>>WELCOME BACK TO THE 2022 NIH
TRIBAL ADVISORY COMMITTEE
MEETING.
WE'D LIKE TO BEGIN TODAY WITH
OUR INTRODUCTIONS AND ROLL CALL.
SO KENDRA, IF YOU COULD START
THE ROLL CALL, WE'D APPRECIATE
THAT.
>> YES, WELCOME TO THE TAC
MEETING.
WE'LL GO BY OUR IHS AREAS AND
THEN WE WILL MOVE INTO NATIONAL
AT LARGE.
SO FOR ALASKA.
I BELIEVE DR. DILLARD SAID SHE
HAD TO STEP AWAY AND WOULD BE
BACK.
ALBUQUERQUE.
>> MICHELLE SWEENA IS HERE.
>> THANK YOU.
BEMIDJI AREA.
BILLINGS AREA.
GREAT PLAINS AREA.
>> [INAUDIBLE] PRESENT.
>> THANK YOU DR. MERSO.
NATIONAL AREA.
>> BRITTANY JACQUES PRESENT.
>> THANK YOU, DR. JACQUES.
WE'VE ALSO GOT HER TECHNICAL
ADVISOR, KRISTY DUKE, WITH US.
NAVAJO.
>> THIS IS DR. JIM FOR NAVAJO
NATION.
>> THANK YOU.
OKLAHOMA AREA.
>> BOBBY SAKI HERE FOR THE
OKLAHOMA AREA.
>> THANK YOU, BOBBY.
PORTLAND AREA.
>> YOU'RE ON MUTE, STEVE.
>> STEVE CHRIS WERE THE
PORTLAND AREA AND MY TAC IS ALSO
ON WITH US.
>> GREAT.
THANK YOU, STEVE.
AND TAM AND CANDACE ARE JOINING
US.
TUCSON AREA.
>> [INAUDIBLE] PRESENT.
>> THANK YOU, COUNCILWOMAN.
AND WE'VE GOT DR. SALOMON WITH
US AS WELL.
HER TECHNICAL ADVISOR.
NATIONAL AT LARGE DEBBIE
DANFORTH'S SEAT.
I DON'T BELIEVE SHE'S BEEN ABLE
TO JOIN US BUT WE DO HAVE HER
TECHNICAL ADVISOR, JESSICA
DAYTON, I BELIEVE.
SHE WAS WITH US A FEW MINUTES
AGO.
NATIONAL AT LARGE SEAT DONNAL
G
GILBREATH, I DON'T BELIEVE IS
WITH US.
AND I'M NOT SEEING HER TECHNICAL
ADVISOR.
DO WE HAVE ANY OTHER DELEGATES
OR ALTERNATES THAT JOINED US
AFTER WE STARTED THE ROLL CALL?
OKAY.
IF NOT, THEN WE WILL START WITH
NIH INTRODUCTIONS.
DR. RISINGER.
>> THIS IS BOB RISINGER, GOOD
AFTERNOON EVERYONE.
>> GOOD MORNING DAVE WILSON THE
DIRECTOR OF THE TRIBAL HEALTH
RESEARCH OFFICE.
>> GOOD AFTERNOON.
JULIANA BLUM DIRECTOR OF THE
TRIBAL HEALTH OFFICE.
>> GOOD AFTERNOON, THIS IS
BONNIE, THE COMMUNICATIONS
DIRECTOR IN RENFROE.
>> I'M MO SENIOR VILLES
ADVISOR IN THE RESEARCH OFFICER.
>> AND THIS IS [INAUDIBLE] IN
THE RESEARCH OFFICE.
>> SARA CHANDROS HULL WITH THE
TRIBAL RESEARCH OFFICE AS
OFFICER ON BIOETHICS DETAIL.
>> THANKS EVERYONE.
AND THAT IS OUR TEAM, KENDRA.
>> GREAT, THANKS TO ALL.
AND I WOULD LIKE TO CONFIRM THAT
WE DO HAVE A QUORUM.
SO WE CAN PROCEED WITH THE
MEETING.
COUNCILWOMAN FRIAS, I'LL TURN IT
TO YOU.
GOOD MORNING, EVERYONE, WELCOME
BACK.
I'D LIKE TO APOLOGIZE FOR
EVERYONE IN THAT THE CAUCUS THAT
I WASN'T ABLE TO JOIN YOU.
UNFORTUNATELY, I GOT MY SCHEDULE
A LITTLE BIT MIXED UP.
I WAS ATTENDING A DIFFERENT
MEETING.
I'D LIKE TO THANK BOBBY FOR
STEPPING IN AT THE QUORUM AND
FACILITATING AND ALSO TA
DR. SALOMON, THANK YOU SO MUCH.
SO THIS MORNING WE HAVE -- HOLD
ON, LET ME PULL UP MY AGENDA.
I HAVE A LOTS GOING ON TODAY.
STILL ON DAY ONE.
SO THIS MORNING, ACTUALLY, WE'VE
GOT IT TURNED OVER TO
DR. WILSON.
SO IT IS GOING OVER TO
DR. WILSON TO GO OVER THE
UPDATES FROM THRO AND
REFLECTIONS FROM DAY ONE.
I KNOW WE HAVE A FEW PEOPLE THAT
WERE NOT ABLE TO ATTEND
YESTERDAY TO TALK A LITTLE BIT
ABOUT OUR PRESENTATIONS THAT WE
HAD YESTERDAY.
BUT I THINK THAT I DO WANT TO
THANK EVERYONE THAT PARTICIPATED
YESTERDAY AND THE PRESENTERS
FROM YESTERDAY BECAUSE WE DID
HAVE REALLY GOOD PRESENTATIONS
AND GREAT QUESTIONS AND I THINK
WE HAD A FULL DAY AND SOME MORE
AREAS THAT I THINK WE WANT TO
FOLLOW UP WITH.
SO I THINK THAT WITH THE
INFORMATION THAT WAS GATHERED, I
THINK WE CAN FOLLOW UP.
AND FOR TODAY, WE HAVE SOME
INFORMATION FROM THE THRO OFFICE
AND ALSO TO REVIEW OUR
PRIORITIES AND ALSO TO GO OVER
OUR NEXT 12 MONTHS SO WE CAN
REALLY START PLANNING OUT AND
FOCUSING ON WHAT WE WANT TO DO
FOR THE NEXT YEAR WITH OUR
CALENDAR OF EVENTS BECAUSE AS WE
ALL KNOW, IT'S BEEN
12K3W4R50I6R7B8G9SD TO FOCUS OUR
TIME AND TO REALLY GET THE
CENTERS AND THE INSTITUTES THAT
WE WANT TO MEET WITH AT THESE
MEETINGS AND ASK -- AND MAKE THE
MOST OUT OF THE TIME THAT WE
HAVE.
SO THAT'S WHAT WE'RE REALLY
HOPING TO DO TODAY IS TO REALLY
HEAR FROM NIH BASED ON THE
PRIORITIES THAT WE SENT THEM,
WHAT WE'VE DONE SO FAR, GET SOME
FEEDBACK.
AND THEN AT THE END BE ABLE TO
PUT THAT INFORMATION TOGETHER
AND HAVE A WORKING PLAN AND MOVE
FORWARD FROM THERE.
>> THANK YOU, COUNCILWOMAN, I
AGREE WE HAD A VERY BUSY
PRODUCTIVE DAY YESTERDAY.
AND YOU'VE SET THE STAGE VERY
NICELY FOR ME.
AND SO WITH THAT, WOULD YOU LIKE
ME TO TRANSITION TO THE NEXT
PART OF THE AGENDA?
>> SURE.
THANK YOU.
>> ABSOLUTELY.
LET ME START SHARING MY SCREEN
HERE.
CAN WE SEE WHAT'S ON MY SCREEN?
>> YES, WE CAN.
>> THANK YOU.
THANK YOU, MEMBERS OF THE NIH
TRIBAL ADVISORY COMMITTEE.
AND TODAY OUR SESSION IS FOCUSED
ON, WE WANTED TO PROVIDE THE
COMMITTEE MEMBERS WITH AN
AGENCY-WIDE VIEW OF WHAT ARE
SOME OF THE NIH'S, HOW THE NIH
IS SUPPORTING TRIBAL HEALTH.
AND I WILL PRESENT SOME OF THE
DATA WE HAVE FOR FISCAL YEAR
2020 IN RELATION TO TRIBAL
HEALTH RESEARCH SUPPORT.
AND THEN OUR SENIOR ADVISOR
HEARNE WILL FOLLOW WITH HOW
WE'VE BEEN ABLE TO CAPTURE THE
ACTIVITIES THAT ARE RELATED TO
EACH OF THE TAC'S PRIORITIES,
PRIORITY REQUESTS.
AND THEN FIGURE OUT TOGETHER WE
CAN FIGURE OUT HOW WE WANT TO
MOVE FORWARD IN 2023 IN THE NEXT
SESSION AFTER THE BREAK.
SO LET'S SEE HERE.
LET ME GET THIS NEXT SLIDE.
HERE WE GO.
SO WHAT I'D LIKE TO COVER HERE
IS A LITTLE BIT OF THE
INTRODUCTION ABOUT THE OFFICE
AND THE REASON WHY WE CONDUCT
THE PORTFOLIO ANALYSIS HERE YOU
CAN SEE THIS IS AN IMAGE OF OUR
MOST RECENT PORTFOLIO ANALYSIS
WHICH WAS PUBLISHED IN 2018.
AND WE USED THE SAME METHODS IN
TERMS OF CAPTURING THE DATA TO
PROVIDE THE INFORMATION THAT I'M
GOING TO BE SHOWING YOU IN
SLIDES TO COME.
AND ALSO THE DATA THAT WE'LL BE
SHOWING YOU IS ALSO PUBLICLY
AVAILABLE.
IF YOU WANTED TO DO THIS
ANALYSIS TYPE OF ANALYSIS ON
YOUR OWN FOR YOUR COMMUNITIES
AND YOU'LL BE ABLE TO VIEW THAT
AFTER WE WALK THROUGH SOME OF
THESE SLIDES.
BUT IN THIS PRESENTATION WHAT
WE'LL BE COVERING I'LL GO OVER
BRIEFLY OVER THE METHODS OF HOW
WE CAPTURED THE DATA AND THEN I
WILL TALK ABOUT THE ACTUAL
INVESTMENT OF HER RESEARCH, AND
THEN WE'LL BREAK IT DOWN EVEN
FURTHER WHAT PERCENTAGE OF
FUNDING ARE PROVIDED BY EACH OF
THE INSTITUTES, CENTERS AND
OFFICES AND THEN GO INTO THE
OVERALL DOLLAR AMOUNTS PROVIDED
BY EACH OF THE INSTITUTE CENTERS
AND OFFICES.
AND THEN DISSECT THAT DOWN EVEN
A LITTLE BIT FURTHER INTO THE
GRANT TYPES AND THEN THE FUNDING
MECHANISMS.
AND THEN YOU'LL BE ABLE TO ALSO
COMPARE ACROSS 2018 THROUGH 2020
WHAT THE FUNDING, WHAT THE
NUMBER OF FUNDING PROJECTS LOOK
LIKE AND WHAT THE SUB PROJECTS
LOOK LIKE.
SO THIS WILL HOPEFULLY GIVE US A
REALLY GOOD VIEW OF THE PROGRESS
THAT WE'VE MADE SINCE THE
ESTABLISHMENT OF THE STRATEGIC
PLAN.
SO AS DR. TABAK MENTIONED
YESTERDAY, HE TALKED ABOUT
TRIBAL SOVEREIGNTY AS A PRIORITY
FOR THE NIH.
AND I THINK THE DATA THAT WE'VE
BEEN SHOWING HERE OR IS CAPTURED
IN THE PA REALLY EXEMPLIFIES HOW
WE WANT TO BE CLEAR, TRANSPARENT
AND INCREASE OUR ABILITY TO
COMMUNICATE WITH TRIBAL
COMMUNITIES BY PROVIDING UPDATES
THROUGH THESE PORTFOLIO ANALYSES
AND THROUGH REPORTS ABOUT HOW
THE RESEARCH IS BEING FUNDED
ACROSS TRIBAL COMMUNITIES.
SO THE 2022 PORTFOLIO ANALYSIS
WILL BE THE THIRD DATA POINT IN
HOW THE NIH MONITORS FOR
INVESTMENT RESEARCH, THE
INFORMATION WE'LL PROVIDE TODAY
WILL PROVIDE THE HIGH LEVEL VIEW
OF RESEARCH AND IT WILL PROVIDE
POSSIBLE INSIGHTS INTO
OPPORTUNITIES WHERE THE TAC
MIGHT WANT TO REDIRECT THEIR
FOCUS.
NOT ONLY TO ADDRESS SHORT-TERM
GOALS BUT ALSO LONG-TERM GOALS
TO HELP ADDRESS HEALTH
DISPARITIES IN TRIBAL
COMMUNITIES.
SO HERE YOU CAN SEE THAT OUR
OFFICE WAS ESTABLISHED IN 2015
AND WE REALLY WANT TO COORDINATE
TRIBAL HEALTH RESEARCH ACROSS
THE ENTIRE NIH.
THAT'S WHY THIS KIND OF ANALYSIS
IS SO IMPORTANT.
