04:04:55,800
PARTS OR DISEASES AND PEOPLE 

6027
04:04:55,800 --> 04:04:57,268
HAVE BODY PARTS OR DISEASES AND 

6028
04:04:57,268 --> 04:05:05,276
SOME ARE BASED ON METHODOLOGIES 

6029
04:05:05,276 --> 04:05:07,178
AND ACADEMIC CLINICAL 

6030
04:05:07,178 --> 04:05:09,347
DEPARTMENTS ARE ORGANIZED BY 

6031
04:05:09,347 --> 04:05:11,382
DISEASE AND METHODOLOGY AND MY 

6032
04:05:11,382 --> 04:05:14,552
SUGGESTION ALONG THOSE LINES IT 

6033
04:05:14,552 --> 04:05:16,954
MAY BE HELPFUL TO CONSIDER 

6034
04:05:16,954 --> 04:05:21,792
ORGANIZING IN TERMS OF A VIS

6035
04:05:21,792 --> 04:05:22,560
VISUALIZATION.

6036
04:05:22,560 --> 04:05:26,664
I MAY BE EASIER TO UNDERSTAND 

6037
04:05:26,664 --> 04:05:27,965
HOW THEY CROSS CUT.

6038
04:05:27,965 --> 04:05:33,571
AND IN TERMS OF FUNCTIONAL 

6039
04:05:33,571 --> 04:05:43,147
INTEGRATION YOU CALLED OUT 

6040
04:05:43,147 --> 04:05:44,248
CLINICAL TRIALS AND THERE COULD 

6041
04:05:44,248 --> 04:05:53,157
BE SUBSTRATES FOR WORKING GROUP.

6042
04:05:53,157 --> 04:05:55,926
IN TERMS OF A BALANCED PORTFOLIO

6043
04:05:55,926 --> 04:06:01,832
IT'S EASY TO CRITICIZE NOT 

6044
04:06:01,832 --> 04:06:07,138
HAVING A BALANCED PORTFOLIO BUT 

6045
04:06:07,138 --> 04:06:09,473
STOCK MARKET CAN SAY YOU NEED 

6046
04:06:09,473 --> 04:06:11,142
THIS MUCH RISK AND I DON'T THINK

6047
04:06:11,142 --> 04:06:14,612
WE KNOW THAT FOR SCIENCE AND 

6048
04:06:14,612 --> 04:06:16,213
THAT ISSUE MAY WARRANT 

6049
04:06:16,213 --> 04:06:18,015
EXPLORATION IT'S NOT FAIR TO 

6050
04:06:18,015 --> 04:06:19,150
CRITICIZE WHEN NOBODY KNOWS THE 

6051
04:06:19,150 --> 04:06:21,752
RIGHT ANSWER BUT MAYBE WE CAN 

6052
04:06:21,752 --> 04:06:22,653
EXPLORE THE RESEARCH THROUGH 

6053
04:06:22,653 --> 04:06:23,854
METASCIENCE TYPE OF RESEARCH.

6054
04:06:23,854 --> 04:06:26,657
MY LAST COMMENT SORRY FOR BEING 

6055
04:06:26,657 --> 04:06:31,462
SO LONG WINDED IS THAT I THINK 

6056
04:06:31,462 --> 04:06:34,398
SOME OF THESE CAN'T BE DONE IN 

6057
04:06:34,398 --> 04:06:35,366
ISOLATION.

6058
04:06:35,366 --> 04:06:37,234
CLINICIAN SCIENTISTS AND THE 

6059
04:06:37,234 --> 04:06:39,904
ISSUE OF SOFT MONEY, THE REALITY

6060
04:06:39,904 --> 04:06:44,642
IS ACADEMIC CENTERS ARE 

6061
04:06:44,642 --> 04:06:46,844
STRUGGLING AND RESEARCH AND 

6062
04:06:46,844 --> 04:06:49,880
TEACHING SUFFERS BECAUSE OF THAT

6063
04:06:49,880 --> 04:06:52,416
AND THEY RELY ON SOFT MONEY AND 

6064
04:06:52,416 --> 04:06:54,285
MISCONDUCT IS DONE BY EMPLOYEES 

6065
04:06:54,285 --> 04:06:59,790
WORKING IN ACADEMIC CENTERS.

6066
04:06:59,790 --> 04:07:07,698
I THINK THERE MAY BE HOW OLD WE 

6067
04:07:07,698 --> 04:07:09,867
TIE IN WHAT WE DO IN THE 

6068
04:07:09,867 --> 04:07:10,601
ACADEMIC CENTERS AND MAYBE THAT 

6069
04:07:10,601 --> 04:07:15,973
COULD BE PART OF THE PLAN.

6070
04:07:15,973 --> 04:07:16,273
THANK YOU.

6071
04:07:16,273 --> 04:07:19,009
>> 

6072
04:07:19,009 --> 04:07:21,111
>> WHAT IS THE RIGHT
NUMBER OF 

6073
04:07:21,111 --> 04:07:26,851
INSTITUTES OR CENTERS.

6074
04:07:26,851 --> 04:07:32,690
WHAT IS THE RIGHT BALANCE THOSE 

6075
04:07:32,690 --> 04:07:34,992
ARE COMPLICATED QUESTIONS AND 

6076
04:07:34,992 --> 04:07:35,993
MORE THAN ONE RIGHT ANSWER 

6077
04:07:35,993 --> 04:07:46,570
DEPENDING ON THE DATE AND TIME.E

6078
04:07:54,512 --> 04:07:55,279
THERE WILL BE A LOT OF 

6079
04:07:55,279 --> 04:07:56,647
CONSIDERATIONS ON THE PORTFOLIO 

6080
04:07:56,647 --> 04:08:06,123
BALANCE AND INSTITUTIONS AS WELL

6081
04:08:06,123 --> 04:08:07,124
WILL HAVE THOUGHTS AND THERE'S 

6082
04:08:07,124 --> 04:08:10,361
OTHER PLACE AND SUGGESTIONS.

6083
04:08:10,361 --> 04:08:12,263
PREVENTING RESEARCH MISCONDUCT 

6084
04:08:12,263 --> 04:08:13,831
AND SEXUAL HARASSMENT WE'RE 

6085
04:08:13,831 --> 04:08:15,199
PROBABLY ALL IN AGREEMENT WE 

6086
04:08:15,199 --> 04:08:17,034
WANT TO PRIORITIZE AND PREVENT.

6087
04:08:17,034 --> 04:08:20,804
HOW WE GET THERE M 

6088
04:08:20,804 --> 04:08:22,673
DIFFERENT AND WHEN WE CAN 

6089
04:08:22,673 --> 04:08:25,109
ENGAGE CONGRESS IN IDEAS WE HAVE

6090
04:08:25,109 --> 04:08:27,378
OR THEY HAVE, THAT'S A PLACE 

6091
04:08:27,378 --> 04:08:30,381
WHERE WE'D WANT TO PROVIDE 

6092
04:08:30,381 --> 04:08:32,383
TECHNICAL ASSISTANCE AND AREAS 

6093
04:08:32,383 --> 04:08:33,484
WHERE WE HAVE ADDITIONAL NEED 

6094
04:08:33,484 --> 04:08:41,725
FOR LEGISLATIVE AUTHORITIES.

6095
04:08:41,725 --> 04:08:42,893
THEY'LL NEED DIFFERENT LEVELS OF

6096
04:08:42,893 --> 04:08:53,437
INPUT AND PROBLEM SOLVING SKILL.

6097
04:08:58,242 --> 04:09:03,847
>> WE HAVE HEARD THINGS
ARE 

6098
04:09:03,847 --> 04:09:08,485
DIFFERENT NOW WELL OF ONE OF THE

6099
04:09:08,485 --> 04:09:10,287
FIRST THINGS I GET ASKED IS THE 

6100
04:09:10,287 --> 04:09:11,221
REORGANIZATION OF THE NIH.

6101
04:09:11,221 --> 04:09:13,657
NOW THAT THERE IS A MORE FORMAL 

6102
04:09:13,657 --> 04:09:16,660
WAY OF LOOKING AT IT, I THINK IT

6103
04:09:16,660 --> 04:09:18,596
WOULD BE VERY HELPFUL TO HAVE 

6104
04:09:18,596 --> 04:09:20,464
BULLET POINTS OF HOW TO 

6105
04:09:20,464 --> 04:09:22,466
COMMUNICATE THIS SO WE ALL 

6106
04:09:22,466 --> 04:09:23,567
DIRECTORS BECOME THE SAME VOICE.

6107
04:09:23,567 --> 04:09:24,835
YOU CAN GUARANTEE THIS IS GOING 

6108
04:09:24,835 --> 04:09:31,108
TO BE ONE OF THE QUESTIONS THAT 

6109
04:09:31,108 --> 04:09:33,811
EMERGES BECAUSE RESEARCHERS ARE 

6110
04:09:33,811 --> 04:09:36,814
VERY CONCERNED ABOUT WHAT THIS 

6111
04:09:36,814 --> 04:09:37,581
MEANS TO THEM AND THEIR RELATED 

6112
04:09:37,581 --> 04:09:47,758
RESEARCH.

6113
04:09:49,460 --> 04:09:51,795
>> I WANT US TO MAKE A
MENTAL 

6114
04:09:51,795 --> 04:09:53,430
NOTE OF WHAT NORA SAID SPEAKING 

6115
04:09:53,430 --> 04:09:59,069
IN ONE VOICE OF WHAT IS 

6116
04:09:59,069 --> 04:10:02,239
HAPPENING.

6117
04:10:07,645 --> 04:10:09,113
>> WOW, FIRST THAT'S
DEPRESSING.

6118
04:10:09,113 --> 04:10:11,482
I KNOW YOU'RE THE MESSENGER BUT 

6119
04:10:11,482 --> 04:10:13,517
THAT'S A LOT ALARMING.

6120
04:10:13,517 --> 04:10:15,219
WILL ANY OF THESE SORTS OF 

6121
04:10:15,219 --> 04:10:20,090
THINGS IN THE REPORTS CHANGE 

6122
04:10:20,090 --> 04:10:22,726
WITH THE NEW ADMINISTRATION AND 

6123
04:10:22,726 --> 04:10:24,228
POSITIONS IN PLACE AND MY SECOND

6124
04:10:24,228 --> 04:10:26,163
QUESTION IS WHEN I RESPOND TO AA

6125
04:10:26,163 --> 04:10:31,435
GRANT ARE  REVIEW I CHOOSE A FEW

6126
04:10:31,435 --> 04:10:32,503
THINGS THAT ARE VERY IMPORTANT 

6127
04:10:32,503 --> 04:10:38,208
AND RESPOND TO THOSE AND OTHER 

6128
04:10:38,208 --> 04:10:43,914
THINGS LIKE ON THE DIRECT COST 

6129
04:10:43,914 --> 04:10:44,915
LIKE IN KENTUCKY WOULD DEF 

6130
04:10:44,915 --> 04:10:46,784
STRAIGHT OUR ABILITY TO DO 

6131
04:10:46,784 --> 04:10:47,117
RESEARCH.