AND OUR GOAL IS TO SERVE AS
LIAISON TO PROVIDE YOU THESE
UPDATES SO WE CAN RECALIBRATE
EVERY NOW AND AGAIN TO FIGURE
OUT WHAT ARE THE PRIORITIES AND
THE PRIORITIES AREN'T GOING TO
BE CONSISTENT ACROSS ALL THE
12IH SERVICE AREAS.
THAT'S REALLY IMPORTANT FOR US
TO ACKNOWLEDGE.
WE REALLY WANT TO THINK ABOUT
WHAT ARE SOME OF THE RESEARCH
PRIORITIES THAT WE WANT TO FOCUS
ON IN NAVAJO, IN BEMIDJI, IN
GREAT PLAINS.
IN DIFFERENT PARTS OF THE
COUNTRY, IN ALASKA, THEY'RE ALL
VERY DIFFERENT AND WE HAVE
DIFFERENT NEEDS.
WHAT'S CRITICALLY IMPORTANT FOR
THIS IS THE NIH ESTABLISHED ITS
FIRST STRATEGIC PLAN IN 2019,
AND IT WILL CONCLUDE AT THE END
OF 2023.
SO THE DATA THAT YOU WILL SEE
WILL ACTUALLY KIND OF SHOW WHERE
WE'RE AT AT THE HALFWAY POINT OF
THIS FIRST STRATEGIC PLAN.
AND IT WILL SHOW YOU THE
PROGRESS THAT WE'VE MADE AND THE
PROGRESS THAT WE WILL CONTINUE
TO MAKE IN ADDRESSING THE
RESEARCH PRIORITIES FOR TRIBAL
COMMUNITIES.
SO HERE YOU CAN SEE THE FIRST
NIH STRATEGIC PLAN FOR TRIBAL
HEALTH HAS FOUR BIG GOALS.
AND THOSE GOALS ARE TO IMPROVE
THE NIH'S RELATIONSHIP AND
COLLABORATIVE EFFORTS WITH AI
COMMUNITIES TO ENHANCE
COLLABORATIONS.
AND TO EXPAND AI AND RESEARCH
FOCUSED RESEARCH AND TO ENHANCE
CULTURAL COMPETENCY AND
COMMUNITY ENGAGEMENT, WHICH IS
THE ABSOLUTE PRIORITY OF WHAT WE
WANT TO DO WITH ALL OF THESE
STRATEGIC ENGAGEMENTS.
MY APOLOGIES, HAVING A LITTLE
BIT OF TECHNICAL DIFFICULTY.
NEXT SLIDE WE WANTED TO TALK
ABOUT THE METHODS.
THE METHODS THAT WE USED TO
COLLECT THE DATA.
SO THE DATA, THE METHODS THAT WE
USED IS IN COLLABORATION WITH
TWO DIFFERENT OFFICES.
THE OFFICE HERE YOU CAN SEE OF
EVALUATION PERFORMANCE AND
REPORTING, WE COMMONLY REFER TO
AS OEPR.
AND THE OFFICE OF PORTFOLIO
ANALYSIS, TOGETHER HELPED US
DEVELOP THE 2015 REPORT AS A
COLLABORATIVE EFFORT AND
TOGETHER WE BEGAN TO REFINE THE
DATA AS IT'S REPORTED IN 2018
AND THAT CONTINUES TO 2020.
AS I MENTIONED BEFORE, WE ALSO
WORK VERY CLOSELY WITH THE GROUP
THAT MANAGES AND THEY MAINTAIN
WHAT'S CALLED THE REPORTER
SYSTEM.
IT'S THE REPORTING TOOLS AND
EXPENDITURES AND RESULTS WHICH
IS AN ONLINE TOOL OR RESOURCE
THAT WE'VE USED AND WE WORK WITH
THEM TO REFINE THE FOOTPRINT
THAT IS USED TO CAPTURE AI N
RESEARCH FROM YEAR TO YEAR.
AND FROM REGION TO REGION AND
TOPIC TO TOPIC.
SO IF YOU HAVEN'T HAD THE
OPPORTUNITY TO HEAR, YOU CAN SEE
A SNAPSHOT OF THE REPORTER
WEBSITE.
IF YOU GO TO THE DATA OR THE
PART THAT WE WOULD BE FOCUSING
ON HERE IS THE CATEGORICAL
SPENDING COLUMN HERE.
IF YOU CLICK ON THAT, YOU'LL SEE
THAT A IN FOCUSED RESEARCH
COLUMN, BE ABLE TO GO THROUGH
THAT CURATE THE DATA DOWN TO THE
LEVEL THAT YOU ARE LOOKING FOR.
SO OUR GOAL HERE IS TO QUANTIFY
AND TREND THE OVERALL QUANTITY
AND TREND OF NIH SUPPORT FOR
AMERICAN INDIAN ALASKA NATIVE
HEALTH RESEARCH.
AGAIN ALSO WE WANT TO BREAK DOWN
THE IC SUPPORT RELATIVE TO THE
FUNDING AND THEN GO DEEPER INTO
THE GRAND TYPES AND THE
MECHANISMS USED TO SUPPORT AIN
RESEARCH AND IT'S IMPORTANT TO
QUANTIFY THE FUNDING LEVELS OF
EACH OF THE PROJECTS AND THE SUB
PROJECTS WHICH I THINK YOU'LL BE
PLEASANTLY SURPRISED TO SEE ONCE
WE GET TO THAT SLIDE IN JUST A
FEW MINUTES NOW THAT WE'VE GONE
OVER THE METHODS I THINK IT'S
IMPORTANT TO LOOK AT THE HISTORY
OF THE NIH'S INVESTMENT IN
TRIBAL HEALTH RESEARCH.
FROM 2019 WHEN THE FIRST REPORT
WAS PUBLISHED YOU COULD SEE THE
LEVEL WAS ABOUT $160 MILLION.
AND AS THE YEARS PROGRESSED,
WHAT WE IMPLEMENTED THE
STRATEGIC PLAN IN 2019, WE BEGAN
TO SEE AN INCREASE IN OUR
OVERALL INVESTMENT IN TRIBAL
HEALTH RESEARCH.
AND THAT HAS CONTINUED.
YOU CAN SEE HERE THAT IN 2023,
WE ARE ANTICIPATED TO ALMOST
SURPASS $350 MILLION IN TRIBAL
HEALTH RESEARCH.
AND THAT'S ALMOST DOUBLED FROM
WHAT IT USED TO BE.
SO THIS IS A FANTASTIC
INVESTMENT FROM THE AGENCY A LOT
IS OWED TO THE DEVELOPMENT OF
THE STRATEGIC PLAN AND THE
DEVELOPING A UNIFORM AND
CONSISTENT WAY THAT OUR
INSTITUTE CENTERS AND OFFICES
WOULD BE ABLE TO ENGAGE
ETHICALLY RESPECTFULLY WITH THE
TRIBAL COMMUNITIES.
WE'RE EXCITED ABOUT THAT TREND
AND WE KNOW IT WILL CONTINUE TO
INCREASE OVER TIME.
NOW THAT WE'VE COVERED THE
INVESTMENT.
WE WANTED TO TALK ABOUT THE
PERCENTAGE OF CENTERS AND
OFFICES FOR AMERICAN INDIAN
ALASKA NATIVE RESEARCH.
I'LL SHOW THIS DATA IN TWO WAYS
BECAUSE IT'S IMPORTANT TO SHOW
IT IN TWO WAYS BECAUSE EACH OF
THE DIFFERENT CENTERS AND
OFFICES THEY RECEIVE
APPROPRIATIONS FROM CONGRESS
THAT ARE VERY DIFFERENT.
SOME OF OUR ICs HAVE VERY LARGE
BUDGETS AND OTHERS HAVE VERY
SMALL BUDGETS.
SO IT'S IMPORTANT TO SHOW HOW
MUCH OR WHAT IS THE CONTRIBUTION
OF THE INSTITUTE CENTERS AND
OFFICES IN RELATION TO THEIR
OVERALL BUDGET.
SO HERE YOU CAN SEE IN THIS
TABLE HERE THAT NIMHD
CONTRIBUTES ALMOST 6% OF ITS
ENTIRE BUDGET TO AMERICAN INDIAN
ALASKA NATIVE RESEARCH.
NIDA IS SECOND AND HERE YOU CAN
SEE THE TREND OF AS THEY'RE
LISTED IN THE GRAB.
I THINK IT'S IMPORTANT FOR OUR
COMMITTEE MEMBERS TO LOOK AT
THIS GRAPH OR THIS CHART AND
THINK ABOUT THE OPPORTUNITIES
WE'RE ALL BEGINNING TO EMERGE
FROM THE COVID-19 PANDEMIC.
AND I THINK WITH THAT, WE'VE
SEEN HOW IMPORTANT THE NATIONAL
INSTITUTE ALLERGY INFECTIOUS
DISEASE CAN PLAY IN HELPING US
ADDRESS EMERGING INFECTIOUSES
AND DISEASES.
SO MAYBE THIS IS AN OPPORTUNITY
TO THINK ABOUT HOW WE CAN ENGAGE
MORE WITH THAT INSTITUTE TO HELP
US ADDRESS A LOT OF OR MORE OF
THE HEALTH DISPARITIES THAT ARE
IMPACTING TRIBAL COMMUNITIES.
NATIONAL INSTITUTE OF
NEUROLOGICAL DISORDERS AND
STROKE IS ANOTHER IMPORTANT
INSTITUTE WHERE WE MIGHT WANT TO
THINK ABOUT HOW WE CAN INCREASE
OUR ENGAGEMENT TO HELP SUPPORT
NEUROLOGICAL DISORDERS IN OUR
TRIBAL COMMUNITIES.
IT'S IMPORTANT FOR US TO LOOK AT
THIS GRAPH HERE AND SEE THIS AS
AN AREA OF OPPORTUNITY THE OTHER
CHART I WANTED TO MAKE SURE TO
HIGHLIGHT HERE WAS THE FUNDING,
THE TOTAL DOLLAR AMOUNT OR
FUNDING THAT'S PROVIDED BY
INSTITUTE OFFICES AND CENTERS
HERE AND YOU'LL SEE HERE THE
OFFICES SO FORTH ON DOWN THE
LINE.
AND AGAIN THIS IS SOME OF OUR
INSTITUTE CENTERS AND OFFICES
HAVE VERY LARGE BUDGETS.
SO IT'S REALLY IMPORTANT TO LOOK
AT THE DATA IN DIFFERENT WAYS
EACH OF THE CENTERS AND OFFICES
ARE CONTRIBUTING TREMENDOUSLY
AND THEIR CONTRIBUTIONS TO
AMERICAN NATIVE ALASKA NATIVE
HEALTH RESEARCH IS INCREASING
EVERY SINGLE DAY THAT GOES ON
MOVING FORWARD.
SO THIS IS JUST LOOKING AT WHERE
IT STANDS CURRENTLY AND HOW WE
MIGHT BE ABLE TO LEVERAGE OR TO
HELP INCREASE ENGAGEMENT AND
EDUCATIONAL OPPORTUNITIES FOR
THOSE ICs WHO ARE REALLY LOOKING
TO INCREASE THEIR CONTRIBUTION
TO HEALTH RESEARCH BUT JUST NEED
THAT FURTHER SUPPORT IN MEETING
THEIR GOALS.
IT'S IMPORTANT WE LOOK AT THE
DIFFERENT FUNDING TYPES.
THAT'S WHAT THIS FIGURE HERE
DEMONSTRATES, THAT YOU CAN SEE
HERE THE NIH HAS PROVIDED THE
HIGHEST LEVEL OF FUNDING THROUGH
THE UG1 MECHANISMS WHICH ARE
COOPERATIVE AGREEMENTS.
AND THESE ARE AGREEMENTS BETWEEN
A GRANTEE OR INSTITUTION AND THE
NIH.
AND THE SECOND MOST PREVALENT
MECHANISM ARE THE RO1 MECHANISM.
I THINK THAT'S THE MECHANISM
THAT MOST OF US ARE MOST
FAMILIAR WITH.
AND THE U54 MECHANISMS ARE
RESEARCH CENTER GRANTS.
AND I THINK THAT IS REALLY
IMPORTANT FOR US TO CONTINUE TO
CONSIDER AFTER WE'VE HAD
CONVERSATIONS ABOUT THE GROWING
EXISTENCE AND PERSISTENCE OF
LARGE DATA RESEARCH PROGRAMS.
SO THE U54 MECHANISM IS ONE THAT
USUALLY SUPPORTS THOSE.
AND THEN WE HAVE OTHERS HERE
LIKE THE P20, WHICH ARE RESEARCH
CENTER GRANTS AND EXPLORATORY
GRANTS, I'M SORRY, AND THEN R25
WHICH ARE EDUCATIONAL GRANTS,
AND THERE ARE OTHERS THAT TRAIL
OFF IN THE END HERE.
YOU CAN SEE HERE THAT MOST OF
THE FUNDING GRANT TYPES ARE
THROUGH COOPERATIVE AGREEMENTS
AND CLOSELY FOLLOWED BY R1 OR
RESEARCH GRANTS.
NEXT, LET'S TALK ABOUT THE
DIFFERENT TYPES OF MECHANISMS
HERE.
A VAST MAJORITY OF THE RESEARCH
THAT YOU SEE HERE SUPPORTED BY
NIH FOR HEALTH AIN IS FOCUSED ON
RESEARCH PROJECTS, WHICH IS
REALLY IMPORTANT AND IT'S
CLOSELY FOLLOWED BY RESEARCH
PROJECTS THEMSELVES FOLLOWED BY
RESEARCH CENTERS.
SOMETHING THAT WE SEE HERE THAT
MIGHT BE IDENTIFIED AS AN
OPPORTUNITY, HERE YOU CAN SEE ON
THE RIGHT-HAND SIDE IS THAT
EARLIER IN THE YEAR WE HAD A
PRESENTATION BY NI HMPLT MD THAT
FOCUSED ON THE SBR OR STRR
PROGRAM.
I THINK THIS IS ANOTHER
OPPORTUNITY WE MIGHT WANT TO
THINK ABOUT AS A COMMITTEE TO
WHERE WE WANT TO FOCUS AN
INCREASED OPPORTUNITIES FOR
TRIBAL COMMUNITIES.
TO BE ABLE TO CONDUCT RESEARCH
THROUGH SMALL BUSINESS RESEARCH
INITIATIVES.
ALSO INSTITUTIONAL TRAINING
OPPORTUNITIES FOR TRIBAL
COMMUNITIES.
YOU CAN SEE HERE IT'S THE THIRD
BAR FROM THE RIGHT, FROM THE
LEFT, SORRY.
ALSO I THINK THERE'S
OPPORTUNITIES HERE FOR US TO
THINK ABOUT HOW WE PROVIDE
INDIVIDUAL TRAINING
OPPORTUNITIES AND THAT WOULD BE
THROUGH OUR INSTITUTE CENTERS
AND OFFICES FOR INDIVIDUALS FROM
AMERICAN INDIAN ALASKA NATIVE
COMMUNITIES.
SO THIS IS SOMETHING THAT I
THINK IS REALLY IMPORTANT TO
HIGHLIGHT.
AND THIS IS A REALLY POSITIVE
OUTCOME THAT WE'VE SEEN OVER THE
YEARS.
FROM 2018 TO 2022, YOU CAN SEE
THAT EARLY ON, RIGHT BEFORE THE
STRATEGIC PLAN WAS IMPLEMENTED,
THE NUMBER OF SUB PROJECTS THAT
WERE AWARDED THAT FOCUSED ON
AMERICAN INDIAN AND ALASKA
NATIVE HEALTH RESEARCH
OUTNUMBERED THE PRIMARY PROJECTS
THAT MEANS THE PROJECTS THAT
WERE FUNDED WERE UNDER AN
UMBRELLA OR UNDER A DIFFERENT
GRANT THAT WAS FOCUSED ON
SOMETHING SLIGHTLY DIFFERENT OR
HAD A DIFFERENT AIM OR FOCUS.
NOW AS YOU SEE THROUGH THE YEARS
FROM 19 TO 2020 THAT'S REVERSED
ITSELF WHERE MORE OF AI FOCUSED
RESEARCH IS THE PRIMARY PURPOSE
PRIMARY FOCUS OF THESE DIFFERENT
AWARDS.
WE'RE HOPING THIS TRAJECTORY
WILL CONTINUE AS YOU SEE HERE
THE SUB PROJECTS HAVE REMAINED
SOMEWHAT FLAT, DECREASED A
LITTLE BIT.
BUT THE OVERALL INCREASE FROM
2018 AND THE NUMBER OF PRIMARY
PROJECTS HAS GONE FROM 211 TO
327.
WE THINK THAT'S A SIGNIFICANT
INCREASE IN THE NUMBER OF
PRIMARY FOCUSED AMERICAN INDIA
ALASKA NATIVE HEALTH RESEARCH.
THE NEXT THING WE WANTED TO LOOK
AT HERE WAS THE FUNDING THAT
GOES ALONG WITH THE PRIMARY
PROJECTS AND THE SUB PROJECTS
THIS IS ANOTHER PROMISING TREND
THAT YOU CAN SEE, FROM 2018,
2019, WE BEGAN TO SEE A GRADUAL
INCREASE IN THE FUNDING LEVELS
RELATED TO THE PRIMARY PROJECTS,
AND IN 2020, YOU CAN SEE THERE'S
A SIGNIFICANT INCREASE IN THE
FUNDING LEVELS FOR PRIMARY
PROJECTS, WHICH WENT FROM 118
MILLION IN 2018 TO 219 MILLION
IN 2020.
AND THE SUB PROJECTS INCREASED
SLIGHTLY FROM 55 MILLION TO 86
MILLION.
SO REMEMBER THE GRAPH BEFORE THE
SUB PROJECTS HAD A SLIGHT
DECLINE IN THEM BUT THE OVERALL
DOLLAR AMOUNTS HAVE INCREASED,
WHICH MEANS THAT THERE'S NOT A
DECREASE IN THE FUNDING FOR THE
SUB PROJECTS IS ACTUALLY AN
INCREASE THAT WE'RE SEEING HERE.
SO THESE ARE SOME SIGNIFICANT
INCREASES, AGENCY WIDE, THAT
WE'RE REALLY HAPPY TO REPORT TO
THE TAC.
SEEING THAT THESE INCREASED
PRIMARY PROJECTS VERSUS SUB
PROJECTS.
SO SOME OF THE TAKEAWAY POINTS
THAT WE WANTED TO HIGHLIGHT
BEFORE WE GET INTO THE NEXT
DISCUSSION IS THAT YOU CAN SEE
HERE THE NIH INVESTMENT WAS
AROUND 170 MILLION THAT HAS
INCREASED SIGNIFICANTLY OR
PROJECTED TO BE AT 344 MILLION
THIS YEAR SOME OF THE INSTITUTES
THAT HAD THE HIGHEST FUNDING
LEVELS FOR 2020 WERE NIHMSNIDA
INSTITUTE ON DRUG ABUSE NATIONAL
CANCER INSTITUTE AND INSTITUTE
OF MEDICAL SCIENCES.
ALSO IN TERMS OF THE
PERCENTAGES, PER THEIR
APPROPRIATED BUDGETS YOU CAN SEE
HERE THAT NIHMD WAS AT THE TOP
THE NATIONAL INSTITUTE HEALTH
MINORITY DISPARITIES HEARD FROM
THE DIRECTOR YESTERDAY.
AND THEN FOLLOWED BY THE
NATIONAL INSTITUTE ON DRUG ABUSE
AND THE OFFICE OF THE DIRECTOR.
YOU CAN SEE HERE THAT THE
MECHANISMS WERE I TALKED ABOUT
THE HIGHEST LEVELS THE
COOPERATIVE AGREEMENTS UG1S
FOLLOWED BY THE RO1S AND THAT
WAS AGAIN FOLLOWED BY THE
RESEARCH CENTER GRANTS THE U54
GRANTS.
AND A SECOND PART, SOMETHING
ELSE WE WANTED TO MAKE SURE TO
HIGHLIGHT IS THAT THE NIH FUNDED
ACTIVITIES REALLY WERE FOCUSED
ON RESEARCH RELATED PROJECTS.
THE RESEARCH ITSELF AND ALSO
RESEARCH CENTERS.
AND THE NUMBER OF PRIMARY
PROJECTS INCREASED FROM 211 TO
327.
THE NUMBER OF SUB PROJECTS
REMAINED BASICALLY ABOUT THE
SAME AND FUNDING LEVELS PER
PROJECT HAVE ACTUALLY INCREASED
YOU CAN SEE FROM 318 TO 219
MILLION AND THE SUB PROJECT
FUNDING INCREASED FROM 55
MILLION TO 86 MILLION.
WITH THAT THAT'S REALLY WE WERE
HOPING TO GIVE YOU THE BIG
OVERVIEW OF THE NIH'S INVESTMENT
FOR 2020 THAT WOULD HELP US IN
OUR DISCUSSION AS WE NOW BEGIN
TO FOCUS ON HOW THE NIH HAS BEEN
SUPPORTING RESEARCH THAT MEETS
THE NIH'S TAX PRIORITIES OR
RESEARCH PRIORITIES THAT WERE
PROVIDED TO US EARLIER THIS
YEAR.
WITH THAT I WOULD STOP AND I'LL
STOP SHARING MY SCREEN.
AND ASK IF THERE ARE ANY
QUESTIONS BEFORE WE TRANSITION
OVER TO OUR SENIOR ADVISOR'S
PRESENTATION.
WHY DON'T WE TRANSITION OVER --
>> I HAVE A QUESTION.
ARE THERE ANY NEW CENTERS THAT
ARE PARTICIPATING THAT ARE NOT
INCLUDED?
THAT'S A GREAT QUESTION.
ALL THOSE SO FAR WERE
CATEGORIZED ON THEIR
CONTRIBUTIONS TO AI AND HEALTH
RESEARCH.
IN TERMS OF PARTICIPATING,
ABSOLUTELY.
WE HAVE HAD MANY -- NOT ONLY
INSTITUTES -- BUT PROGRAMS
ACTIVELY ENGAGE BECAUSE THEY
WANTED TO INCREASE THEIR ABILITY
TO WORK AND SUPPORT TRIBAL
COMMUNITIES IN RELATION TO THEIR
SPECIFIC MISSION ABSOLUTELY THAT
HAS HAPPENED.
AND WE CAN TALK A LOT ABOUT THAT
AS WE DEVELOP THE PRIORITIES.
>> JUST ANOTHER QUESTION.
WHAT IS AN EXAMPLE OF A
SUBPROJECT?
>> AN EXAMPLE OF A SUB PROJECT
WOULD BE A PROJECT FOCUSED ON
REDUCING.
THIS IS VERY HYPOTHETICAL.
WE COULD PULL OUT A SPECIFIC
SUBPROJECT THAT WOULD ANSWER
YOUR QUESTION BUT A SUBPROJECT
WOULD BE A RESEARCHER IS FOCUSED
ON REDUCING CANCER RATES IN A
SOUTHWEST COMMUNITY.
A SUBPROJECT WOULD BE THAT THEY
WANTED TO FOCUS ON EARLY STAGE
COLORECTAL CANCER IN TRIBAL
COMMUNITIES ON THE NAVAJO NATION
OR IN THE POSKOWAKI COMMUNITY.
SO THAT WOULD BE A SUB PROJECT.
BUT IF IT WAS REVERSEED AND THE
PRIMARY PROJECT WAS WE WANTED TO
HELP ADDRESS AND REDUCE CANCER
RATES IN THE PSOKOYAKI COMMUNITY
AND A SUB PROJECT WOULD BE
ENGAGING INDIVIDUALS IN THE AGE
RANGE OF 45 TO 60.
I HOPE THAT CLARIFIES IT A
LITTLE.
THANK YOU.
>> STEVE.
>> IN REVIEWING YOUR REPORTS ON
HOW MUCH FUNDING IS GOING INTO
TRIBAL RESEARCH.
I GUESS IT'S GREAT TO LOOK AT
WHAT THE AMOUNT IS EVERY YEAR.
BUT I GUESS IT WOULD BE HELPFUL
TO UNDERSTAND WHAT A PERCENTAGE
OF THE TOTAL THAT IS EVERY YEAR.
ONLY BECAUSE SOMETIMES THERE'S
MORE AMOUNTS OF RESEARCH PUT OUT
IN ONE YEAR OVER ANOTHER.
JUST A THOUGHT.
I DON'T KNOW WHETHER THAT'S
SOMETHING THAT YOU TRACK IN ANY
WAY, SHAPE OR FORM.
BUT THANKS.
>> ABSOLUTELY WE DO HAVE THE
TOTALS OF THE OVERALL AGENCY
BUDGETS.
SO THIS YEAR THE AGENCY BUDGET,
THE APPROPRIATIONS WERE AT
$45 BILLION.
SO WE CAN CAPTURE THAT, AND WE
HAVE DONE THAT IN THE PAST.
AND IT'S IMPORTANT.
BUT I THINK THE NIH LED THE
VACCINE DEVELOPMENT PHASE 3
CLINICAL TRIALS FOR THE COVID-19
PANDEMIC.
SO THE RESEARCH, A LOT OF THE
MONEY WE RECEIVED FROM CONGRESS
FOCUSED ON ADDRESSING THE
COVID-19 PANDEMIC.
SO I THINK IT'S REALLY HARD TO
KIND OF MAKE SENSE ABOUT HOW
THAT WOULD RELATE TO THE OVERALL
CONDITION IN COMMUNITIES.
BUT WE CAN PROVIDE THOSE
NUMBERS.
>> I GUESS KIND OF AS I THINK
BACK TO SOME OF OUR
PRESENTATIONS BEFORE WHEN THE
INSTITUTES CAME IN, SOME OF THE
INSTITUTES I GUESS FROM MY
PERSPECTIVE DON'T HAVE A WHOLE
LOT OF RELEVANCE TO TRIBAL
COMMUNITIES SOMETIMES.
SOME HAVE GREAT TRIBAL
RELEVANCE.