6132
04:10:47,117 --> 04:10:48,852
SOME ARE BROAD REACHING AND 

6133
04:10:48,852 --> 04:10:51,755
WOULD TAKE A WHOLE UNDERSTANDING

6134
04:10:51,755 --> 04:10:57,461
IN THEMSELVES THERE WAS IN THERE

6135
04:10:57,461 --> 04:10:59,730
AND THOSE ARE SOME CAN YOU PICK 

6136
04:10:59,730 --> 04:11:00,564
SOME THAT ARE MAJOR AND WILL ANY

6137
04:11:00,564 --> 04:11:06,970
OF IT CHANGE?

6138
04:11:06,970 --> 04:11:08,005
>> I THINK THINGS WILL
CHANGE 

6139
04:11:08,005 --> 04:11:12,643
NEXT YEAR.

6140
04:11:12,643 --> 04:11:16,246
ON THE SENATE SIDE THE 

6141
04:11:16,246 --> 04:11:19,917
REPUBLICANS WILL TAKE CON 

6142
04:11:19,917 --> 04:11:22,853
NEXT YEAR SO IF SENATOR KASSIDY 

6143
04:11:22,853 --> 04:11:27,057
REMAINS IN A LEADERSHIP ROLE 

6144
04:11:27,057 --> 04:11:29,126
HE'LL MOVE FROM CHAIR TO RANKING

6145
04:11:29,126 --> 04:11:29,359
MEMBER.

6146
04:11:29,359 --> 04:11:29,960
IT WILL BE A DIFFERENT VOICE 

6147
04:11:29,960 --> 04:11:38,335
HE'LL BE SPEAKING FROM.

6148
04:11:38,335 --> 04:11:43,407
AND GIVE HIM A DIFFERENT 

6149
04:11:43,407 --> 04:11:45,843
PLATFORM AND VOICE TO AN 

6150
04:11:45,843 --> 04:11:48,912
SPEAK ABOUT THE ISSUE AND MOVE 

6151
04:11:48,912 --> 04:11:50,981
FORWARD A BILL IF HE SO CHOOSES.

6152
04:11:50,981 --> 04:11:56,019
SO HE'LL BE IN A DIFFERENT ROLET

6153
04:11:56,019 --> 04:11:57,855
AND KATHY McRODGERS WILL NO 

6154
04:11:57,855 --> 04:11:59,223
LONGER BE IN THE HOUSE SO 

6155
04:11:59,223 --> 04:12:02,159
THERE'LLE' BE DIFFERENT 

6156
04:12:02,159 --> 04:12:11,001
LEADERSHIP.

6157
04:12:11,001 --> 04:12:13,137
AND THEY ARE PLAY HAVE OTHER 

6158
04:12:13,137 --> 04:12:16,507
ISSUES TO PURSUE BUT IF THEY 

6159
04:12:16,507 --> 04:12:17,274
WANTED TO PURSUE 

6160
04:12:17,274 --> 04:12:18,942
RE-AUTHORIZATION THERE MAY BE 

6161
04:12:18,942 --> 04:12:22,079
 THEY WANT TO 

6162
04:12:22,079 --> 04:12:23,013
RE-PRIORITIZE.

6163
04:12:23,013 --> 04:12:24,314
IN TERMS OFIZING 

6164
04:12:24,314 --> 04:12:25,849
CERTAINLY I THINK YOU'LL ALL 

6165
04:12:25,849 --> 04:12:29,753
HAVE PRIORITIZE BECAUSE 

6166
04:12:29,753 --> 04:12:34,591
THERE'S A LOT OF WITHIN HERE BUT

6167
04:12:34,591 --> 04:12:40,030
YOU THINK THERE'S ALSO IN TERMS 

6168
04:12:40,030 --> 04:12:42,166
OF THE MEATIER QUESTIONS NA HAVE

6169
04:12:42,166 --> 04:12:44,368
DIFFERENT PERSPECTI AND 

6170
04:12:44,368 --> 04:12:49,406
BALANCED PORTFOLIO AND HOW TO --

6171
04:12:49,406 --> 04:12:52,009
THERE'S OTHER PIECES THAT WE MAY

6172
04:12:52,009 --> 04:12:53,677
ALL AGREE WE WANT TO FIGURE OUT 

6173
04:12:53,677 --> 04:12:54,912
A BETTER SOLUTION OR MAY ALL

6174
04:12:54,912 --> 04:12:56,380
AGREE THIS IS A SPACE THAT NEEDS

6175
04:12:56,380 --> 04:12:58,382
TO BE IMPROVED OR OPTIMIZED HOW 

6176
04:12:58,382 --> 04:13:02,786
WE GET THERE.

6177
04:13:02,786 --> 04:13:04,288
TAKING ON SOME OF THE BIGGER 

6178
04:13:04,288 --> 04:13:05,923
QUESTIONS AND FIGURING OUT SOME 

6179
04:13:05,923 --> 04:13:09,259
OF THE LOWER HANGING FREWED 

6180
04:13:09,259 --> 04:13:11,995
WHERE THERE'S AGREEMENT WE DO 

6181
04:13:11,995 --> 04:13:17,501
AND DO AND AYOGS THEY'RE 

6182
04:13:17,501 --> 04:13:19,436
CONGRESSIONAL PROPOSALS BUT WE 

6183
04:13:19,436 --> 04:13:20,237
ABELOW THERE'S MORE AUTHORITIES 

6184
04:13:20,237 --> 04:13:21,705
WE NEED TO DO A BETTER JOB IN 

6185
04:13:21,705 --> 04:13:23,040
THE SPACE.

6186
04:13:23,040 --> 04:13:30,113
NEGOTIATION AND DISCUSSION.D 

6187
04:13:30,113 --> 04:13:31,882
IF THERE WERE TO BE A 

6188
04:13:31,882 --> 04:13:32,716
RE-AUTHORIZATION PROCESS N-A

6189
04:13:32,716 --> 04:13:33,617
YEAR, TYPICALLY THE HOUSE WILL 

6190
04:13:33,617 --> 04:13:39,056
HAVE A BILL AND SENATE WILL HAVE

6191
04:13:39,056 --> 04:13:46,463
A BILL.

6192
04:13:46,463 --> 04:13:48,498
WE USUALLY HAVE AN OPPORTUNITY 

6193
04:13:48,498 --> 04:13:49,533
TO PROVIDE FEEDBACK.

6194
04:13:49,533 --> 04:13:53,637
MANY OF OUR PARTNERS AROUND 

6195
04:13:53,637 --> 04:13:55,639
STAKEHOLDERS WILL BE CONSULTED.

6196
04:13:55,639 --> 04:13:56,707
INSTITUTIONS IN YOUR STATE 

6197
04:13:56,707 --> 04:13:59,376
OFFERED THE OPPORTUNITY TO WEIGH

6198
04:13:59,376 --> 04:13:59,543
IN.

6199
04:13:59,543 --> 04:14:04,615
 ONE PERSON IN A 

6200
04:14:04,615 --> 04:14:06,316
ROOM WRITING A BILL.

6201
04:14:06,316 --> 04:14:09,586
THERE'S LOTS OF OPPORTUNITIES 

6202
04:14:09,586 --> 04:14:15,125
FOR INPUT TO STRENGTHEN IT.

6203
04:14:15,125 --> 04:14:16,493
>> I ALSO FIND THE REPORT 

6204
04:14:16,493 --> 04:14:19,129
ESPECIALLY THE RESTRUCTURING OF 

6205
04:14:19,129 --> 04:14:24,334
THE INSTITUTES REALLY 

6206
04:14:24,334 --> 04:14:24,635
CONCERNING.

6207
04:14:24,635 --> 04:14:25,802
WHAT I FIND MOST DIFFICULT IS I 

6208
04:14:25,802 --> 04:14:26,837
DON'T UNDERSTAND WHERE IT'S 

6209
04:14:26,837 --> 04:14:27,170
COMING FROM.

6210
04:14:27,170 --> 04:14:31,108
ARE THEY LOOKING FOR MORE 

6211
04:14:31,108 --> 04:14:32,843
COLLABORATION AND SO EVIDENCE OF

6212
04:14:32,843 --> 04:14:34,144
COLLABORATION WOULD BE USEFUL?

6213
04:14:34,144 --> 04:14:39,416
ARE THEY LOOKING FOR MORE 

6214
04:14:39,416 --> 04:14:41,518
OPERATIONAL EFFICIENCIES?

6215
04:14:41,518 --> 04:14:50,560
SO AND I THINK REORGANIZING THE 

6216
04:14:50,560 --> 04:14:52,329
INSTITUTES IS TRAUMATIC ON MANY 

6217
04:14:52,329 --> 04:14:52,562
LEVELS.

6218
04:14:52,562 --> 04:14:58,168
IT MAY BEAY THAT WE CAN MAKE 

6219
04:14:58,168 --> 04:15:00,037
THINGS MORE EFFICIENT AND 

6220
04:15:00,037 --> 04:15:01,305
PRODUCE BETTER SCIENCE BY 

6221
04:15:01,305 --> 04:15:03,006
REORGANIZING BUT I THINK OF 

6222
04:15:03,006 --> 04:15:03,273
PATIENTS.

6223
04:15:03,273 --> 04:15:06,343
LIKE THE PARENT OF A DEAF CHILD 

6224
04:15:06,343 --> 04:15:07,844
OR CHILD WHOSE BLIND.

6225
04:15:07,844 --> 04:15:09,780
THE PATIENTS HAVE AN EMOTIONAL 

6226
04:15:09,780 --> 04:15:10,247
CONNECTION

6227
04:15:10,247 --> 04:15:14,818
 WITH OUR INSTITUTES 

6228
04:15:14,818 --> 04:15:17,988
BECAUSE THEY SEE THAT AS THEIR 

6229
04:15:17,988 --> 04:15:19,656
HOPE TO MAKE THINGS BETTER.

6230
04:15:19,656 --> 04:15:22,225
AS WE START TO THINK ABOUT THE 

6231
04:15:22,225 --> 04:15:27,664
PUBLIC MESSAGING ASPECT OF THIS,

6232
04:15:27,664 --> 04:15:36,106
THAT'S VERY CONCERNING ON THE 

6233
04:15:36,106 --> 04:15:39,710
OTHER HAND HAVING A CONVERSATION

6234
04:15:39,710 --> 04:15:42,012
CAN BE SEEN AS DISINGENUOUS.

6235
04:15:42,012 --> 04:15:42,446
JUST SOME THOUGHTS.

6236
04:15:42,446 --> 04:15:52,622
>> ALISON.