SO WHAT IS OUR PERCENTAGE OF NOT
THE NATIONAL INSTITUTE OF HEALTH
BUDGET BECAUSE THAT'S -- WHEN
YOU JUST LOOK AT IT AS A TOTAL
NUMBER.
I'M TALKING ABOUT HOW MUCH
YOU'RE PUTTING INTO RESEARCH
INTO THOSE DIFFERENT AREAS I
GUESS, DOES THAT MAKE A LITTLE
BIT MORE SENSE.
>> IT DOES.
>> FOR EXAMPLE, IF THE CDC PUT
ONE OUT OR WHAT WOULD BE -- IS
IT THE CANCER INSTITUTE, FOR
EXAMPLE?
HOW MUCH OF THAT IS THE TOTAL.
WE ALSO KNOW THAT SOMETIMES YOU
HAVE PEOPLE ENROLLED IN THESE
OTHER STUDIES ALSO EVEN THOUGH
THEY'RE NOT A FOCUS OF THE
STUDY.
I MEAN, THAT'S JUST MAYBE I'M
JUST -- JUST A THOUGHT, THANKS.
>> DAVE, CAN I JUMP IN ON THIS
ONE?
>> SURE, ABSOLUTELY.
THAT'S A REALLY GOOD QUESTION,
STEVE.
AND ONE OF THE SLIDES THAT
DR. WILSON PRESENTED TALKED
ABOUT THE RELATIVE PERCENTAGE OF
THE ICO BUDGET ITSELF AND WHAT
THE PERCENTAGE OF THEIR
CONTRIBUTION SUPPORTING AMERICAN
ALASKA NATIVE HEALTH RESEARCH
WAS.
THE REPORTER WEBSITE, SO IF YOU
LOG IN THERE, IT DOES CONTAIN
LIMITED GRANT INFORMATION FOR
OTHER AGENCIES.
BUT PRIMARILY IT STORES AND
YOU'RE ABLE TO ACCESS
NIH-AWARDED GRANTS AND FUNDING.
BUT FOR CDC THERE MAY BE A
LIMITED AMOUNT OF THEIR GRANTS
THAT ARE INCLUDED IN REPORTER.
AND I BELIEVE THERE'S ANOTHER
AGENCY.
BUT THEY'RE LIMITED.
SO IT'S PRIMARILY DEALING WITH
NIH-FUNDED PROGRAMS.
>> HOWEVER, YOUR DIFFERENT
GRANTS ARE PUT OUT THROUGH THE
DIFFERENT INSTITUTES.
IF YOU TALK ABOUT THE TOTAL
NUMBER AND THE INSTITUTE IT'S
DIVIDED UP AMONG THE DIFFERENT
INSTITUTES, RIGHT?
TOTAL OF NIH IS --
>> AND DAVE, MAYBE IF YOU WENT
BACK TO THAT SLIDE IT WOULD
HELP, THOSE TWO SLIDES.
ONE IS THE RAW FUNDING AMOUNTS
PER INSTITUTE OR OFFICE.
AND THE OTHER IS IT'S -- THE
FUNDING AS A PROPORTION OF THE
ENTIRE APPROPRIATIONS.
DOES THAT MAKE SENSE?
>> MAYBE I WASN'T LOOKING AT
THEM TOTALLY CORRECTLY THEN LET
ME GET THAT SLIDE UP HERE.
>> I THINK IT'S IMPORTANT, TOO,
TO UNDERSTAND.
>> I GUESS ONE OTHER QUESTION
IS OF THE RESEARCH THAT'S BEING
DONE ON TRIBES, WHAT PERCENTAGE
OF THAT IS A TRIBAL-DRIVEN
RESEARCH PROJECT.
YOU KNOW, INITIATED AND MANAGED
BY TRIBES VERSUS ON TRIBES.
>> THAT'S A GREAT POINT.
ONE OF THE THINGS, WHEN GRANTS
ARE AWARDED, THEY DO ASK.
BUT IT'S A VOLUNTARY BASIS ON
WHETHER INDIVIDUALS WANT TO
IDENTIFY AS AMERICAN INDIAN OR
ALASKA NATIVE OR PRINCIPAL
INVESTIGATORS.
WE COULD GET THAT DATA BUT I
DON'T KNOW HOW ACCURATE IT WOULD
BE.
>> WHAT I ASKED WAS SLIGHTLY
DIFFERENT.
YOU SAID PERCENTAGE OF FUNDING
FOR AIN RESEARCH.
WHAT I'M SAYING IS WITHIN THIS
RESEARCH, FOR EXAMPLE, WHAT IS
RESEARCH THAT IS A TRIBAL
RESEARCH OPERATED BY TRIBES AND
WHAT IS THAT PERCENTAGE OF
RESEARCH THAT IS DONE BY OTHER
AGENCIES.
USUALLY THEY'RE ASSOCIATED WITH
UNIVERSITIES THAT MIGHT BE ABOUT
TRIBES OR ON TRIBES.
SO SOMETIMES WE'RE IN
PARTNERSHIP WITH, FOR EXAMPLE,
UW.
AND WE'RE DOING MULTIPLE TRIBES
TOGETHER IN CONCERT WITH
UNIVERSITY OF WASHINGTON.
BUT UNIVERSITY OF WASHINGTON
MIGHT BE DOING RESEARCH ON SOME
TRIBAL ISSUES WHERE TRIBES
AREN'T PARTICIPATING IN IT, FOR
EXAMPLE, SEE WHAT I'M SAYING.
WEREN'T A PARTICIPATING PARTNER.
THAT'S A LITTLE HARD.
I THINK THAT MIGHT BE A
CASE-BY-CASE BASIS.
I CAN TAKE THIS ONE.
ACTUALLY WE DID TAKE A LOOK AT
THAT.
I TALKED TO OEPR AND OPA ABOUT
CATEGORIZING BY ACTUAL
RECIPIENTS OF THE GRANT.
SO ON THE ONE PIECE I KNOW THIS
IS A LITTLE BIT OFF TOPIC BUT ON
THE ONE HAND WHERE DO THE FUNDS
GO.
SO A LARGE NUMBER GO TO TRIBAL
ORGANIZATIONS OR TRIBAL
ENTITIES.
A LOT OF THE OTHER GRANTS ALSO
GO TO AREA HEALTH BOARDS OR
DIRECTLY TO TRIBES FOR FUNDING.
I DID A QUICK LIKE GOING THROUGH
ALL THE DIFFERENT PROJECTS TO
KIND OF GET A BALLPARK FIGURE.
AND I CAME UP WITH SOMEWHERE
AROUND ONE OR 200 PROJECTS OUT
OF THE TOTAL 562 THAT WERE
IDENTIFIED THAT WENT TO AREA
HEALTH BOARDS OR WENT TO
ENTITIES THAT WE KNOW ARE
TRIBALLY OWNED OR TRIBALLY RUN.
SO IT'S A SIGNIFICANT
PERCENTAGE.
BUT THE DATA HAVE TO BE TWEAKED
A LITTLE BIT AND WE HAVE TO GET
BETTER SEARCH METHODOLOGY TO
ACTUALLY IDENTIFY THAT.
BUT THAT'S SOMETHING THAT WE'VE
IDENTIFIED GOING FORWARD WE NEED
TO PROBABLY PULL MORE DATA ON.
SO WE'LL HAVE MORE OF THAT IN
THE FUTURE.
>> THANKS.
I SAW DR. JACQUES IN.
>> MY QUESTION WAS SOMEWHAT
ANSWERED BY YOU, DAVE.
I WAS WONDERING ABOUT THE
PROPORTION THAT WAS GOING TO
NATIVE RESEARCHERS.
BUT I WAS ALSO WONDERING IF
THERE WAS DATA BECAUSE THEY'RE
BUILDING THE CAPACITY OF NATIVE
RESEARCH, HEALTH RESEARCHERS,
AND IF THERE'S DATA ON NUMBER
THAT INCLUDE NATIVE HEALTH
RESEARCHERS WHO ARE TRAINEES.
>> THAT'S A REALLY GOOD
QUESTION.
WE DON'T EXACTLY HAVE A GOOD
NUMBER OF HOW MANY AMERICAN
INDIAN ALASKA NATIVE PH.D.
SCIENTISTS OUT THERE.
THAT'S BEEN SOMETHING THAT WE'VE
REALLY BEEN TRYING TO BUILD
CAPACITY FOR.
SO EACH OF THE COMMUNITIES HAS
THEIR OWN BUILDING AND
EVENTUALLY A CRITICAL MASS OF
SCIENTISTS THAT WOULD BE ABLE TO
HANDLE ALL THE DATA FOR THE
COMMUNITY, ALL THE RESEARCH
NEEDS FOR THE COMMUNITY.
SO THAT'S WHERE ALL OF THESE
PROJECTS ARE, WE'RE HOPING
THEY'RE INCREASING TO LEAD US IN
THAT DIRECTION.
IN TERMS OF THE TRIBAL SUPPORT,
ONE OF THE THINGS WE CONTINUE TO
HEAR FROM FROM THE COMMUNITY IS
WHY THE NARG PROGRAM THE NATIVE
AMERICAN RESEARCH PROGRAM IS SO
ATTRACTIVE FOR TRIBAL
COMMUNITIES BECAUSE THE FUNDING
GOES DIRECTLY TOWARDS THE
COMMUNITIES AND THE COMMUNITIES
IDENTIFY WHO ARE THEIR RESEARCH
PARTNERS.
SO IT'S KIND OF THE REVERSE HOW
WE NORMALLY THINK ABOUT RESEARCH
BEING FUNDED.
AS MR. KOUTS HAD SAID, WE ALWAYS
THINK ABOUT ACADEMIC PARTNERS
LEADING THE RESEARCH FOR THE
COMMUNITIES BUT WHEN YOU APPLY
FOR NARG IT'S THE OPPOSITE WHERE
THE COMMUNITY AND BRINGS IN
EXHAEK ACADEMIC INSTITUTIONS IF
THEY CHOOSE TO DO SO.
THAT'S WHY THERE WAS SUCH ROBUST
CONSULTATION AROUND THE NARG
CONSULTATION TREMENDOUS VALUABLE
INPUT CONTRIBUTED TOWARDS THE
PROGRAM THEY'RE GOING TO HELP
DEVELOP IT AND HELP MAKE IT MORE
EFFECTIVE FOR TRIBAL COMMUNITIES
AND HELP TO GROW THAT PROGRAM IN
THE FUTURE.
ARE THERE ANY OTHER QUESTIONS?
COMMENTS?
IF NOT, WE WILL TRANSITION OVER
TO MOSES' PRESENTATION AND LOOK
FORWARD TO A ROBUST DISCUSSION
AFTER THAT.
THE FLOOR IS YOURS, SENIOR
ADVISOR MOSER.
>> ALL RIGHT.
THANK YOU, SIR.
APPRECIATE THAT.
CAN YOU SEE THE SLIDE?
>> NOT YET.
HOW ABOUT NOW?
>> NO.
>> OKAY.
SORRY ABOUT THAT.
PUSHED THE WRONG BUTTON.
>> WE CAN SEE YOUR DESKTOP.
>> THERE WE GO.
ALL RIGHT.
WE'RE GOOD TO GO.
ALL RIGHT.
THANK YOU.
I'LL JUMP OFF OF WHAT WILSON THE
LEVELS AND PROPORTIONS AND
TAKE-HOME POINTS THAT WE PULLED
FROM THOSE DATA.
I'M GOING TO TAKE A LITTLE BIT
SOMEWHAT OF A DEEPER DIVE BUT
ALSO IN THE CONTEXT OF THE TAC
PRIORITIES AND THE STRATEGIC
PLAN GOALS TO PAINT A LITTLE BIT
MORE COMPLETE OF A PICTURE IN
TERMS OF WHAT ACTIVITIES NIH IS
ENGAGED IN WHERE SOME OF THE
GAPS MIGHT BE FOR THE TAC TO
COME IN AND CONSIDER MAYBE SOME
RECOMMENDATIONS ON INCREASING
EFFORTS ON THOSE AREAS.
IN AUGUST OF THIS YEAR WE
RECEIVED THE TAC PRIORITIES AND
WE WERE VERY HAPPY TO RECEIVE
THOSE.
WE WENT THROUGH THOSE PRIORITIES
AND WE CAME UP WITH A STRATEGY
TO QUERY BOTH THE REPORTER AND
THE START DATABASES TO PROVIDE
AS MUCH INFORMATION AS WE COULD
AND AS RECENT AND MOST
UP-TO-DATE INFORMATION WE COULD.
AND IN THIS PROCESS, WE STARTED
WITH THE FY20 DATA WHICH WERE
VALIDATED AND AVAILABLE.
AND DURING THE TIME OF
DEVELOPING THIS REPORT, THEY
FINALIZED AND VALIDATED THE FY21
DATA.
SO WE'RE GOING TO GET TO WORK
AFTER THAT, AFTER THIS MEETING,
AND AFTER WE GET FEEDBACK FROM
THE TAC TO SEE, TO UPDATE THE
DATA AND THE CHARTS AND THE
GRAPHS AND EVERYTHING SO THAT
YOU HAVE THE MOST UP-TO-DATE
INFORMATION.
IT HASN'T CHANGED MUCH FROM FY20
AS FAR AS I CAN TELL.
SLIGHT INCREASES ACROSS THE
BOARD.
BUT I'LL WAIT UNTIL WE GET ALL
THAT INFORMATION IN AND WE START
PUTTING TOGETHER THE FIGURES FOR
YOU TO TAKE A LOOK AT.
NEXT.
SO DID I DO THIS -- I'M SORRY.
I'VE GOT TWO SCREENS HERE.
SO IN AUGUST WE GOT THOSE.
WE GOT THE TAC PRIORITIES.
WE HAVE THE MOST UP-TO-DATE
INFORMATION PRESENTING TO YOU
TODAY.
AND THE OTHER POINT I WANTED TO
MAKE IS, AS YOU TAKE A LOOK AT
THIS, AND AS YOU HEAR OF THE
ACTIVITIES ACROSS THE BOARD,
THIS IS VERY WIDE RANGE OF
PRIORITIES, BUT AS YOU HEAR
WHERE THE ACTIVITIES ARE
OCCURRING, I WOULD ASK THAT YOU
KEEP THAT IN MIND AS WE THINK
ABOUT STRATEGIC PLANNING FOR
FY2024 TO 2028 BECAUSE WE CAN
CHANGE THE GOALS AND THE
OBJECTIVES TO BETTER SUIT WHERE
YOU THINK THOSE ACTIVITIES
SHOULD BE DIVERTED OR WHETHER WE
SHOULD DO MORE IN THIS AREA AND
DO A LITTLE LESS IN THIS AREA.
SO JUST IF YOU COULD KEEP THAT
IN MIND, I'D REALLY APPRECIATE
IT AS WE GO THROUGH.
TAC PRIORITIES WERE CATEGORIZED
UNDER THE MOST RELATED STRATEGIC
GOAL.
AND THE MOST RECENT DATASETS
WERE AVAILABLE.
THEY WERE 562 PROJECTS
IDENTIFIED IN FY20 USING THE
SEARCH TERM AMERICAN INDIAN
ACLASS KA NATIVE WHICH HAS BEEN
CODED INTO REPORTER.
IF YOU GET IN THERE AND YOU CAN
FIND AMERICAN INDIAN ALASKA
NATIVE, IF IT'S MENTIONED IN THE
PROJECT ABSTRACT OR IF IT'S A
PROJECT FOCUSED ON AI/AN
RESEARCH.
IT WILL PULL IN THAT INFORMATION
AND YOU CAN ACTUALLY DOWNLOAD IT
INTO AN EXCEL SPREADSHEET AND
ANALYZE IT EVEN FURTHER.
SO THE SUBSET OF PROJECTS, WE
REVIEWED THOSE, ACTUALLY,
MANUALLY.
WENT THROUGH EACH OF THE RETURNS
FOR EACH OF THE STRATEGIC GOALS
FOR THE TAC PRIORITIES.
WE WENT THROUGH AND ACTUALLY
MANUALLY READ THEM TO MAKE SURE
THAT THEY WERE A FIT FOR THAT
TAC PRIORITY.
THEY WERE THEN AGGREGATED AND
PUT INTO A SERIES OF FIGURES
WHICH I'M GOING TO SHOW YOU IN A
MINUTE.
AND THE HIGHLIGHTS OF ACTIVE
PROJECTS WERE ACTUALLY ADDED
AFTER WE DID THE COUNTS OF
ACTIVITIES UNDER THOSE TAC
PRIORITIES.
TO GIVE YOU A FLAVOR OF SOME OF
THE ACTIVITIES THAT ARE GOING
ON.
SO YOU MIGHT SAY THERE ARE 50
ACTIVITIES IN THIS TAC PRIORITY
AREA, BUT WHAT ARE THEY ACTUALLY
DOING.
SO WE PULLED OUT A COUPLE OF
EXAMPLES TO JUST TO GIVE YOU AN
IDEA OF SOME OF THE RESEARCH
THAT'S GOING ON OUT IN THE
FIELD.
SO THESE ARE THE PRIORITIES.
THEY WERE 43.
THEY WERE CATEGORIZED UNDER THE
STRATEGIC GOALS.
SO YOU CAN GET AN IDEA OF WHERE
THESE PRIORITIES FELL.
IN TERMS OF THE STRATEGIC GOAL.
AND AS WE THINK ABOUT MORE
STRATEGIC PLANNING DOWN THE
ROAD.
AND YOU MAY WANT TO ADAPT THESE.
YOU MAY WANT TO PULL SOME OF
THEM TOGETHER.
MAYBE THEY COVER ONE SUBJECT
AREA OR ONE RESEARCH AREA.
WE MAY WANT TO COLLAPSE SOME OF
THESE AND MAYBE PRIORITIZE
FURTHER.
SO I HOPE THE INFORMATION I'M
GOING TO SHARE IN A MINUTE HELPS
US DO THAT.
SO FOR STRATEGIC GOAL NUMBER
ONE, ENHANCING COMMUNICATION AND
COLLABORATION, THESE GRAPHS SHOW
THE NUMBER OF FUNDED PROJECTS
FOR EACH TAC PRIORITY.
SO YOU CAN SEE THAT THE VIDEO IS
OF HIGHLIGHTED WORK.
DATA SHARING, PRECISION
MEDICINE.
THESE ARE A LITTLE SHORTENED
VERSIONS OF YOUR PRIORITIES.
THE PRECISION MEDICINE PRIORITY
IS ACTUALLY COMMUNICATING ABOUT
PRECISION MEDICINE.
BUT I HAD TO MAKE THEM A LITTLE
SHORTER SO IT COULD FIT IN THE
GRAPH.
SO THERE WERE EIGHT ACTIVITIES
UNDER PRECISION MEDICINE.
FIVE UNDER DATA SHARING.
AND SIX ACTIVITIES UNDER VIDEOS
OF HIGHLIGHTED WORK.
FOR EXAMPLE, THERE WERE 300
VIEWERS THAT LOGGED INTO THE
CENTER FOR ALASKA NATIVE HEALTH
RESEARCHERS AND COMMUNITY
PARTNERS PRESENTATION, THE
PREVENTION OF ALCOHOL AND
SUICIDE IN ALASKA NATIVE YOUTH.
ANOTHER PROJECT WAS THE GRANT
THAT PRODUCED FOUR 10-MINUTE
VIDEOS PRODUCED IN THE NAVAJO
LANGUAGE THAT PRODUCED IMPORTANT
INFORMATION ON THE SPILL AND IT
WAS TIMELY AND IMPORTANT TO GET
THE INFORMATION OUT TO THE
COMMUNITY SO THEY UNDERSTOOD.
THAT WAS ONE OF ANOTHER PROJECT
THAT I PULLED OUT.
OUR MOST RECENT NATIVE AMERICAN
HERITAGE MONTH LECTURE FEATURED
RESEARCHERS FROM THE ALASKA
COMMUNITY ACTION ON TOXICS AND
THE LEGACY OF TOXICS AND HEALTH
EFFECTS AMONG RESIDENTS OF SAINT
LAWRENCE ISLAND IN ALASKA.
AND LASTLY ON THIS SLIDE, AN
EXAMPLE IS THE HONORING HEALTH
NEWSLETTER.
THAT IT WASN'T NECESSARILY IN
THE DATABASES BUT WE PULLED
OTHER QUALITATIVE INFORMATION
AND MORE RECENT THINGS THAT
WE'VE BEEN WORKING ON TO KIND OF
SHOWCASE AND HIGHLIGHT THE AREAS
THAT WE HAVE BEEN WORKING ON.
SO HONORING HEALTH E-NEWSLETTER
IS A GREAT ACCOMPLISHMENT.
WE'RE GETTING LOTS OF GOOD
INFORMATION OVER THERE.
OUR WONDERFUL COLLEAGUE BONNIE
IS LEADING THAT INITIATIVE.
DOING A GREAT JOB -- SEEING THE
NEWSLETTER, IT'S VERY GOOD.
IT'S PROFESSIONALLY DONE, AND
LOTS OF GREAT INFORMATION IN
THERE FOR RESEARCHERS AND
STUDENTS AND ALSO PEOPLE OUT
THERE THAT ARE IN THE HEALTH
PROFESSIONS THAT NEED CERTAIN
INFORMATION TO DO THEIR WORK AS
WELL.
SO THOSE ARE THE EXAMPLES.
MOVING ON TO STRATEGIC GOAL TWO.
THESE ARE THE TAC PRIORITIES
THAT FELL UNDER STRATEGIC GOAL
TWO. AND THERE WAS -- I'M
SORRY, I'M STILL ON ONE.
COMMUNITY ENGAGED RESEARCH
TOWARDS PRECISION MEDICINE IN
ALASKA NATIVE AMERICAN INDIAN
PEOPLE.
THERE WAS A GRANT AWARD AND
THERE WAS ALSO A MEETING.
SO THIS GRANT IS TO ADVANCE
POLICY APPROACHES TO SUPPORT
PRECISION MEDICINE RESEARCH.
AND THEY DO THIS THROUGH
CULTURALLY RESPECTED DIALOGUE,
DATA COLLECTION, IN
PARTICIPATION WITH URBAN AI-AN
MEMBERS AND THIS IS GOING ON IN
ALASKA AND MONTANA.
THE MEETING ASSOCIATED WITH THIS
GRANT WAS AT UNIVERSITY OF
WASHINGTON.
AND FOCUSED ON AI/AN COMMUNITY
ENGAGED RESEARCH, THEY WERE
TALKING ABOUT DATA STEWARDSHIP,
THE RETURN OF RESEARCH RESULTS
AND THE POTENTIAL OF PRECISION
MEDICINE RESEARCH TO BENEFIT
NATIVE PEOPLE.
THE NEXT EXAMPLE OF THE
ENGAGEMENT PIECE IN THE
SOUTHWEST TRIBAL NATIONS AND
CANCER GENOME SEQUENCING, THAT'S
ACTUALLY PART OF THE CANCER
MOONSHOT INITIATIVE.
IT WAS AN RFA ISSUED,
PARTICIPANT ENGAGEMENT IN CANCER
GENOME SEQUENCING RESEARCH
CENTERS.
SO THIS WAS PART OF THAT.
AND IT WAS ABOUT THE DIRECT
ENGAGEMENT OF CANCER PATIENTS
AND CANCER SURVIVORS AS
PARTICIPANTS IN CANCER RESEARCH.
AND IT'S REALLY IMPORTANT TO GET
THAT PERSPECTIVE AND ENGAGE WITH
AMERICAN INDIAN COMMUNITIES AND
INDIVIDUALS TO INCREASE
UNDERSTANDING AND PARTICIPATION
IN PRECISION MEDICINE.
THEY ALSO SHARED MOLECULAR
CHARACTERIZATION OF TUMORS AND
CANCER RESEARCH WITH THE
LONG-TERM GOAL OF REDUCING
CANCER BURDEN.
AND THERE WAS RECENTLY RELEASED
RESEARCH OPPORTUNITY
ANNOUNCEMENT SOLICITING
PROPOSALS TO SUPPORT OUTREACH
COMMUNITY ENGAGEMENT IN
PARTICIPANT ENROLLMENT AND
RETENTION EFFORTS IN THESE
STUDIES.
THIS ROA IS SPANNING FOUR AREAS
OF INTEREST.
ONE OF THOSE AREAS INCLUDES
TRIBAL NATION ENGAGEMENT.
NOW WE'RE MOVING ON TO STRATEGIC
GOAL TWO.
THE TAC PRIORITIES THAT ALIGNED
WITH STRATEGIC GOAL TWO OF
BUILDING RESEARCH CAPACITY FOR
NATIVE COMMUNITIES THESE
PROJECTS YOU CAN SEE A LITTLE
BIT OF A DIFFERENT DISTRIBUTION
HERE.
EXPANDING NARCH AND IDEA
PROGRAMS WAS A TAC PRIORITY AND
WORKING WITH TCUS AND TRIBAL
ORGANIZATIONS THAT WERE OVER 45
PROJECTS EACH THAT WERE RELATED
TO THESE PRIORITIES.
YOU CAN SEE THERE WEREN'T ANY
PROJECTS DEALING WITH CENTRAL
RESEARCH PRIORITIES,
NONCOMPETITIVE FUNDING AND I
REALIZE NONCOMPETITIVE FUNDING
IS MORE OF A POLICY
RECOMMENDATION AND NOT
NECESSARILY A RESEARCH GRANT
FUNDED RESEARCH PROJECT.
BUT THERE WERE NO PROJECTS THAT
LOOKED AT THAT.
AND NOTHING THAT I COULD FIND
THAT WAS RELATED TO
NONCOMPETITIVE FUNDING OR
ESSENTIAL RESEARCH REPOSITORY.
CO-FUNDED GRANTS USING COMMON
FUND.
THERE WERE A COUPLE IDENTIFIED
THERE.
BUT I THINK THERE MAY BE MORE.
WE'RE GOING TO HAVE TO REFINE
OUR SEARCH CRITERIA TO BETTER
CAPTURE THESE THINGS AS
DR. WILSON ALLUDED TO, THE DATA
ARE IN DIFFERENT PLACES SO WE
HAVE TO DEVELOP DIFFERENT
METHODOLOGIES TO ACCOMMODATE
THAT AND PULL IT ALL TOGETHER.