6237
04:15:59,029 --> 04:16:01,865
>> IT WOULDE HELPFULUL TO
FIND 

6238
04:16:01,865 --> 04:16:03,967
WHAT MADE THEM DECIDE 27 TO 15 

6239
04:16:03,967 --> 04:16:05,235
WAS THE DECISION.

6240
04:16:05,235 --> 04:16:08,538
DID THEY JUST DO A WORD 

6241
04:16:08,538 --> 04:16:10,607
ASSOCIATION WITH THE TITLES OR 

6242
04:16:10,607 --> 04:16:12,376
DID THEY HAVE DEEP INFORMATION 

6243
04:16:12,376 --> 04:16:18,548
ON THE INSTITUTES THAT MADE THEM

6244
04:16:18,548 --> 04:16:23,720
DECIDE THESE COULD BE ONE.

6245
04:16:23,720 --> 04:16:24,855
DO YOU KNOW WHAT INFORMATION 

6246
04:16:24,855 --> 04:16:25,722
THEY HAD?

6247
04:16:25,722 --> 04:16:30,794
>> I'D BE HESITANT TO
SPEAK FOR 

6248
04:16:30,794 --> 04:16:32,496
THEM HOW THEY CHOSE -- 

6249
04:16:32,496 --> 04:16:41,238
>> WHAT DATA WERE THEY
LOOKING 

6250
04:16:41,238 --> 04:16:45,242
AT?

6251
04:16:45,242 --> 04:16:55,018
>> WE DON'T KNOW.

6252
04:16:55,018 --> 04:17:05,295
>> HARD TO SAY.

6253
04:17:11,334 --> 04:17:16,807
THERE WERE CONTEXTTE CLUES.

6254
04:17:16,807 --> 04:17:19,810
27 I.C.s AND HUGE ESTABLISHED 

6255
04:17:19,810 --> 04:17:21,011
CLINICAL TRIAL NETWORKS -- DO WE

6256
04:17:21,011 --> 04:17:23,080
NEED THAT OR WOULD THERE BE 

6257
04:17:23,080 --> 04:17:23,980
EFFICIENCY -- I THINK THEY WANT 

6258
04:17:23,980 --> 04:17:27,284
TO ASK SOME OF THOSE QUESTIONS.

6259
04:17:27,284 --> 04:17:29,019
NOW, ONE OPTION IS TO 

6260
04:17:29,019 --> 04:17:32,255
CONSOLIDATE I.C.s SO YOU DON'T 

6261
04:17:32,255 --> 04:17:34,724
HAVE 27L TRIAL NETWORKS,

6262
04:17:34,724 --> 04:17:36,426
YOU HAVE 15 PUT MAYBE THERE'S 

6263
04:17:36,426 --> 04:17:41,765
OPPORTUNITY FOR US TO COME AND 

6264
04:17:41,765 --> 04:17:52,142
SAY ARE DIVE IN AND SAY HERE'S 

6265
04:17:52,142 --> 04:17:54,244
THE VALUE AND HERE'S HOW WE MAKE

6266
04:17:54,244 --> 04:18:01,518
IT NOT DUPE -- DUPLICATIVE.

6267
04:18:01,518 --> 04:18:03,587
THAT'S A WAY TO OFFER BUT YOU 

6268
04:18:03,587 --> 04:18:05,188
CAN SEE SOME THEIR THINKING IN 

6269
04:18:05,188 --> 04:18:15,532
THE PROPOSALS THERE.

6270
04:18:18,602 --> 04:18:23,907
>> TO ME IT'S ABOUT GIVING
THEM 

6271
04:18:23,907 --> 04:18:26,476
INFORMATION AND NOT NECESSARILY 

6272
04:18:26,476 --> 04:18:27,377
[OFF-MIC]-M

6273
04:18:27,377 --> 04:18:27,744
>> ALISON.

6274
04:18:27,744 --> 04:18:31,948
>> I HAVE A COMMENT.

6275
04:18:31,948 --> 04:18:33,350
YOU MADE A POINT ABOUT SOME 

6276
04:18:33,350 --> 04:18:34,885
THINGS IN THE TWO DOCUMENTS WE 

6277
04:18:34,885 --> 04:18:35,452
ALL AGREE ON.

6278
04:18:35,452 --> 04:18:41,324
AND FRAMING THAT MAY BE HELPFUL 

6279
04:18:41,324 --> 04:18:43,026
SO WE CAN SORT OUT THESE THINGS 

6280
04:18:43,026 --> 04:18:45,562
ARE RELATIVELY EASY AND THESE 

6281
04:18:45,562 --> 04:18:47,497
ARE HARD.

6282
04:18:47,497 --> 04:18:53,603
THE SECOND COMMENT IS ABOUT THE 

6283
04:18:53,603 --> 04:18:54,471
REAUTHORIZATION.

6284
04:18:54,471 --> 04:19:01,244
SO COULD YOU EXPLAIN THE TIMING 

6285
04:19:01,244 --> 04:19:02,445
IN THE MIDDLE OF SIX MONTHS OR 

6286
04:19:02,445 --> 04:19:04,781
THE END AND HOW DOES THAT IMPACT

6287
04:19:04,781 --> 04:19:09,119
OUR WORK?

6288
04:19:09,119 --> 04:19:09,953
IS OUR REPORT PREEMPTIVE OR 

6289
04:19:09,953 --> 04:19:11,922
FOLLOWING THAT?

6290
04:19:11,922 --> 04:19:13,990
>> I'LL GET TO THAT ON ONE

6291
04:19:13,990 --> 04:19:19,062
SECOND BUT ON THE HARD/EASY 

6292
04:19:19,062 --> 04:19:19,262
PIECE.

6293
04:19:19,262 --> 04:19:22,766
I'D ALSO THROW IN YOU ALL MAY 

6294
04:19:22,766 --> 04:19:28,738
IDENTIFY AUTHORITIES OR CHANGES 

6295
04:19:28,738 --> 04:19:39,282
OR THINGS THAT WE WANT AND WOULD

6296
04:19:42,185 --> 04:19:43,220
THINK THERE'S OPPORTUNITY FOR 

6297
04:19:43,220 --> 04:19:44,521
NIH SHARE THOUGHTS ON THINGS WE 

6298
04:19:44,521 --> 04:19:45,388
HAVE IDENTIFIED THAT MAY NOT 

6299
04:19:45,388 --> 04:19:50,927
HAVE COME UP YET IN A 

6300
04:19:50,927 --> 04:20:01,438
CONVERSATION ON THE HILL AND 

6301
04:20:04,808 --> 04:20:06,710
FIND PLACES WHERE W ALIGNED

6302
04:20:06,710 --> 04:20:09,045
ON THE GOAL OR G OBJECTI O EVENI

6303
04:20:09,045 --> 04:20:14,317
HOW WE GET THERE ISN'T CLEAR 

6304
04:20:14,317 --> 04:20:14,517
YET.

6305
04:20:14,517 --> 04:20:19,522
IN TERMS OF PROCESS PROCESS 

6306
04:20:19,522 --> 04:20:23,093
THERE'S NO HARD AND TIME LINE 

6307
04:20:23,093 --> 04:20:24,995
FOR CONGRESS TO DO ITS WORK ON

6308
04:20:24,995 --> 04:20:25,996
THE RE-AUTHORIZATION PROC

6309
04:20:25,996 --> 04:20:27,697
THERE'S A NEW SESSION AND NEW 

6310
04:20:27,697 --> 04:20:28,064
ADMINISTRATION.

6311
04:20:28,064 --> 04:20:29,099
THERE'LL BE A LOT OF PRIORITIES 

6312
04:20:29,099 --> 04:20:31,301
 NEW ADMINISTRATION IS LIKELY

6313
04:20:31,301 --> 04:20:35,071
GOING TO COME IN WITH IT'S GOING

6314
04:20:35,071 --> 04:20:36,072
TO WANT CONGRESS TO FOCUS ON IN 

6315
04:20:36,072 --> 04:20:37,741
THE BEGINNING.

6316
04:20:37,741 --> 04:20:40,076
THE FIRST 100 DAYS THERE'S A LOT

6317
04:20:40,076 --> 04:20:45,482
OF THE DIRECTION COMING FROM THE

6318
04:20:45,482 --> 04:20:46,449
ADMINISTRATION.

6319
04:20:46,449 --> 04:20:48,618
WHERE NIH REAUTHORIZATION MAY 

6320
04:20:48,618 --> 04:20:51,121
FIT ON THE PRIORITY LIST AND 

6321
04:20:51,121 --> 04:20:51,821
WHERE THERE'S TIME ON THE 

6322
04:20:51,821 --> 04:20:52,822
CALENDAR WILL DEPEND ON FACTORS 

6323
04:20:52,822 --> 04:20:54,057
OUTSIDE OF YOUR CONTROL AND 

6324
04:20:54,057 --> 04:20:55,725
WHERE THAT COMES IN WITH YOUR 

6325
04:20:55,725 --> 04:21:03,533
WORK IS JUST HARD TO SAY.

6326
04:21:03,533 --> 04:21:04,868
>> THIS IS A LOT TO TAKE
IN.

6327
04:21:04,868 --> 04:21:06,336
I HAVE A QUICK QUESTION.

6328
04:21:06,336 --> 04:21:08,305
EARLIER IN YOUR PRESENTATION YOU

6329
04:21:08,305 --> 04:21:09,873
MENTIONED RESTRUCTURING NIH 

6330
04:21:09,873 --> 04:21:11,708
WOULD BE A CONGRESSIONAL ACT.

6331
04:21:11,708 --> 04:21:16,780
IS THAT YEKT?

6332
04:21:16,780 --> 04:21:17,814
>> YES.

6333
04:21:17,814 --> 04:21:21,284
>> DOES IT REQUIRE INPUT
FROM 

6334
04:21:21,284 --> 04:21:23,086
THIS COMMITTEE OR CAN THEY JUST 

6335
04:21:23,086 --> 04:21:23,620
DO IT?

6336
04:21:23,620 --> 04:21:25,588
>> CONGRESS?

6337
04:21:25,588 --> 04:21:26,523
>> YES.

6338
04:21:26,523 --> 04:21:30,226
>> YES, IF THEY CHOSE TO D
IT 

6339
04:21:30,226 --> 04:21:31,661
THEY'RE BACK IN SESSION THIS 

6340
04:21:31,661 --> 04:21:33,563
WEEK IF THEY HAVE THE 

6341
04:21:33,563 --> 04:21:34,764
LEGISLATION THEY COULD MOVE 

6342
04:21:34,764 --> 04:21:36,633
FORWARD WITH IT AND IT WOULD 

6343
04:21:36,633 --> 04:21:39,169
HAVE TO PASS THE HOUSE, SENATE 

6344
04:21:39,169 --> 04:21:40,403
AND THE PRESIDENT WOULD HAVE TO 

6345
04:21:40,403 --> 04:21:40,804
SIGN IT INTO LAW.