BUT THIS IS WHAT WE COULD DO
WITH THE DATASETS THAT ARE
AVAILABLE CURRENTLY IN THE MOST
RECENT ONES.
YOU SEE, THERE'S FEWER
ACTIVITIES ASSOCIATED WITH
JUNIOR INVESTIGATORS, COMMON
FUND AND THE TWO OTHER
PRIORITIES THAT I JUST
MENTIONED.
THERE WAS ANOTHER PRIORITY THAT
WAS TO DEVELOP A CHART THAT
NOTES NIH OPPORTUNITIES FOR
INVESTIGATORS AT DIFFERENT
STAGES OF DEVELOPMENT.
SO THIS IS ON THE NIGMS WEBSITE.
I CAN PROVIDE THE LINK AFTER
THIS
SO THIS DENOTES THE TRAINING AND
RESEARCH OPPORTUNITY FROMS HIGH
SCHOOL AND POSTDOC AND ON THE
NIH WEBSITE, YOU CAN GET A LINK
TO THE DIFFERENT PROGRAMS AND
GET MORE INFORMATION AND WAYS TO
APPLY. THAT'S ALREADY PUBLICLY
AVAILABLE. AND MORE HIGHLIGHTED
RESEARCH ACTIVITIES UNDER
"STRATEGIC GOAL TWO ". THE
UNIVERSITY OF ARIZONA, AND
ENVIRONMENTAL HEALTH DISPARITY
CENTER. AND ACTUALLY COFUNDED
BY NIH, AND EPA AND KNOW ANOTHER
TAC PRIORITY WAS ENCOURAGING NIH
TO WORK WITH OTHER AGENCIES, SO
THERE ARE A NUMBER OF PROJECTS
WITH THE 562, WHERE NIH IS
PARTNERING WITH OTHER AGENCIES
AND THIS IS WITH THE EPA. SO
R01 RESEARCH PROJECTS AND PILOT
PROJECT PROGRAMS, AND CROSS
BUILDING AND TRAINING FOR YOUNG
INVESTIGATORS AND CROSS
FERTILIZATION WITH OTHER CENTER.
AND FOCUS ON METAL AND PARTICLAT
CONTAMINATION ASSOCIATED WITH
MINING AND ARSENIC, UPDATE THE
HUMANS AND ANIMALS, WATER
QUALITY AND RADON EXPOSURE AMONG
NAVAJO AND CHEYENNE RIVER SIOUX
TRIBES. A COUPLE OF OUTCOMES
FROM THIS STUDY THAT WERE
AVAILABLE. THERE WERE THREE
CAREER DEVELOPMENT TRAINEES THAT
WERE HIRED AS AN ASSISTANT OR
ASSOCIATE PROFESSORS, AND A
JOINT INVESTIGATION AND WATER
CONTAMINATION ISSUES ON THE
NAVAJO NATION INVOLVING AND
UNIVERSITY OF NEW MEXICO CENTER
INVESTIGATORS. SO, THAT IS A
GREAT COLLABORATIVE PROJ
PROJECTFUNDED BY MULTIPLE
AGENCIES OTHER THAN NIH AND
MULTISITES WORKING WITH
DIFFERENT TRIBES ACROSS THE
SOUTHWEST. THE CANCER COLORADO
RESOURCE CENTER, TRIBAL
EPIDEMIOLOGY CENTERS. THE CRC
PROTECTS ITS MOBILIZING
RESOURCES TO ENHANCE CAPACITY TO
TAC, AND DR. PEREZ, TALKED ABOUT
THAT YESTERDAY. AND WAS ABLE TO
JOIN LAST PART OF THE CALL. AND
ONE OF THE PROJECTS SUPPORTED BY
THE INSTITUTE. AND I WANTED TO
MENTION THE PROGRAM TALKING
ABOUT THIS MORNING. NIH
RECENTLY AWARDED 10 NEW NARCH
AWARDS, TOTALLING 9.2 MILLION
PER YEAR.
THE BRINLS DGES BACCALAUREATE
TRAINING THIS IS ANOTHER
CAPACITY BUILDING AND TRAINING,
ESEARCH TRAINING PROGRAM FOCUSES
ON STUDENT CAREER DEVELOPMENT.
SO IT'S ACTUALLY A BRIDGE
PROGRAM FROM HASKELL TO
UNIVERSITY OF KANSAS SUPPORTING
STUDENTS FROM HASKELL TO DEVELOP
CAREERS AND BIOMEDICAL
BIOENGINE
BIOENGINEERING, BEHAVIORAL...
OH, GOSH, LOST MY PLACE.
BEHAVIORAL AND ENVIRONMENTAL
HEALTH FIELDS BY TRANSFERRING TO
UNIVERSITY OF KANSAS TO ACCESS
THOSE DEGREE OPTIONS, THEY'RE
NOT AVAILABLE AT HASKELL SO
GREAT PARTNERSHIP WITH ONE OF
THE TRIBAL COLLEGES AND
UNIVERSITIES WITH WITH A MAJOR
UNIVERSITY TO GET OUR NATIVE
STUDENTS FROM THE PROGRAMS THAT
ALIGN WITH THEIR INTERESTS THAT
AREN'T AVAILABLE AT THE TUC.
AND ACTIVITIES UNDER STRATEGIC
2. THE SUMMER PREP TEAR
RESEARCH INTERNSHIP PROGRAMS.
THIS IS FOR HIGH SCHOOL STUDENTS
LIVING NEAR RESERVATIONS. AND
PROVIDE OPPORTUNITY FOR JUNIOR
AND SENIOR HIGH SCHOOL STUDENTS
TO LEARN BASIC RESEARCH, AND
EXPLORE RESEARCH CAREERS AND
DEVELOP RELEVANT SCIENCE CAREER
SKILLS FOR 8 WEEKS IN THE SUMMER
AND DO FALL AND SPRING
ENRICHMENT ACTIVITY."
AND IN JUST THIS YEAR... IN
FY22, NIH FUNDED, THE PACIFIC
NORTHWEST UNIVERSITY AND
HERITAGE UNIVERSITY THAT SERVE
YAKIMA, AND... -- SORRY, STEVEN
YOU CAN CORRECT ME ON THAT.
NORTHERN ARIZONA UNIVERSITY.
AND THAT SERVES STUDENTS FROM
SURROUNDING AREAS. PRIMARILY
NAVAJO STUDENTS, UNIVERSITY OF
NEBRASKA MEDICAL CENTER. AND
OUT REACH TO STUDENTS FROM
NEBRASKA, AND DAKOTAS. JOHN HOP
KINS STOOL OF NURSING, SERVING
STUDENTS FROM CENTRAL MONTANA
UNIVERSITY AND ALABAMA FROM P
CREEK TRIBE. AND THAT PROGRAM
WAS HYBRID IN 2022. BUT ALL THE
ENTITIES I MENTIONED
PARTICIPATED IN IT.
AND THERE WAS ALSO AN SEPA
GRANT.
THERE WAS AN SEPA GRANT WORKING
WITH TRIBAL SCHOOLS IN
COMMUNITIES IN NEBRASKA AND
SOUTH DAKOTA AND DATA SCIENCE.
THAT WAS NIH PARTNERED WITH UND
FOR DATA SCIENCE. ON THE DATA
SCIENCE CURRICULUM. AND THE
LAST EXAMPLE ON THIS SLIDE IS A
BREASTFEEDING STUDY ON THE LUMMI
RESERVATION, AND SO MULTISTAGE
STRATEGY IDENTIFIED THE BEST
COMBINATION FOR PROGRAM
ADAPTATIONS TO PROMOTE
BREAST-FEEDING ON LUMMI. SO
THOSE ARE ALL EXAMPLES OF
STRATEGIC 2 JUST TO GIVE YOU AN
IDEA OF SOME OF THE PROJECTS
THAT WERE FUNDED. FOR STRATEGIC
GOAL NO. 3, THIS INSHREWDED THE
LARGEST NUMBER OF TAC PRIORITIES
BECAUSE IT'S EXPANDING RESEARCH,
AND A LOT OF THE TAC PRIORITIES
WERE AROUND DIFFERENT AREAS OF
RESEARCH THEY WOULD LIKE TO SEE
MORE DONE.
SO, A LOT OF THE PROJECTS WERE
RELATED TO TRADITIONAL
PROCESSES, AND GOVERNMENTAL
MANAGEMENT EFFECTS ON HEALTH.
THESE WERE MOSTLY WORK FORCE
CHALLENGES, RELATED TO COVID.
AND, YOU KNOW, AS DR. WILSON
POINTED OUT, COVID TOOK -- TOOK
A LOT OF OUR ATTENTION OVER THE
PAST FEW YEARS.
AND A LOT OF THE STUDIES AND
RESEARCH WENT TO ADDRESSING SOME
OF THE COVID ISSUES, AND ONE OF
THOSE WAS... ONE OF THE MOST
IMPORTANT ONES WERE WORKFORCE
CHALLENGES.
IMPACTS OF REDUCE HEALTH CARE
ACCESS AS WELL.
AND I HEARD TAC MENTION ON
SEPARATE OCCASIONS THAT ACCESS
WAS AFFECTEDED BY, YOU KNOW,
STAFFING WHERE WE HAD TO DIVERT
STAFF THAT NORMALLY WOULD BE
DOING PREVEINTIVE AND MANAGEMENT
OF CHRONIC DISEASE, AND DIVERTED
OVER TO COVID RESPONSE.
AND SO, SOME OF THESE STUDIES
FOCUSED ON THAT. A LOT OF THEM
DID ACTUALLY. THOSE WERE THE
TWO BROADEST CATEGORIES OF
ACTIVITIES. THERE WASN'T MUCH
RELATED TO RETROSPECTIVE COHORT
STUDIES, AND MODELED NATIVE FOAI
AND VACCINE SIDE EFFECTED
EXPERIENCED BY AMERICAN INDIAN
ALASKANNATIVES. AND HEALTH
EFFECTS OF BOARDING SCHOOLS, AND
INFLAMMATION GENERALLY. I
THINK THAT MAY HAVE BEEN TOO
BROAD OF A TOPIC BECAUSE IT
PICKS UP SO MANY DIFFERENT OTHER
RESEARCH AREAS THAT IT WAS
PROBABLY TOO BROAD TO ACTUALLY
PICK UP THOSE STUDIES, WE COULD
DO MORE IN-DEPTH ANALYSIS OF
THESE AREAS TO IDENTIFY
INFLAMMATORY DISEASE THAT IS OF
INTEREST AND PROBABLY PICK UP
MORE ACTIVITY FROM THOSE
PROJECTS.
I ALSO WANTED TO NOTE THERE
WERE ONLY A FEW STUDIES FOCUSED
ON IMPACTS OF RACISM ON HEALTH,
AND I KNOW THAT WAS AN IMPORTANT
TAC PRIORITY, AND ALSO ON
SUBSTANDARD HOUSING.
AND SO THIS SUGGEST A NEED FOR
PROJECTS RELATED TO STRUCTURAL
AND BUILT ENVIRONMENTAL EFFECTS
ON AMERICAN INDIAN ALASKAN
NATIVE HEALTH, AND ONLY FEW
COLLABORATIONS BETWEEN NIH AND
OTHER AGENCIES THAT WERE
IDENTIFIED, AND THERE WERE
SEVERAL.
AND JUST A HANDFUL.
AND SO YOU CAN SEE, THERE IS
NOT A LOT OF ACTIVITY THAT WAS
IDENTIFIED FOR THOSE TYPES OF
STUDIES. AND THOSE TAC
PRIORITIES. I'LL GO ON TO THE
NEXT SLIDE.
SOME OF THE HIGHLIGHTED
ACTIVITIES, THE EUNICE KENNEDY
SHRIVER NATIONAL INSTITUTE
OFCHILD HEALTH AND HUMAN
DEVELOPMENT, NICHHD. AND
SUPPORT RESOURCE FOR POPULATION
DEMOGRAPHIC DATASETS THAT
INCLUDED ARCHIVE YOU CAN ACCESS
THE DATASETS THAT HAVE THAT
FOCUS ON NATIVE POPULATIONS. AND
THIS PROJECT ENABLED RESEARCHERS
TO PERFORM THE SECONDARY
ANALYSES OF EXISTING DATA.
THERE ARE ACTUALLY HUNDREDS OF
PUBLICATIONS COMING FROM THAT
FROM THAT WORK. RFA FOR PILOT
PROJECTS UNDER EXPANDING,
EXPANDING ENHANCING RESEARCH
ADDRESSING DIABETES IN NATIVE
COMMUNITIES. THAT WAS A PILOT
PROJECT GRANT AIMED AT STUDYING
DIABETES AND INCLUDING FOCUS ON
COVID-19 AND DIABETES, AND
ANOTHER TAC PRIORITY OF
COMORBIDITIES. SO THIS WAS
TRYING TO DO PILOT WORK LOOKING
AT COVID DIABETES AND
ESPECIALLY AMONG AMERICAN
INDIANS, ALASKA NATIVES. AND IT
ACTUALLY FUNDED TO EARLY STAGE
INVESTIGATORS OVER AN 18 MONTH
PERIOD TO COMPLETE AND PUBLISH
THE SECONDARY DATA ANALYSIS
PROJECT AND ALSO TO DEVELOP A
GRANT APPLICATION FOR LARGER
SCALE FUNDING TO SUPPORT
CONTINUED DIABETES TRANSLATION
RESEARCH. .