6346
04:21:40,804 --> 04:21:45,642
>> THANK YOU.

6347
04:21:45,642 --> 04:21:48,011
>> ANY FINAL COMMENTS OR 

6348
04:21:48,011 --> 04:21:48,378
QUESTIONS?

6349
04:21:48,378 --> 04:21:51,981
>> CAN I PICK UP ON THE
LAST 

6350
04:21:51,981 --> 04:21:52,315
THREAD.

6351
04:21:52,315 --> 04:21:57,187
I GUESS ONE TLICH QUESTIONS I 

6352
04:21:57,187 --> 04:21:58,855
WOULD HAVE IS THEY CAN DO 

6353
04:21:58,855 --> 04:21:59,923
WHATEVER THEY ARE WANT, WE KNOW 

6354
04:21:59,923 --> 04:22:02,292
THAT BUT WE EXIST FOR A REASON.

6355
04:22:02,292 --> 04:22:03,893
IS THERE AN OPPORTUNITY FOR 

6356
04:22:03,893 --> 04:22:08,932
DIALOGUE SO THAT IF WE SAID THIS

6357
04:22:08,932 --> 04:22:11,134
COMMITTEE'S NOW BACK IN ACTION 

6358
04:22:11,134 --> 04:22:17,507
AND WE'RE TACKLINGA, B AND C AN 

6359
04:22:17,507 --> 04:22:20,009
THERE A WAY TO HAVE OPEN 

6360
04:22:20,009 --> 04:22:22,712
DIALOGUE SO WE HAVE A CHANCE TO 

6361
04:22:22,712 --> 04:22:27,817
HAVE THIS BODY INFORM THEIR 

6362
04:22:27,817 --> 04:22:30,353
DISCUSSIONS IN A SYNERGISTIC AND

6363
04:22:30,353 --> 04:22:31,821
COLLABORATIVE WAY.

6364
04:22:31,821 --> 04:22:33,022
RIGHT NOW IT SEEMS LIKE WE'RE 

6365
04:22:33,022 --> 04:22:34,391
GOING GETTING AND THEY'RE GOING 

6366
04:22:34,391 --> 04:22:36,292
TO DO THEIR THING BUT THERE MUST

6367
04:22:36,292 --> 04:22:37,227
BE SOME OPPORTUNITY THROUGH YOU 

6368
04:22:37,227 --> 04:22:41,231
OR OTHERS TO TRY TO BRING IT ALL

6369
04:22:41,231 --> 04:22:43,833
TOGETHER SO IT'S SOMEHOW 

6370
04:22:43,833 --> 04:22:47,404
CHOREOGRAPHED TO BE MUTUALLY 

6371
04:22:47,404 --> 04:22:47,637
HELPFUL.

6372
04:22:47,637 --> 04:22:58,348
>> WE HAVE ALL THE
PROPOSALS AND

6373
04:23:00,750 --> 04:23:02,619
S AND WANTED THE INPUT THAT WILL

6374
04:23:02,619 --> 04:23:04,687
COME FROM

6375
04:23:04,687 --> 04:23:06,356
I THINK WE HAVE TO TAKE THEM AT 

6376
04:23:06,356 --> 04:23:07,891
THEIR WORD THEY'RE LOOKING 

6377
04:23:07,891 --> 04:23:11,227
FORWARD TO GETTING THAT FROM YOU

6378
04:23:11,227 --> 04:23:12,362
AND WILL BE A PERSPECTIVE THEY 

6379
04:23:12,362 --> 04:23:13,730
WON'T NECESSARILY BE ABLE TO GET

6380
04:23:13,730 --> 04:23:15,131
FROM OTHER SOURCES.

6381
04:23:15,131 --> 04:23:16,633
>> BUT BASED ON HISTORY IT
TAKES

6382
04:23:16,633 --> 04:23:20,437
ABOUT A YEAR TO PRODUCE A REPORT

6383
04:23:20,437 --> 04:23:23,106
AND YOU MADE POINT WE'RE 

6384
04:23:23,106 --> 04:23:25,809
BACK IN SECTIONN NEXT WEEK.

6385
04:23:25,809 --> 04:23:28,878
MY POINT IS IS THERE A WAY TO 

6386
04:23:28,878 --> 04:23:31,080
HAVE A DIALOGUE SAYING WE'RE TO 

6387
04:23:31,080 --> 04:23:33,817
ESTABLISH THREE WORKING 

6388
04:23:33,817 --> 04:23:34,984
COMMITTEES THAT SPEAK TO THREE 

6389
04:23:34,984 --> 04:23:36,619
ELEMENTS BUT IT WILL TAKE US A 

6390
04:23:36,619 --> 04:23:36,820
YEAR.

6391
04:23:36,820 --> 04:23:39,189
DO YOU THINK THERE'S HOPE THAT 

6392
04:23:39,189 --> 04:23:41,791
WOULD INFLUENCE -- I KNOW YOU 

6393
04:23:41,791 --> 04:23:43,359
DON'T KNOW WHAT THEIR PRIMARIES 

6394
04:23:43,359 --> 04:23:44,027
ARE -- 

6395
04:23:44,027 --> 04:23:45,028
>> THEY'VE ASKED FOR THIS
TO BE 

6396
04:23:45,028 --> 04:23:46,863
ESTABLISHED.HEBL

6397
04:23:46,863 --> 04:23:49,566
I THINK THEY DO WANT YOUR INPUT 

6398
04:23:49,566 --> 04:23:52,101
AND WOULD WANT IT BEFORE 

6399
04:23:52,101 --> 04:23:52,368
DRAFTING.

6400
04:23:52,368 --> 04:23:54,170
MY OFFICE WILL PLAY A ROLE BUT 

6401
04:23:54,170 --> 04:23:56,139
ALL THESE MEETINGS ARE PUBLIC AS

6402
04:23:56,139 --> 04:23:58,308
WELL SO I'M SURE THEY'LL BE 

6403
04:23:58,308 --> 04:23:59,275
FOLLOWING THEM AND THE WORK 

6404
04:23:59,275 --> 04:24:01,144
THAT'S ONGOING AND TO THE EXTENT

6405
04:24:01,144 --> 04:24:02,345
IT'S APPROPRIATE TO KEEP THEM 

6406
04:24:02,345 --> 04:24:05,081
UPDATED WE CAN DO THAT.

6407
04:24:05,081 --> 04:24:09,052
>> WILL THERE BE AN
OPPORTUNITY 

6408
04:24:09,052 --> 04:24:10,587
FOR THE CHAIR OR MAYBE THE CLAIR

6409
04:24:10,587 --> 04:24:12,789
AND A COUPLE MEMBERS DO GO SPEAK

6410
04:24:12,789 --> 04:24:15,058
WITH KEY STAFFERS -- I KNOW ALL 

6411
04:24:15,058 --> 04:24:16,759
THIS IS INFLUX BECAUSE THE 

6412
04:24:16,759 --> 04:24:19,562
COMMITTEES AND PEOPLE ARE 

6413
04:24:19,562 --> 04:24:23,600
CHANGING BUT IT SEEMS TO ME QUE 

6414
04:24:23,600 --> 04:24:29,072
READ WHAT THEY WROTE AND W THEYM

6415
04:24:29,072 --> 04:24:29,873
THE DISCUSSION AND DEVELOP NOT 

6416
04:24:29,873 --> 04:24:34,544
THROUGH THE WHOLE BODY BUT JUST 

6417
04:24:34,544 --> 04:24:35,812
MAYBE THROUGH REPRESENTATIVES 

6418
04:24:35,812 --> 04:24:46,356
THE LEADERSHIP OF THE GROUP AND 

6419
04:24:47,156 --> 04:24:49,526
SOME DON'T WANT TO LOSE JOBS BUT

6420
04:24:49,526 --> 04:24:51,194
WE CAN INFORM THE DISCUSSION BUT

6421
04:24:51,194 --> 04:24:53,062
ESPECIALLY THE EXTERNAL MEMBERS 

6422
04:24:53,062 --> 04:24:57,600
OF THE GROUP.

6423
04:24:57,600 --> 04:24:59,469
>> I THINK THAT'S
SOMETHING WE 

6424
04:24:59,469 --> 04:25:00,670
CAN DISCUSS AND HAPPY TO HELP.

6425
04:25:00,670 --> 04:25:01,771
>> I THINK THAT'S A GREAT 

6426
04:25:01,771 --> 04:25:07,310
SUGGESTION.

6427
04:25:07,310 --> 04:25:10,914
IT WILL PROBABLY ADD ANOTHER LAX

6428
04:25:10,914 --> 04:25:13,316
DAY TO OUR MEETING BUT IT'S 

6429
04:25:13,316 --> 04:25:14,684
CRITICAL TO HELP US UNDERSTAND 

6430
04:25:14,684 --> 04:25:17,020
BECAUSE THE QUESTIONS WE'RE ALL 

6431
04:25:17,020 --> 04:25:20,023
ASKING AND PUTTING IT ON YOU IT 

6432
04:25:20,023 --> 04:25:22,959
WILL BE NICE AND GREAT 

6433
04:25:22,959 --> 04:25:23,259
SUGGESTION.

6434
04:25:23,259 --> 04:25:25,962
>> I WAS NOT ONLY THI O OF
IT

6435
04:25:25,962 --> 04:25:26,896
ASTF A MEETING.

6436
04:25:26,896 --> 04:25:28,932
>> I THINK WE'RE GETTING A

6437
04:25:28,932 --> 04:25:39,375
LITTLE LEAD OF OURSELVES.

6438
04:25:39,909 --> 04:25:43,780
>> EVERYBODY IS ON THE
SAME 

6439
04:25:43,780 --> 04:25:43,980
PAGE.

6440
04:25:43,980 --> 04:25:46,182
HOW IT'S ACTUALIZED IS ANOTHER 

6441
04:25:46,182 --> 04:25:46,382
ISSUE.

6442
04:25:46,382 --> 04:25:48,618
YOU HAVE A COMMENT?

6443
04:25:48,618 --> 04:25:49,986
>> I WAS A LITTLE BIT
WANTING 

6444
04:25:49,986 --> 04:25:55,158
MORE INFORMATION ABOUT THE SCOPE

6445
04:25:55,158 --> 04:25:56,092
OF THE COMMITTEE.

6446
04:25:56,092 --> 04:25:58,461
FOR EXAMPLE, IS IT OUR MANDATE 

6447
04:25:58,461 --> 04:25:59,896
TO SAY YOU SHOULD BE X NUMBER 

6448
04:25:59,896 --> 04:26:02,031
INSTEAD OF THIS OR TO SAY IT 

6449
04:26:02,031 --> 04:26:03,967
LOOKS LIKE THERE'S PERHAPS TOO 

6450
04:26:03,967 --> 04:26:04,233
MANY?