THE CAP-I PROJECT, THE
CULTURALLY ADAPTED PAIN
MANAGEMENT FOR INDIGENOUS
PEOPLES IN THE PACIFIC NORTHWEST
CAP-I PROJECT. IT BEGAN IN
THE DEVELOPMENT OF CULTURALLY
ADAPTED PSYCHOSOCIAL
INTERVENTION FOR CHRONIC PAIN
FOR AMERICAN INDIAN ALASKAN
NATIVE INDIVIDUAL INDIVIDUALS IN
THE PORTLAND AREA, HIS PORTLAND
AREA AT YAKAMA. AND WE ALL KNOW
HOW IMPORTANT CHRONIC PAIN IS TO
MANAGED. SO THAT'S A GREAT TOOL
IN DEVELOPMENT TO LOOK ATI PORA
HOW IMPORTANT CHRONIC PAIN IS TO
MANAGED. SO THAT'S A GREAT TOOL
IN DEVELOPMENT TO H PORTLAND
AREA AT YAKAMA. AND WE ALL KNOW
HOW IMPORTANT CHRONIC PAIN IS TO
MANAGED. SO THAT'S A GREAT TOOL
IN DEVELOPMENT TO LOOK ATS PORT
AREA AT YAKAMA. AND WE ALL KNOW
HOW IMPORTANT CHRONIC PAIN IS TO
MANAGED. SO THAT'S A GREAT TOOL
IN DEVELOPMENT TO LOOK AT
ASSESSING CHRONIC PAIN. THE
NATIVE SPIRIT AMERICAN INDIAN
ALASKAN PROGRAM. AND MANY OF
YOU PROBABLY HEARD OF NATIVE
SPIRIT COMING OUT OF JOHN
HOPKINS. AMERICAN INDIAN,
ALASKAN NATIVES BETWEEN THE
GRADE SEVEN AND 12 LIVING IN
THE SOUTHWEST. URBAN BASED
RESERVATION, GUIDED BY TO
CULTURAL PRACTITIONERS, AND
COMMUNITY LEADERS,SO THIS IS ONE
OF THE STUDIES THAT STEVEN WAS
GETTING TO EARLIER THAT IS
REALLY DRIVEN BY THE
COMMUNITIES, AND IDEALLY ALL
THESE STUDIES DRIVEN BY THE
COMMUNITY, AS I WENT THROUGH ALL
THE DIFFERENT ABSTRACTS AND
STUDY DESCRIPTIONS, A LARGE
PERCENTAGE OF THEM -- AND I
DON'T KNOW EXACTLY WHAT IT IS.
WE CAN GET TO THAT AND TRY TO
DRILL DOWN NEXT, AND ANOTHER
YEAR OR SO AND PROGRAM THAT INTO
HOW WE COLLECT THE DATA.
BUT A LOT OF THEM WERE
COMMUNITY DRIVEN. A LOT OF THEM
INVOLVED COMMUNITY
REPRESENTATIVES, AND INVOLVED
LEADERSHIP, THE PROGRAM
MANAGEMENT. YOU KNOW, IN THE
PROCESS... IN THE RESEARCH
ENTERPRISE, I'LL SAY.
AND THEY WERE COMMUNITY-DRIVEN.
RESEARCH IMPORTANT TO THE
COMMUNITY.
AND I CAN WORK ON QUANTIFYING
THAT A LITTLE BIT BETTER GOING
FORWARD.
AGAIN, UNDER STRATEGIC GOAL 3.
I KNOW I'M PROBABLY RUNNING LOW
ON TIME HERE. BUT THERE WAS A
LOT TO REPORT. AND A LOT OF
ACTIVITIES.
AND SO THE OTHER STRATEGIC GOAL
3 IS N3C TRIBAL CONSULTATION
REPORT WAS POSTED ON THE WEB,
AND DID CONSULTATION ON THAT.
AND COMMUNITY ENGAGEMENT
ALLIANCE, CEAL, AGAINST COVID-19
DISPARITIES. WE DID A WEBINAR
YESTERDAY WHERE I MODDED A
SESSION BETWEEN ONE PHYSICIAN
RESEARCHER, AND INFECTIOUS
DISEASE EXPERT, AND PUBLIC
HEALTH NURSE, AND A... ADVANCED
PRACTICE PHARMACIST, ALL SHARED
THEIR EXPERIENCE DURING COVID.
AND IT WAS VERY INFORMATIVE.
AND PROVIDED A LOT OF GREAT
INFORMATION AS FOR AREAS FOR
IMPROVEMENT GOING FORWARD. AND
THINGS WE CAN WORK ON TOGETHER.
AND SO THE CEAL ALLIANCE, HAS
BEEN A GREAT ACTIVITY.
THE COMMUNITY AS A UNIT OF
HEALING, CONCEPTUALIZING SOCIAL
DETERMINANTS OF HEALTH, AND
WHICH HAS BEEN ANOTHER TAC
PRIORITY AND WELL-BEING FOR
OLDER AMERICAN INDIAN ADULTS.
AND SO THIS IS LOOKING AT
ELDERS ABILITIED TO ACCESS
HEALTH CARE. TO ACCESS HEALTH
CARE. TO ACCESS HEALTH
CARE. Y TO ACCESS HEALTH
CARE. IT INCLUDED SOME SEMI
STRUCTURED INTERVIEWS WITH
ALMOST 100 AMERICAN INDIAN
ELDERS AND FOCUS ON WHAT THE
BARRIERS WERE AND HINDERED
HELDERS FROM ABILITY TO ACCESS
HEALTH CARE SERVICE AND IS
PROVIDERS. AND SOME OF THOSE
FUNDING SHORTAGE AND IS
COMPLEXITIES ASSOCIATED WITH
HEALTH CARE INSURANCE SYSTEMS.
>> ONE OF THE REALLY GOOD
FINDING THAT CAME OUT OF THAT
WAS IMPORTANT OF COMMUNITY
GROUPS, AND COMMUNITY GROUPS
THAT BRIDGE THE SERVICE GAPS AND
OUR ELDERS NAVIGATE SYSTEMS AND
ACCESS SERVICES. SO IT
SUGGESTS MAYBE THE NEED FOR MORE
PATIENT NAVIGATORS FOR ELDER AND
IS REDUCING SUGARY FRUIT DRINKS
IN ALASKA NATIVE CHILDREN. AND
THAT'S A BEHAVIORAL TRIAL GOING
ON IN ALASKA.
GOSH.
SINCE THIS WAS... WHERE A LOT
OF THE TAC PRIORITIES FELL,
THERE ARE A LOT OF OTHER
RESEARCH ACTIVITIES THAT I
WANTED TO HIGHLIGHT. THE LINK
WAS VERY INTERESTING. A
PLACE-BASED APPROACH. BUT HAS
TO DEAL WITH INSPIRING THE NEXT
GENERATION HEALTH CARE
WORKFORCE, AND AGAIN COMING OFF
THE HEELS OF COVID I THINK IT'S
IMPORTANT TO TAKE A LOOK AT THAT
RIGHT. AND WE HAVE A LOT OF
HEALTH CARE PROVIDER AND IS
FRONTLINE WOKKERS THAT BURNED
OUT DURING THE PANDEMIC, AND
EITHER RETIRED OR SWITCHED
CAREERS, AND REALLY IMPORTANT TO
FOCUS ON THAT. SO THAT WE HAVE
MAYBE AT SOME POINT, WE COULD
HAVE A PIPELINE TO GET OUR
CHILDREN IN THERE THROUGH THEIR
TRAINING AND THROUGH THEIR
EDUCATION TO DO... TO
PARTICIPATE IN HEALTH CARE, AND
BE PART OF THE HEALTH CARE WORK
FORCE.
DEVELOPMENT OF CULTURAL
ADAPTATION FOR PSYCHOLOGICAL
FIRST AID FOR COVID FRONT LINE
WORKERS. THAT WAS REALLY
IMPORTANT IN COVID TOO. AND HAS
BEEN BROUGHT UP BY THE TAC ON A
COUPLE DIFFERENT OCCASIONS TOO.
THE BEHAVIORAL HEALTH COMPONENTS
OF COVID. AND DEALING WITH THAT
FOR A LONG TIME.
AND SO... THIS STUDY
RESEARCHERS WORKED WITH
FRONTLINE WORKERS ENGAGED IN
COVID RESPONSE.... TO
CULTURALLY ADAPT THE FIRST AID
GUIDE. AND FEEDBACK FROM THE
PARTICIPANTS HELPED DEVELOP T
THAT -- CULTURALLY APPROPRIATE
LANGUAGE AND MAKE IT MORE
RELEVANT FOR OUR COMMUNITIES.
AND ALSO, THROUGH HARM
REDUCTION LENS AND INCORPORATED
VALUES AND COMMON TEACHINGS.
AND SO... SOUNDED LIKE A REALLY
COOL STUDY TO ME. I JUST THINK
IT'S REALLY IMPORTANT TO GET
THAT WORK DONE. SUICIDE AND
OPIOID OVERDOSE CRISIS, AND
AMERICAN INDIANS AND ALASKAN
NATIVES. AND STORM ON TWO
FRONTS AND SPELLS OUT THE
IMPORTANCE OF BEHAVIORAL HEALTH,
AND HOW THAT ALL OVERLAPPED
DURING THE COVID PANDEMIC. AND
DISSEMINATION OF COLORECTAL
CANCER SCREENING PROGRAM ACROSS
THE AMERICAN INDIAN COMMUNITIES
AND SOUTHERN PLAINS AND
SOUTHWEST UNITED STATES. AND
PROJECT, THE CEO OF HEALTH CARE
CENTRE PARTICIPATED. AND
BROUGHT IN PATIENT NAVIGATORS TO
INCREASE COLOECTAL SCANSER
SCREEN RATES AND INTERVENTION.
>> THERE ARE EVEN MORE
EXAMPLES. I KNOW WE HAD A
LECTURE BY THE DIRECTOR OF THE
NATIONAL INSTITUTION OF
ARTHRITIS AND MUSCULOSKELETAL
AND SKIN DISEASES, SHARING
INFORMATION ON ARTHRITIS AND
AMERICAN INDIAN ALASKA NATIVE
COMMUNITIES. THE SECOND ONE
DEALING WITH DEMENTIA, WHICH IS
A GROWING CONCERN MONG AMERICAN
INDIAN ALASKA NATIVE COMMUN
COMMUNITIES. ESTIMATE DEMENTIA
PREVALENCE INCIDENCE COMORBIDITY
RATES, CHARACTERIZE THE
ASSOCIATION BETWEEN DEMENTIA.
AND POTENTIALLY MODIFIABLE RISK
FACTORS SUCH AS DIABETES,
OBESITY, TOBACCO USE, BINGE
DRINKING AND GOING TO BE REALLY
IMPORTANT AS WE LOOK TO OUR
ELDERS AND HEALTH CARE PLANNING
IN THE FUTURE. WHAT DO WE NEED
TO DO TO MAXIMIZE THE ABILITY OF
OUR ELDERS TO LIVE ON THEIR OWN
WITH SUPPORTS, AND ULTIMATELY TO
COVER ALL THEIR HEALTH CARE
COSTS THROUGHOUT DISEASE
PROGRESSION.
AND SO LOTS OF IMPORTANT
STUDIES, THE WABANAKI M PROJECT,
RECENTLY FUNDED PROJECT, ALSO
STUDYING ALZHEIMER DISEASE AND
RELATED DEMENTIAS, AND MIDDLE
COGNITIVE IMPAIRMENT AMONG
WABANAKI TRIBAL MEMBERS AGED 55
AND OLDER, AND TAKING PLACE IN
COLLABORATION WITH WASHINGTON
STATE UNIVERSITY AND WABANAKI
PUBLIC HEALTH DISTRICT. WHICH
IS IN MAINE, SERVES THE AMERICAN
INDIANS IN MAINE. ONE OF THE
GOALS OF THE PROJECT IS THE
BUILD THAT RESEARCH CAPACITY
AMONG THE PUBLIC HEALTH STAFF
AND STUDENTS TO ESTABLISH
FOUNDATIONS FOR SUSTAINABLE
RESEARCH.
>> ONE OTHER I WANT TO
HIGHLIGHT, WHILE THE 4TH BULLET
THERE IS URBAN INDIAN HEALTH
ORGANIZATION FUNDED PROJEK, AND
THE LAST IS VERY RECENT, THE
WHITE HOUSE GUIDANCE ON
CONSIDERATION OF INDIGENOUS
KNOWLEDGE AND FEDERAL DECISION
MAKING. AND THAT WAS JUST
RELEASED AT THE TRIBAL NATIONS
MEETING, AND HOSTED BY THE
WHITEHOUSE, AND I AND MY
COLLEAGUE DR. HALL. SARA HALL
WE WORKED ON TWO -- AT LEAST 2
OF THE DIFFERENT WORKING GROUPS
THAT DEVELOPED THAT GUIDANCE.