6451
04:26:04,233 --> 04:26:08,371
YOU NEED TO DO THE SELF-STUDY TO

6452
04:26:08,371 --> 04:26:09,138
REORGANIZE.

6453
04:26:09,138 --> 04:26:10,173
WHERE DO WE WEIGH IN MAKING OUR 

6454
04:26:10,173 --> 04:26:13,109
RECOMMENDATIONS?

6455
04:26:13,109 --> 04:26:15,745
>> I THINK TURNING IT BACK
TO 

6456
04:26:15,745 --> 04:26:20,016
NIH KICKS THE CAN DOWN THE ROAD 

6457
04:26:20,016 --> 04:26:21,517
IS NOT GOING TO BE FUL.

6458
04:26:21,517 --> 04:26:23,686
US IS ON THE COMMITTEE TO 

6459
04:26:23,686 --> 04:26:24,854
MAKE WHATEVER INFORMED 

6460
04:26:24,854 --> 04:26:25,722
RECOMMENDATIONS THEY HAVE.

6461
04:26:25,722 --> 04:26:30,627
YOU ARE CERTAINLY ENCOURAGED TO 

6462
04:26:30,627 --> 04:26:32,428
BRING IN IN WORKING GROUPS 

6463
04:26:32,428 --> 04:26:33,630
ADDITIONAL EXPERTISE WHENEVER 

6464
04:26:33,630 --> 04:26:36,399
THAT IS NEEDED, THE CHAIR AND 

6465
04:26:36,399 --> 04:26:37,266
COMMITTEE WILL DECIDE.

6466
04:26:37,266 --> 04:26:40,737
BUT I DON'T THINK IT CAN BE 

6467
04:26:40,737 --> 04:26:42,305
BEING YEAH, YOU NEED TO BE 

6468
04:26:42,305 --> 04:26:45,108
SOMETHING GO FIGURE IT OUT.

6469
04:26:45,108 --> 04:26:46,376
I DON'T THINK THAT'S ON THE O

6470
04:26:46,376 --> 04:26:46,576
TABLE.

6471
04:26:46,576 --> 04:26:52,548
>> THAT'S THE BIG JOB WE
HAVE TO

6472
04:26:52,548 --> 04:26:52,715
DO.

6473
04:26:52,715 --> 04:26:58,655
>> ALL RIGHT.

6474
04:26:58,655 --> 04:26:59,122
THREW VERY MUCH, KATE.

6475
04:26:59,122 --> 04:26:59,989
NOW THE CHAIR WILL SUMMARIZE ALL

6476
04:26:59,989 --> 04:27:08,831
THIS AND MAKE SENSE OF IT.

6477
04:27:08,831 --> 04:27:09,298
>>

6478
04:27:09,298 --> 04:27:12,168
 IT'S EASY BECAUSE SHE'S BEEN 

6479
04:27:12,168 --> 04:27:13,736
FEEDING CHAT GPT ALL DAY AND 

6480
04:27:13,736 --> 04:27:16,639
ASKED FOR A 300 WORD SYNOPSIS OF

6481
04:27:16,639 --> 04:27:26,783
THE DAY.

6482
04:28:06,355 --> 04:28:07,623
>> FIRST OF ALL I JUST
WANT TO 

6483
04:28:07,623 --> 04:28:08,758
THANK EVERYBODY AGAIN FOR BEING 

6484
04:28:08,758 --> 04:28:10,493
HERE AND FOR PARTICIPATING IN 

6485
04:28:10,493 --> 04:28:11,060
THE CRITICALLY IMPORTANT 

6486
04:28:11,060 --> 04:28:11,761
COMMITTEE.

6487
04:28:11,761 --> 04:28:14,363
I THINK AT THE BEGINNING OF THE 

6488
04:28:14,363 --> 04:28:16,399
DAY WE WERE WONDERING WHAT OUR 

6489
04:28:16,399 --> 04:28:18,768
TASK WAS AND NOW WE KNOW IT'S 

6490
04:28:18,768 --> 04:28:18,968
HUGE.

6491
04:28:18,968 --> 04:28:20,303
THANK YOU FOR NOT WALKING OUT OF

6492
04:28:20,303 --> 04:28:22,905
THE ROOM IN THE MIDDLE OF THE 

6493
04:28:22,905 --> 04:28:25,374
ROOM AND SAYING NO THANK YOU.

6494
04:28:25,374 --> 04:28:26,342
THANK YOU FOR THE STAFF FOR 

6495
04:28:26,342 --> 04:28:27,143
HELPING ME PUT TOGETHER THE 

6496
04:28:27,143 --> 04:28:28,945
COMMENTS TO REVIEW THE DATA WE 

6497
04:28:28,945 --> 04:28:30,146
HAD AND END WITH NEXT STEPS AND 

6498
04:28:30,146 --> 04:28:32,815
WHERE WE'LL GO FROM HIRE.

6499
04:28:32,815 --> 04:28:33,316
 HERE.

6500
04:28:33,316 --> 04:28:36,652
ALSO I WANT TO ACKNOWLEDGE THAT 

6501
04:28:36,652 --> 04:28:38,588
PUBLIC FOLKS IN THE ROOM AND 

6502
04:28:38,588 --> 04:28:39,422
ONLINE AND ACKNOWLEDGE THERE'S 

6503
04:28:39,422 --> 04:28:42,759
BEEN NO PUBLIC COMMENTS FROM OUR

6504
04:28:42,759 --> 04:28:46,195
PUBLIC MEETING TODAY.

6505
04:28:46,195 --> 04:28:52,368
WE HEARD HEARD FROM CLAIRE WHO 

6506
04:28:52,368 --> 04:28:53,035
REVIEWED OUR COMMENTS NECESSARY 

6507
04:28:53,035 --> 04:28:56,439
FOR US TO HAVE A COMPLETE AND 

6508
04:28:56,439 --> 04:28:58,040
THOROUGH UNDERSTANDING AND THEN 

6509
04:28:58,040 --> 04:29:00,610
WE HEARD FROM DR. BERTAGNOLLI 

6510
04:29:00,610 --> 04:29:01,811
WHO GAVE A WONDERFUL OVERVIEW OF

6511
04:29:01,811 --> 04:29:04,714
THE NIH AND FOCUSSED ON 

6512
04:29:04,714 --> 04:29:05,715
CHALLENGES WE HAVE.

6513
04:29:05,715 --> 04:29:09,085
ONE OR TWO OF THOSE BEING 

6514
04:29:09,085 --> 04:29:11,287
INTERNATIONAL SYSTEM HEALTH CARE

6515
04:29:11,287 --> 04:29:15,825
RANKING AROUND HEALTH CARE 

6516
04:29:15,825 --> 04:29:16,859
DISPARITY AND COLLABORATION AS 

6517
04:29:16,859 --> 04:29:18,528
WE CAN HIGHLIGHT AS WE GO 

6518
04:29:18,528 --> 04:29:19,729
THROUGH THE REPORT SEEING 

6519
04:29:19,729 --> 04:29:21,631
THERE'S BEEN COMMENTS ABOUT 

6520
04:29:21,631 --> 04:29:24,167
SILOS AND ONE OF THE THINGS SHE 

6521
04:29:24,167 --> 04:29:25,334
EMPHASIZED WAS THERE AREN'T AS 

6522
04:29:25,334 --> 04:29:26,769
MANY AS IT LOOKS LIKE FROM THE 

6523
04:29:26,769 --> 04:29:29,539
OUTSIDE SO WE MIGHT WANT TO 

6524
04:29:29,539 --> 04:29:30,173
EMPHASIZE THAT IN OUR COMMENTS 

6525
04:29:30,173 --> 04:29:37,079
AND REPORT.

6526
04:29:37,079 --> 04:29:37,747
AND ADVANCING RESEARCH EQUITY 

6527
04:29:37,747 --> 04:29:41,684
FOR HEALTH AND THE CARE PROGRAM.

6528
04:29:41,684 --> 04:29:44,320
AND BEING ABLE TO HARNESS 

6529
04:29:44,320 --> 04:29:46,155
RESEARCH USING HEALTH DATA.

6530
04:29:46,155 --> 04:29:47,390
SHE EMPHASIZED DATA AND WE WANT 

6531
04:29:47,390 --> 04:29:48,724
TO KEEP THAT IN MIND GOING 

6532
04:29:48,724 --> 04:29:50,793
THROUGH THE REPORT THAT FIRST OF

6533
04:29:50,793 --> 04:29:53,629
ALL TO BRIDGE THE SILOS OF DATA 

6534
04:29:53,629 --> 04:29:55,264
THOUGH I'M NOT SURE THERE'S AS 

6535
04:29:55,264 --> 04:29:58,034
MANY AS NIH AS THE SENATE AND 

6536
04:29:58,034 --> 04:30:02,772
CONGRESSMAN WANT TO BELIEVE BUT 

6537
04:30:02,772 --> 04:30:06,275
CERTAINLY FOR DATA IT'S A HUGE 

6538
04:30:06,275 --> 04:30:08,477
CHALLENGE BEING PART OF THE 

6539
04:30:08,477 --> 04:30:09,212
INITIATIVE GETTING DNA 

6540
04:30:09,212 --> 04:30:10,246
INFORMATION FOR EVERY DISEASE, 

6541
04:30:10,246 --> 04:30:11,747
ETCETERA IS CHALLENGING.

6542
04:30:11,747 --> 04:30:16,319
THAT HEALTH DATA IS A 

6543
04:30:16,319 --> 04:30:16,786
SIGNIFICANT PRIORITY.

6544
04:30:16,786 --> 04:30:21,591
THE RESTART OF THE CHARGE OF OUR

6545
04:30:21,591 --> 04:30:23,326
COMMITTEE WE SPENT TIME TRAUKING

6546
04:30:23,326 --> 04:30:24,994
ABOUT THE DAY AND KNOW THE NIH 

6547
04:30:24,994 --> 04:30:28,497
REQUEST THE SMRB EVALUATE THE 

6548
04:30:28,497 --> 04:30:30,766
CURRENT STRUCTURE.

6549
04:30:30,766 --> 04:30:34,136
THAT WE REEXAMINE THE 2010 

6550
04:30:34,136 --> 04:30:36,138
REPORT THE FIRST DOCUMENT THE 

6551
04:30:36,138 --> 04:30:37,540
DELIBERATING AND ORGANIZATIONAL 

6552
04:30:37,540 --> 04:30:39,008
CHANGE AND EFFECTIVENESS.

6553
04:30:39,008 --> 04:30:40,509
WE'LL CONSIDER THE CONGRESSIONAL

6554
04:30:40,509 --> 04:30:41,978
PROPOSALS THAT WE JUST HEARD 

6555
04:30:41,978 --> 04:30:42,311
ABOUT.

6556
04:30:42,311 --> 04:30:44,146
WE'RE GOING TO RE-EVALUATE THE 

6557
04:30:44,146 --> 04:30:45,681
EXISTING AND GUIDING PRINCIPLES 

6558
04:30:45,681 --> 04:30:51,153
OF THE ORGANIZATIONAL CHANGES 

6559
04:30:51,153 --> 04:30:52,655
AND THEN COME UP WITH 

6560
04:30:52,655 --> 04:30:54,423
RECOMMENDATIONS.

6561
04:30:54,423 --> 04:30:56,592
EASY, NO PROBLEM.

6562
04:30:56,592 --> 04:30:58,494
ONE OF THE DISCUSSION I WANT TO 

6563
04:30:58,494 --> 04:31:01,264
REMIND US ABOUT IS I TRIED TO 

6564
04:31:01,264 --> 04:31:02,632
CAPTURE A LOT OF OUR THOUGHTS 

6565
04:31:02,632 --> 04:31:05,067
AND COMMENTS IS WE WANT TO 

6566
04:31:05,067 --> 04:31:13,342
RE-ESTABLISH TRUST AND BETTER 

6567
04:31:13,342 --> 04:31:15,745
COMMUNICATE AND THAT'S EVIDENT 

6568
04:31:15,745 --> 04:31:16,913
IN THE COMMENTS MADE BECAUSE 

6569
04:31:16,913 --> 04:31:20,816
WE'RE ALL SCRATCHING OUR HEADS 

6570
04:31:20,816 --> 04:31:21,651
LIKE HOW COULD THEY ARE THINK 

6571
04:31:21,651 --> 04:31:24,153
THAT BUT THERE HASN'T BEEN GOOD 

6572
04:31:24,153 --> 04:31:25,187
COMMUNICATION FOR WHATEVER 

6573
04:31:25,187 --> 04:31:27,323
REASON AND NEED TO CHANGE THAT 

6574
04:31:27,323 --> 04:31:29,825
AND INCREASE THE IMPACT OF THE 

6575
04:31:29,825 --> 04:31:33,663
AGENCY'S WORK AND HOW DO WE MAKE

6576
04:31:33,663 --> 04:31:35,932
IT CLEAR THAT WE'RE PRIORITIZING

6577
04:31:35,932 --> 04:31:37,066
COMMUNITY PARTNERSHIP BECAUSE WE

6578
04:31:37,066 --> 04:31:39,235
KNOW THAT THE COMMUNITY AND THE 

6579
04:31:39,235 --> 04:31:42,471
PATIENT REALLY IS AT THE CENTER 

6580
04:31:42,471 --> 04:31:43,639
OF OUR PRIORITIES AND SHOULD BE 

6581
04:31:43,639 --> 04:31:45,374
AT THE CENTER OF WHAT WE'RE 

6582
04:31:45,374 --> 04:31:47,410
TRYING TO DO IN THIS 

6583
04:31:47,410 --> 04:31:50,746
RE-ORGANIZATION OR DEEP DIVE 

6584
04:31:50,746 --> 04:31:51,314
INTO THE NIH.

6585
04:31:51,314 --> 04:31:53,282
AND PRIORITIZING HEALTH CARE 

6586
04:31:53,282 --> 04:31:54,050
DISPARITIES AND HEALTH CARE 

6587
04:31:54,050 --> 04:31:58,487
RESEARCH SHOULD ALSO RUN THROUGH

6588
04:31:58,487 --> 04:31:58,955
WHAT WE'RE DISCUSSING.

6589
04:31:58,955 --> 04:32:03,793
AND LARRY GAVE US INFORMATION ON

6590
04:32:03,793 --> 04:32:04,493
CONGRESSIONAL INTEREST AND THE 

6591
04:32:04,493 --> 04:32:05,795
DETAILED OVERVIEW OF THE 

6592
04:32:05,795 --> 04:32:06,329
CHARTER.

6593
04:32:06,329 --> 04:32:08,364
WE TALKED ABOUT ALL THE THINGS 

6594
04:32:08,364 --> 04:32:09,899
LISTED THERE IN THE BULLETS AND 

6595
04:32:09,899 --> 04:32:10,900
MAJOR DISCUSSION POINTS FOCUSSED

6596
04:32:10,900 --> 04:32:14,236
ON HOW WE MAKE SURE THE BOARD'S 

6597
04:32:14,236 --> 04:32:16,305
RECOMMENDATIONS ARE IMPACTFUL.

6598
04:32:16,305 --> 04:32:18,741
THIS IS ALSO SOMETHING WE WANT 

6599
04:32:18,741 --> 04:32:21,677
TO KEEP IN MIND.

6600
04:32:21,677 --> 04:32:24,513
MR. SHAPIRO WAS TALKING ABOUT 

6601
04:32:24,513 --> 04:32:26,749
THE BUDGETING AND PRIORITIES OF 

6602
04:32:26,749 --> 04:32:28,484
THE NIH AND MECHANISMS.

6603
04:32:28,484 --> 04:32:30,052
IT'S CRITICALLY IMPORTANT TO 

6604
04:32:30,052 --> 04:32:31,654
KEEP THAT IN MIND BECAUSE WE 

6605
04:32:31,654 --> 04:32:35,591
REALLY AS WE GO THROUGH EACH 

6606
04:32:35,591 --> 04:32:36,258
INSTITUTE, EACH CENTER TO 

6607
04:32:36,258 --> 04:32:37,994
UNDERSTAND HOW MUCH OF THE 

6608
04:32:37,994 --> 04:32:39,528
RESOURCES ARE BEING POURED INTO 

6609
04:32:39,528 --> 04:32:40,463
THE CENTER AND WHETHER WE'RE 

6610
04:32:40,463 --> 04:32:42,298
GETTING A RETURN FOR OUR DOLLARS

6611
04:32:42,298 --> 04:32:44,934
SO TO SPEAK ON THE RESOURCES 

6612
04:32:44,934 --> 04:32:46,502
THAT ARE POURED INTO THAT 

6613
04:32:46,502 --> 04:32:47,536
INSTITUTION OR WHETHER WE COULD 

6614
04:32:47,536 --> 04:32:49,071
BE GETTING MORE OF A RETURN 

6615
04:32:49,071 --> 04:32:51,974
WHETHER THAT RETURN IS IN 

6616
04:32:51,974 --> 04:32:54,510
MANUSCRIPTS OR IN NEW DRUGS OR 

6617
04:32:54,510 --> 04:32:56,812
WHETHER THAT RETURN IS IN 

6618
04:32:56,812 --> 04:32:58,014
ESTABLISHING OUR HEALTH CARE 

6619
04:32:58,014 --> 04:33:00,049
BETTER AND OUR COMMUNITIES AND 

6620
04:33:00,049 --> 04:33:01,917
ACTUALLY IMPROVING THE HEALTH 

6621
04:33:01,917 --> 04:33:02,284
CARE.

6622
04:33:02,284 --> 04:33:03,619
AND THE EXTRAMURAL BUDGET AND 

6623
04:33:03,619 --> 04:33:05,888
FUNDING OPPORTUNITY 

6624
04:33:05,888 --> 04:33:06,756
ANNOUNCEMENTS AND THE NIH GRANTS

6625
04:33:06,756 --> 04:33:12,328
DATABASE ARE PART OF THAT.

6626
04:33:12,328 --> 04:33:13,896
GRIF HELPED US FOCUS ON OUR 

6627
04:33:13,896 --> 04:33:14,130
HISTORY.

6628
04:33:14,130 --> 04:33:15,831
THEY SAID IF YOU DON'T KNOW YOUR

6629
04:33:15,831 --> 04:33:17,066
HISTORY YOU'RE DOOMED TO REPEAT 

6630
04:33:17,066 --> 04:33:17,400
IT.

6631
04:33:17,400 --> 04:33:19,969
SO WE WANT TO LOOK BACK AT ALL 

6632
04:33:19,969 --> 04:33:20,903
THE EIGHT PUBLISHED REPORTS.

6633
04:33:20,903 --> 04:33:23,839
WE WANT TO LOOK BACK AT THE 

6634
04:33:23,839 --> 04:33:25,241
DETAILS OF WHAT THEY 

6635
04:33:25,241 --> 04:33:25,975
RECOMMENDED.

6636
04:33:25,975 --> 04:33:28,044
WE'LL HAVE IT SUMMARIZED AND 

6637
04:33:28,044 --> 04:33:30,913
HELP US SUMMARIZE WHICH OF THE 

6638
04:33:30,913 --> 04:33:32,581
RECOMMENDATIONS HAVE BEEN 

6639
04:33:32,581 --> 04:33:34,150
COMPLETED OR INCOMPLETE.

6640
04:33:34,150 --> 04:33:35,618
AND PERHAPS ALSO SOME BARRIERS 

6641
04:33:35,618 --> 04:33:37,853
AS TO WHY THE RECOMMENDATIONS 

6642
04:33:37,853 --> 04:33:39,855
FROM THE 2010, 2011 REPORT HAVE 

6643
04:33:39,855 --> 04:33:43,959
NOT BEEN COMPLETED.

6644
04:33:43,959 --> 04:33:46,495
AND MAJOR DISCUSSIONS FOCUSSED 

6645
04:33:46,495 --> 04:33:47,630
ON LESSONS LEARNED AND 

6646
04:33:47,630 --> 04:33:48,764
STAKEHOLDER INPUT AND DON'T WANT

6647
04:33:48,764 --> 04:33:52,168
TO FORGET TO INCLUDE ALL 

6648
04:33:52,168 --> 04:33:53,402
STAKEHOLDERS SO WE DON'T FIND 

6649
04:33:53,402 --> 04:33:55,671
OURSELF IN A SIMILAR SITUATION 

6650
04:33:55,671 --> 04:33:57,306
TO 2015, 2016.

6651
04:33:57,306 --> 04:33:59,909
AND THE GUIDING PRINCIPLES.

6652
04:33:59,909 --> 04:34:01,844
THESE ARE THE PRINCIPLES LARRY 

6653
04:34:01,844 --> 04:34:03,179
WENT OVER IN THE DOCUMENT THAT 

6654
04:34:03,179 --> 04:34:06,749
YOU CAN LOOK AT LATER BUT THIS 

6655
04:34:06,749 --> 04:34:17,259
IS JUST A SUMMARY AND DR. AND 

6656
04:34:23,265 --> 04:34:24,300
NUMBERED AND TO THE PROCESS IS 

6657
04:34:24,300 --> 04:34:25,234
IMPORTANT BETWEEN NOW AND THE 

6658
04:34:25,234 --> 04:34:27,169
NEXT MEETING.

6659
04:34:27,169 --> 04:34:28,237
WE NEED TO DISCUSS ABOUT WHAT 

6660
04:34:28,237 --> 04:34:30,072
WE'LL DO AND HOW WE'LL EVALUATE 

6661
04:34:30,072 --> 04:34:32,575
AND HOW MANY COMMITTEES WE'LL 

6662
04:34:32,575 --> 04:34:34,510
HAVE AND WHAT THE COMMITTEES 

6663
04:34:34,510 --> 04:34:36,645
WILL FOCUS ON AND MAKING SHUSH 

6664
04:34:36,645 --> 04:34:40,282
THE UNDERPINNING ATTRIBUTES OF 

6665
04:34:40,282 --> 04:34:42,451
COMMUNICATION AND ACCOUNTABILITY

6666
04:34:42,451 --> 04:34:48,858
ARE A THREAD IN ALL WE DO.

6667
04:34:48,858 --> 04:34:52,361
THE LEGISLATIVE OPTIMIZATION WAS

6668
04:34:52,361 --> 04:34:53,362
OF A GUT PUNCH.

6669
04:34:53,362 --> 04:34:55,898
I THINK IT WAS A WAY FOR US TO 

6670
04:34:55,898 --> 04:34:57,700
REALLY UNDERSTAND THAT WHAT WE 

6671
04:34:57,700 --> 04:35:01,837
HAVE TO FOCUS ON AND THOSE FOUR 

6672
04:35:01,837 --> 04:35:03,139
KEY AREAS OF STRUCTURAL PORTION 

6673
04:35:03,139 --> 04:35:05,574
OF THE NIH AND THE LEADERSHIP, 

6674
04:35:05,574 --> 04:35:06,142
POLICIES AND GRANTS AND THE 

6675
04:35:06,142 --> 04:35:10,613
FUNDING.

6676
04:35:10,613 --> 04:35:12,715
AS WE TALK ABOUT NEXT STEPS, 

6677
04:35:12,715 --> 04:35:14,150
SOME THINGS WE DISCUSSED TODAY 

6678
04:35:14,150 --> 04:35:16,252
IS MAKING SURE THAT WHEN WE'RE 

6679
04:35:16,252 --> 04:35:17,820
DOING OUR STRATEGY WE FOCUS ON 

6680
04:35:17,820 --> 04:35:19,488
WHAT'S WORKED AND NOT WORKED.

6681
04:35:19,488 --> 04:35:23,626
WE DON'T WANT TO MAKE THE SAME 

6682
04:35:23,626 --> 04:35:24,827
MISTAKES OVER AND HAVE A 

6683
04:35:24,827 --> 04:35:28,397
COMPLETE SET OF DATA TO MAKE 

6684
04:35:28,397 --> 04:35:29,198
DECISIONS.

6685
04:35:29,198 --> 04:35:31,066
THOSE ARE IMPORTANT IN 

6686
04:35:31,066 --> 04:35:32,701
DEVELOPING THE STRATEGY AND DATA

6687
04:35:32,701 --> 04:35:33,702
OVER TIME TO SEE AT EACH 

6688
04:35:33,702 --> 04:35:34,737
INSTITUTE HOW THINGS HAVE 

6689
04:35:34,737 --> 04:35:37,173
CHANGED OR MAYBE NOT CHANGED 

6690
04:35:37,173 --> 04:35:37,473
OVER TIME.

6691
04:35:37,473 --> 04:35:40,209
AND THEN WAITING TO OUTLINE KEY 

6692
04:35:40,209 --> 04:35:41,810
QUESTIONS AND SET PRIORITIES AND

6693
04:35:41,810 --> 04:35:46,515
MAKE SURE THAT WE HAVE TANGIBLE 

6694
04:35:46,515 --> 04:35:48,284
METRICS WE CAN FOCUS ON IN OUR 

6695
04:35:48,284 --> 04:35:48,651
RECOMMENDATIONS.

6696
04:35:48,651 --> 04:35:51,487
WE DECIDE WHETHER WE WANT TO BE 

6697
04:35:51,487 --> 04:35:53,756
MORE TACTICAL OR MORE BLUE SKY 

6698
04:35:53,756 --> 04:35:55,124
AND MAKE SURE PHYSICAL STABILITY

6699
04:35:55,124 --> 04:35:56,058
IS AT THE CENTER.

6700
04:35:56,058 --> 04:35:58,761
WE WANT TO MAKE SURE WE INCLUDE 

6701
04:35:58,761 --> 04:36:02,064
IMPLEMENTATION SCIENCE AND WANT 

6702
04:36:02,064 --> 04:36:03,566
TO ASSURE THAT FOR ALL OUR 

6703
04:36:03,566 --> 04:36:06,535
SCIENCES WE'RE MAKING AN 

6704
04:36:06,535 --> 04:36:07,102
INCUBATOR ENVIRONMENT TO 

6705
04:36:07,102 --> 04:36:07,670
MULTIPLY THE SUCCESS OF THE 

6706
04:36:07,670 --> 04:36:12,341
INVESTIGATORS WE FUND.

6707
04:36:12,341 --> 04:36:15,511
SO THE NEXT STEPS ARE MEETING 

6708
04:36:15,511 --> 04:36:16,345
CADENCE.

6709
04:36:16,345 --> 04:36:16,979
LARRY AND I TALKED ABOUT 

6710
04:36:16,979 --> 04:36:17,680
POSSIBLE CADENCE.

6711
04:36:17,680 --> 04:36:20,849
WE HAVE TO HAVE AT LEAST FIVE 

6712
04:36:20,849 --> 04:36:25,621
MEETINGS AND WERE THINKING TO 

6713
04:36:25,621 --> 04:36:26,789
ALTERNATE VIRTUAL AND IN PERSON 

6714
04:36:26,789 --> 04:36:29,892
AND JANUARY, MARCH, MAY, JULY, 

6715
04:36:29,892 --> 04:36:32,094
SEPTEMBER, NOVEMBER.

6716
04:36:32,094 --> 04:36:34,396
THAT'S SIX.

6717
04:36:34,396 --> 04:36:36,031
DOES THAT SOUND OKAY?

6718
04:36:36,031 --> 04:36:36,565
DOES THAT SOUND TOO MUCH?

6719
04:36:36,565 --> 04:36:43,172
TOO LITTLE?

6720
04:36:43,172 --> 04:36:46,742
THAT MAKES IT ALMOST EVERY TWO 

6721
04:36:46,742 --> 04:36:49,345
MONTHS AND GIVES US SUMMER WHEN 

6722
04:36:49,345 --> 04:36:51,347
MANY ARE OFF AND IF WE STARTED 

6723
04:36:51,347 --> 04:36:53,282
UP JANUARY WITH VIRTUAL AND 

6724
04:36:53,282 --> 04:36:58,354
EVERY OTHER VIRTUAL AND IN 

6725
04:36:58,354 --> 04:36:59,855
PERSON OR MORE VIRTUAL OR JUST A

6726
04:36:59,855 --> 04:37:01,790
COUPLE IN PERSON.

6727
04:37:01,790 --> 04:37:04,159
I'LL GET YOUR THOUGHTS AND 

6728
04:37:04,159 --> 04:37:06,762
ESTABLISH THE WORKING GROUP AS A

6729
04:37:06,762 --> 04:37:09,732
PRIORITY ONCE WE DISCUSS OUR 

6730
04:37:09,732 --> 04:37:11,400
STRATEGY AND HOW TO APPROACH IT 

6731
04:37:11,400 --> 04:37:12,635
AND MAKE WORKING GROUP 

6732
04:37:12,635 --> 04:37:13,969
SUGGESTIONS TO RECRUIT PEOPLE IN

6733
04:37:13,969 --> 04:37:14,970
THE WORKING GROUPS.

6734
04:37:14,970 --> 04:37:16,038
THAT'S ALL I HAVE.

6735
04:37:16,038 --> 04:37:17,773
I'LL STOP THERE AND GET OPINIONS

6736
04:37:17,773 --> 04:37:21,410
ON THE MEETINGS.

6737
04:37:21,410 --> 04:37:23,879
>> WE HAVE TO HAVE SIX
MEETINGS 

6738
04:37:23,879 --> 04:37:24,947
BEFORE WE ISSUE A REPORT?

6739
04:37:24,947 --> 04:37:31,387
>> WE HAVE TO HAVE FIVE.

6740
04:37:31,387 --> 04:37:33,289
>> WE CAN THROW OUT THREE 

6741
04:37:33,289 --> 04:37:34,890
REPORTS AS LONG AS WE HAVE FIVE 

6742
04:37:34,890 --> 04:37:36,625
MEETINGS WE JUST HAVE TO BE 

6743
04:37:36,625 --> 04:37:39,395
ACTIVELY DISCUSSING ALONG THE 

6744
04:37:39,395 --> 04:37:39,561
WAY.

6745
04:37:39,561 --> 04:37:39,995
>> RIGHT.

6746
04:37:39,995 --> 04:37:42,364
THEY ALL HAVE TO BE PUBLIC.

6747
04:37:42,364 --> 04:37:44,800
THE MEETINGS WE CHOOSE HAVE TO 

6748
04:37:44,800 --> 04:37:47,202
BE PUBLIC WHETHER IN PERSONAL OR

6749
04:37:47,202 --> 04:37:49,838
VIRTUAL HAVE TO BE IN PUBLIC.

6750
04:37:49,838 --> 04:37:50,739
HOW'S THAT SOUND?

6751
04:37:50,739 --> 04:37:51,173
COMMENTS, QUESTIONS?

6752
04:37:51,173 --> 04:37:54,310
OKAY.

6753
04:37:54,310 --> 04:38:04,853
SO WE'LL DOANRY  -- DOANRY  -- 

6754
04:38:06,822 --> 04:38:10,192
DO JANUARY VIRTUAL AND MARCH IN 

6755
04:38:10,192 --> 04:38:11,193
PERSON AND EVERY OTHER.

6756
04:38:11,193 --> 04:38:12,695
OKAY.

6757
04:38:12,695 --> 04:38:15,197
I THINK THAT'S A GOOD END.

6758
04:38:15,197 --> 04:38:16,699
OTHER COMMENTS?

6759
04:38:16,699 --> 04:38:18,667
THIS IS THE END OF OUR WONDERFUL

6760
04:38:18,667 --> 04:38:20,069
DAY AND WE STARTED THINKING 

6761
04:38:20,069 --> 04:38:21,170
ABOUT SHEEP AND NOW WE'RE 

6762
04:38:21,170 --> 04:38:25,574
PROBABLY THINKING ABOUT MANY 

6763
04:38:25,574 --> 04:38:26,208
OTHER THINGS.

6764
04:38:26,208 --> 04:38:28,277
USE THE MICROPHONE.

6765
04:38:28,277 --> 04:38:33,615
>> HOW MANY -- YOU SAID
YOU WERE

6766
04:38:33,615 --> 04:38:36,719
STILL GOING TO BE BRINGING NEW 

6767
04:38:36,719 --> 04:38:38,220
MEMBERS ON AND WONDERING THE 

6768
04:38:38,220 --> 04:38:39,755
TIME FRAME FOR THAT.

6769
04:38:39,755 --> 04:38:41,490
IT SEEMS IT WOULD BE DIFFICULT 

6770
04:38:41,490 --> 04:38:42,224
FOR THEM TO COME IN AFTER 

6771
04:38:42,224 --> 04:38:46,128
MISSING THIS MEETING.

6772
04:38:46,128 --> 04:38:48,464
>> AS YOU NOW COUNCILS
TURN OVER

6773
04:38:48,464 --> 04:38:49,331
ALL THE TIME.

6774
04:38:49,331 --> 04:38:54,169
WE'LL COME IN MID STREAM.

6775
04:38:54,169 --> 04:38:57,806
THERE ARE TWO INDIVIDUALS BEING 

6776
04:38:57,806 --> 04:39:00,809
VETTED AND I THINK IF I'M NOT 

6777
04:39:00,809 --> 04:39:02,978
MISTAKEN WE HAVE TWO MORE SLOTS 

6778
04:39:02,978 --> 04:39:04,780
WE CAN USE PAUSE WE'RE ALLOWING 

6779
04:39:04,780 --> 04:39:09,718
UP TO 21 RAND I THINK WE HAVE 21

6780
04:39:09,718 --> 04:39:12,554
NOW IF I'M NOT MISTAKEN.

6781
04:39:12,554 --> 04:39:16,325
AGAIN IT'S AN ITERATIVE PROCESS.

6782
04:39:16,325 --> 04:39:17,226
THESE ARE SEPARATE.

6783
04:39:17,226 --> 04:39:19,862
>> AND THIS RECORDED SO 

6784
04:39:19,862 --> 04:39:20,896
PRESUMABLY THOSE INDIVIDUALS 

6785
04:39:20,896 --> 04:39:22,698
HAVE THE OPPORTUNITY TO SEE THIS

6786
04:39:22,698 --> 04:39:28,704
RECORDING.

6787
04:39:28,704 --> 04:39:31,273
OTHER QUESTIONS, COMMENTS BEFORE

6788
04:39:31,273 --> 04:39:31,874
WE END?

6789
04:39:31,874 --> 04:39:32,141
ALL RIGHT.

6790
04:39:32,141 --> 04:39:36,044
THANK YOU, THANK YOU.

6791
04:39:36,044 --> 04:39:40,516
>> I HAVE A QUESTION.

6792
04:39:40,516 --> 04:39:44,520
DR. HILDRETH.

6793
04:39:44,520 --> 04:39:46,088
>> ARE THE WORKING GROUP 

6794
04:39:46,088 --> 04:39:47,322
MEETINGS ALSO PUBLIC?

6795
04:39:47,322 --> 04:39:51,727
>> THEY CAN BE CONDUCTED
YO OUT 

6796
04:39:51,727 --> 04:39:53,462
SIDE THE PUBLIC BUT HAVE TO 

6797
04:39:53,462 --> 04:39:56,198
REPORT BACK IN A PUBLISHED 

6798
04:39:56,198 --> 04:39:58,300
MEETING RECOMMENDATIONS THEY'RE 

6799
04:39:58,300 --> 04:39:59,835
MAKING TO THE GROUP.

6800
04:39:59,835 --> 04:40:02,104
THEY CAN'T THEMSELVES DECIDE 

6801
04:40:02,104 --> 04:40:02,371
ANYTHING.

6802
04:40:02,371 --> 04:40:05,741
ALL THEY ARE CAN DO IS MAKE 

6803
04:40:05,741 --> 04:40:06,742
A-LIKED TO THE GROUP FOR THIS 

6804
04:40:06,742 --> 04:40:07,476
GROUP'S CONSIDERATION.

6805
04:40:07,476 --> 04:40:09,178
>> IN THE PREVIOUS WORKING

6806
04:40:09,178 --> 04:40:10,512
GROUPS, GIVE ME A FLAVOR.

6807
04:40:10,512 --> 04:40:13,882
WAS IT USUALLY A PAIR OF 

6808
04:40:13,882 --> 04:40:17,786
CO-CHAIRS, WERE THEY MEMBER OF 

6809
04:40:17,786 --> 04:40:21,390
THIS PARENT GROUP OR -- 

6810
04:40:21,390 --> 04:40:23,025
>> GRIF WILL HELP ME
REMEMBER 

6811
04:40:23,025 --> 04:40:25,093
BUT AS I RECALL THERE IS AT 

6812
04:40:25,093 --> 04:40:30,265
LEAST ONE MEMBER OF THIS GROUP 

6813
04:40:30,265 --> 04:40:32,468
AS A CO-CHAIR.

6814
04:40:32,468 --> 04:40:33,969
>> I UNDERSTAND AND
ANOTHER 

6815
04:40:33,969 --> 04:40:35,838
PERSON AND PEOPLE FROM OUTSIDE.

6816
04:40:35,838 --> 04:40:38,941
>> AND EXPERTS.

6817
04:40:38,941 --> 04:40:40,576
>> OKAY.

6818
04:40:40,576 --> 04:40:44,680
>> I HAVE A QUESTION
BECAUSE IN 

6819
04:40:44,680 --> 04:40:45,848
JANUARY WE HAVE THE NEXT TIME 

6820
04:40:45,848 --> 04:40:47,316
BUT IN THE MEANTIME IT WOULD BE 

6821
04:40:47,316 --> 04:40:52,488
VALUABLE TO HAVE A SET OF POINTS

6822
04:40:52,488 --> 04:40:53,956
WE CAN DISCUSS.

6823
04:40:53,956 --> 04:40:55,757
WE'LL BE EXPOSED TO A LOT OF 

6824
04:40:55,757 --> 04:40:57,059
MEETINGS IN THE NEXT SIX WEEKS.

6825
04:40:57,059 --> 04:40:58,760
>> THANK YOU FOR REMINDING
ME TO

6826
04:40:58,760 --> 04:40:59,528
SAY THAT.

6827
04:40:59,528 --> 04:41:02,731
ONCE THE TEAM GIVES ME THE 

6828
04:41:02,731 --> 04:41:03,298
SUMMARY INFORMATION WE'VE 

6829
04:41:03,298 --> 04:41:04,266
ALREADY ASKED FOR AS FAR AS 

6830
04:41:04,266 --> 04:41:06,134
LOOKING AT THE PRIOR REPORT AND 

6831
04:41:06,134 --> 04:41:07,703
RECOMMENDATIONS AND WHAT WAS 

6832
04:41:07,703 --> 04:41:10,772
COMPLETED AND INCOMPLETE, I'LL 

6833
04:41:10,772 --> 04:41:14,142
SEND A BULLETED LIST OF 

6834
04:41:14,142 --> 04:41:15,310
HOPEFULLY NO MORE THAN 10 

6835
04:41:15,310 --> 04:41:16,545
QUESTIONS I NEED TO YOU THINK 

6836
04:41:16,545 --> 04:41:18,080
ABOUT AND ADDRESS TO PREPARE US 

6837
04:41:18,080 --> 04:41:19,047
FOR THE NEXT MEETING IN THE 

6838
04:41:19,047 --> 04:41:21,183
CONTEXT OF THE AGENDA FOR THE 

6839
04:41:21,183 --> 04:41:21,683
NEXT MEETING.

6840
04:41:21,683 --> 04:41:23,652
I'LL MAKE THE AGENDA FOR THE 

6841
04:41:23,652 --> 04:41:28,490
JANUARY -- I'M SORRY.

6842
04:41:28,490 --> 04:41:33,061
>> TALKING POINTS AND IF
WE GET 

6843
04:41:33,061 --> 04:41:33,695
ASKED THE QUESTION, HOW DO WE 

6844
04:41:33,695 --> 04:41:35,497
RESPOND?

6845
04:41:35,497 --> 04:41:41,403
>> OH, THOSE TALKING
POINTS.

6846
04:41:41,403 --> 04:41:42,538
WHAT I THOUGHT YOU MEANT WAS 

6847
04:41:42,538 --> 04:41:44,573
MORE DOWN THE LINE.

6848
04:41:44,573 --> 04:41:45,941
YOU MEAN NOW AND THE TIME WE 

6849
04:41:45,941 --> 04:41:50,746
HAVE THE REPORT?

6850
04:41:50,746 --> 04:41:51,547
>> YES.

6851
04:41:51,547 --> 04:41:57,486
>> LET ME ASK LARRY.

6852
04:41:57,486 --> 04:42:00,122
>> WE'LL DEVELOP SOME
DRAFT FOR 

6853
04:42:00,122 --> 04:42:02,758
THE CHAIR TO CONSIDER AND IF 

6854
04:42:02,758 --> 04:42:03,425
SHE'S COMFORTABLE WITH THEM THEN

6855
04:42:03,425 --> 04:42:04,793
WE'LL DISSEMINATE.

6856
04:42:04,793 --> 04:42:06,094
>> I THOUGHT YOU MEANT FOR
THE 

6857
04:42:06,094 --> 04:42:07,429
NEXT MEETING.

6858
04:42:07,429 --> 04:42:09,665
SO ANYWAY, I NEEDED TO SAY THAT 

6859
04:42:09,665 --> 04:42:10,065
ANYWAY.

6860
04:42:10,065 --> 04:42:12,701
SO FOR THE JANUARY MEETING I'M 

6861
04:42:12,701 --> 04:42:15,837
GOING TO BE SENDING OUT A 

6862
04:42:15,837 --> 04:42:17,706
PROPOSED AGENDA FOR YOU ALL TO 

6863
04:42:17,706 --> 04:42:19,841
LOOK AT AND WITH EACH ITEM ON 

6864
04:42:19,841 --> 04:42:21,310
THE AGENDA THERE WILL BE HOME 

6865
04:42:21,310 --> 04:42:22,511
WORK QUESTIONS, IF YOU WILL, TO 

6866
04:42:22,511 --> 04:42:26,748
HAVE A ROBUST DISCUSSION.

6867
04:42:26,748 --> 04:42:28,550
OKAY.

6868
04:42:28,550 --> 04:42:30,786
>> FOR THE IN PERSON
MEETINGS 

6869
04:42:30,786 --> 04:42:34,556
CAN YOU TRY TO GET TENTATIVE 

6870
04:42:34,556 --> 04:42:35,958
DATES OUT AS SOON AS POSSIBLE.

6871
04:42:35,958 --> 04:42:38,060
>> I THINK THE TEAM HEARD
YOU, 

6872
04:42:38,060 --> 04:42:38,226
YES.

6873
04:42:38,226 --> 04:42:39,795
>> WE ONLY INVITE PEOPLE
WHO 

6874
04:42:39,795 --> 04:42:40,696
AREN'T BUSY AND HAVE NOTHING 

6875
04:42:40,696 --> 04:42:42,097
ELSE TO DO.

6876
04:42:42,097 --> 04:42:42,531
>> THANK YOU, GUYS.

6877
04:42:42,531 --> 04:42:52,708
THANK YOU.