AND SO MONTHS' LONG PROCESS AND
ALMOST A YEAR I THINK, AND
PROVIDED REALLY IMPORTANT INPUT
INTO THAT GUIDANCE DOCUMENT.
AND SO... THE COUNCIL ON
ENVIRONMENTAL QUALITY ISSUED THE
MEMO TO RECOGNIZE INDIGENOUS
KNOWLEDGES, AND ONE OF THE MANY
IMPORTANT BODIES OF KNOWLEDGE
THAT CONTRIBUTES TO SCIENTIFIC
TECHNICAL SOCIAL, ECONOMIC
ADVANCEMENTS AND MOST
IMPORTANTLY, I THINK ADDS TO THE
COLLECTIVE UNDERSTANDING OF THE
NATURAL WORLD AND DECISION
MAKING AND THAT LANGUAGE CAME
FROM THE WHITE HOUSE. AND
OBVIOUSLY A LOT OF US WHO WORKED
ON THE WORKING GROUPS, YOU KNOW,
SHARED WHAT WE KNEW. YOU KNOW,
MOST OF US WERE NATIVE. AND
ALSO NON-NATIVES. AND WE ALL
CAME TOGETHER, AND HAD A LOT OF
GOOD EXAMPLES. SO MANY
DIFFERENT THINGS THAT WERE
HAPPENING ACROSS THE COUNTRY,
AND IF YOU LOOK AT THE NEWS
NOW -- I SEE IT EVERY DAY IN THE
NEWS, A NEW COLLABORATION OR
COMANAGEMENT OF RESOURCES THAT
ARE BEING SHARED. IT'S ACTUALLY
AMAZING HOW MANY PROJECTS NOW.
AND NOT ONLY IN THE US, BUT
ALSO IN CANADA. AND IN THE
NORTH WEST I SEE MORE OF THE
AAGREEMENTEDS BEING FINALIZED
OUT THERE. AND COAL MANAGEMENT
NATURAL RESOURCE AND
ENVIRONMENT. AND WHERE I'M FROM
UP IN NEW YORK THERE WAS ALSO AN
AGREEMENT WITH THE ONONDAGA TO
COMANAGE -- ACTUALLY TO MANAGE.
NOT EVEN COMANAGE, THEY'RE
RESPONSIBLE FOR MANAGING THAT.
ONE OF THEIR
ANCESTRALTORITORIES. SO A LOT
OF PROGRESS, ON THAT FRONT. ANC
TORITORIES. SO A LOT OF
PROGRESS, ON THAT FRONT. RITORI
PROGRESS, ON THAT FRONT. E THEI
TRITORIES. SO A LOT OF
PROGRESS, ON THAT FRONT.
STRATEGIC GOAL NO. 4.
ENHANCING CUL
ENHANCING CULTURAL COMPETENCY
AND COMMUNITY ENGAGEMENT, NUMBER
OF FUNDED PROJECTS. 18 PROJECTS
THAT WE'RE FOCUSED ON RESILIENCE
AND BASIC INDIGENOUS CONCEPTS OF
HEALTH, MEASURING AND VALIDATING
THE HEALTH EFFECTS OF TRAUMA,
THERE WERE 13 PROJECTS THERE AND
DEVELOPING AMERICAN INDIAN
ALASKAN NATIVE SUB COMMITTEE TO
OVERSEE THE REPOSITORY FOR
PROJECTS THERE. AND A FEW
EXAMPLES OF THOSE PROJECTS,
CENTERING INDIGENOUS KNOWLEDGES
AND WORLDVIEWS. .
THAT WAS APPLYING THE
INDIGENOUS ECOLOGICAL SYSTEMS
MODEL.
AND RESULTS FROM THAT FIRST
STUDY SUGGEST THAT
STRENGTH-BASED RELATIONSHIP
DRIVE DEVELOPMENT AND WELLBEING
AMONG INDIGENOUS YOUTH. I THINK
A LOT OF US WOULD AGREE. AND
THIS STUDY ACTUALLY SHOWED IT.
AND THOSE WERE ONE OF THE
OUTCOMES FROM THAT PROJECT. THE
SECOND ONE, LINGUISTIC AND
CULTURAL IDENTITY THROUGH
BILINGUAL CHILDREN'S STORIES AND
DEALING WITH NUTRITION AND
HEALTH IN NATIVE COMMUNITIESES,
AND ALSO A GREAT PROJECT.
AND RELATED TO... IT'S
PROVIDING BILINGUAL RESOURCES
FOR FAMILIES AND RELATED TO
HEALTH AND NUTRITION AND
TRADITIONAL FOODS AND TALKED
ABOUT TRADITIONAL FOOD AS WELL,
AND PROJECT IS INCLUDING THAT IN
THEIR WORK.
THE NARCH PROJECT THAT'S HOUSED
AT THE ROSWELL PARK
COMPREHENSIVE CANCER CENTER.
THIS IS OFFERING VIRTUAL
COMMUNITY AND CLINICALLY BASED
CANCER OUTREACH EDUCATION MODEL
FOR COLORECTAL CANCER AND
CLINICAL TRIALS TO INCREASE
KNOWLEDGE RETENTION BEHAVIOURS
AMONG AMERICAN INDIANS AND
ALASKAN NATIVES AND RURAL
COMMUNITY MEMBERS ACROSS NEW
YORK, AND ACTUALLY MY NATION AND
MY COMMUNITY. AND SO A LOT OF
TRIBES WORKING AND INCLUDED IN
THE PROJECT, AND BEEN OUT TO THE
ROSWELL CANCER INSTITUTE. AND
STAFF FROM THERE HAVE DONE
RESERVATIONS TO MEET WITH TRIBAL
LEADERS AND STUDENTS.
THE LAST STUDY ON THIS SLIDE IS
THE BREAKING CYCLES OF
INTERGENERATIONAL TRAUMA. AND
THAT IS OCCURRING FOR PS EC AND
DEALING WITH CLIRN AGES 3-5
YEARS OLD AND REDUCING SYMPTOMS
OF HISTORICAL TRAUMA AND EVERY
DAY STRESS, AND AMONG PARENTS
AND CAREGIVER AND IS HOW THAT
CAN BE AND HOW THAT CAN AFFECT
RATES OF DOMESTIC VIOLENCE, AND
ALCOHOL AND SUBSTANCE ABUSE, AND
INTERGENERATIONS TRAUMA, AND I
THINK A LOT OF US WOULD SAY
THAT'S PROBABLY A CAUSE OF A LOT
OF HEALTH ISSUES THAT WE HAVE IN
OUR COMMUNITIES. SO, JUST TO
SUM... I KNOW I WENT THROUGH A
LOT OF INFORMATION. AND THERE
WAS A LOT OF INFORMATION TO GO
THROUGH.
AND SO TRYING TO PUT IT
TOGETHER IN A WAY THAT MAKES
SENSE. AND IN A WAY THAT YOU
GET A REALLY GOOD GRASP OF WHERE
WE ARE, WHERE THE EFFORTS AND
WHERE THE ACTIVITIES ARE GOING
AND WHAT'S IN PROCESS. AND ALSO
WHERE WE ARE NOT DOING AS MUCH
AS WE COULD BE. AND, YOU KNOW,
WHERE WE NEED TO PUT OUR EFFORTS
GOING FORWARD.
AND SO, IT'S THE MOST
UP-TO-DATE INFORMATION WE HAD AT
THE TIME. AND CAT GRIE /*
CATEGORIZE THAT UNDER THE
STRATEGIC GOALS THAT TO GIVE YOU
A GIVE A SENSE OF ORGANIZATION
THINK ABOUT THINGS WITHIN A GOAL
AND OBJECTIVE FRAMEWORK. SO WE
CAN THINK ABOUT HOW WE'RE GOING
TO DO THINGS IN THE FUTURE. THE
RELATIVELY LARGE NUMBER OF
PRIORITIES OBVIOUSLY PRESENTED
SOME CHALLENGES IN TERMS OF
ALIGNING WITH STRATEGIC PLAN AND
IDENTIFICATION OF PROJECTS.
BUT OVERALL, MOST OF THE TAC
PRIORITIES WERE ADDRESSED AND
SOME OF THEM INCLUDED IN ONE OR
TWO PROJECTS AND I WANTED TO
HIGHLIGHT THOSE TO GIVE YOU A
TAKE HOME POINT. TRIBAL FUNDING
IN NONCOMPETITIVE ENVIRONMENT,
I MENTIONED BEING WORKED ON.
AND SUPPORT FOA, AND WAY TO
SUPPORT JUNIOR INGEST GAITERS TO
CONDUCT SECONDARY DATA ANALYSIS.
ALTHOUGH THAT WORK IS GOING ON
AND YOU KNOW AS PART OF OTHER
GRANTS THEY COULD BE SUB
PROJECTS ON, YOU KNOW, A LARGE
PARENT PROJECT. , BUT OVERALL
IT SEEMED LIKE IT WASN'T LIKE A
MAJOR FOCUS OF ONE MAJOR
PROGRAM, AND AS WE SEE FROM THE
PORTFOLIO ANALYSIS, THE NIH GMS
IS DOING A LOT OF WORK IN THAT
AREA. AND NOT SURE, THAT'S
GOING TO REQUIRE LITTLE BIT MORE
DISCUSSION, AND THE TRAN-NIH FOA
MODEL. I DIDN'T REALLY SEE
ANYTHING SPECIFIC TO THAT AND IN
PROJECT DESCRIPTIONS, WORK TO
ESTABLISH AND FUND A CENTRAL
DATA REPOSITORY FOR AMERICAN
INDIAN ALASKAN NATIVE RESEARCH.
DIDN'T SEE A LOT OF ACTIVITY IN
THAT EITHER, USING THE COMMON
FUND FOR COFUNDING OF GRANTS,
SPI
SPECIFICALLY FOR JUNIOR
INVESTIGATORS SO THAT'S ANOTHER
AREA. RETROSPECTIVE COHORT
STUDIES AND AGAIN DIDN'T SEE A
LOT THERE. IMPACT OF RACISM ON
HEALTH, HEALTH CARE AND HEALTH
DISPARITIES. AGAIN THE
STRUCTURAL AND ENVIRONMENTAL
COMPONENTS OF HEALTH, IT DIDN'T
SEEM... THERE IS ROOM FOR
OPPORTUNITY, OR OPPORTUNITIES
FOR IMPROVEMENT THERE. AND
SO... BOARDING SCHOOLS AND
CONTINUED EFFECTS ON HEALTH. I
THINK THAT'S ANOTHER AREA I
DIDN'T REALLY SEE A LOT OF WORK
GOING ON.
AND AS WE KNOW, MANY OF US HAVE
RELATIVES THAT WERE... THAT
LIVED THROUGH THE BOARDING
SCHOOL ERA. AND STILL FEELING
THE EFFECTS ON A LOT OF THE
COMMUNITIES.
AND SUBSTANDARD HOUSING
EFFECTS.
AND WE DIDN'T SEE A LOT THERE
EITHER.
AND THAT SHOULD... THAT CAME UP
DURING THE COVID PANDEMIC,
RIGHT?
TRYING TO STOP THE SPREAD AND
MULTIGENERATION OF FAMILIES
LIVING IN THE SAME... ONE OR TWO
BEDROOM HOME. AND THAT'S AN
AREA THAT WASN'T REALLY
ADDRESSED. AT LEAST FROM THE
STUDIES I REVIEWED. AND VACCINE
SIDE EFFECTS, AND COMPLIMENTARY
MEDICINE, AND TREAT LONG COVID,
AND LONG COVID ACROSS THE
LIFESPAN, AND ALIGN WITH SOME OF
THE TAC PRIORITIES, AND SOME OF
THE CONVERSATION WE HAD OVER THE
LAST SEVERAL MONTHS, AND
FOSTERING MORE COLLABORATION
WITH OTHER AGENCIES. ALTHOUGH A
HANDFUL OF THEM, MAY BE
OPPORTUNITIES TO WORK WITH OTHER
AGENCIES GOING FORWARD ON
SPECIFIC PRIORITIES.
SO I KNOW I TALKED FAST AND
WENT THROUGH THAT QUICK. BUT I
WANTED TO GET THAT INFORMATION,
AND... JUST OPEN IT UP FOR
QUESTIONS, IF THERE ARE ANY?
.
>> YEAH, THANK YOU MOSE. AND
ENCOURAGING THE TAC TO SEE THAT,
YOU KNOW, THERE WERE OVER 560
UNIQUE PROJECTS WE HAD TO
CATEGORIZE. AND THIS IS OVER 1
YEAR, SO A LOT MORE OF WHAT WE
WOULD BE ABLE TO CAPTURE. BUT
REALLY FOCUSING DOWN ON THE
SPECIFIC QUESTION IS REALLY
IMPORTANT FORTOUS REFINE OUR
ABILITY TO IDENTIFY VERY
SPECIFIC NEEDS FOR THE
COMMUNITY. SO AS WE GO INTO THE
NEXT SESSION AND START THINKING
ABOUT WHAT ARE SOME OF THE
RESEARCH PRIORITIES WE WANT TO
ACCOMPLISH OR TO ADDRESS
TOGETHER, LET'S THINK OF SOME OF
THE SPECIFIC DETAILS ABOUT WHAT
ARE THE SPECIFIC NEEDS FOR EACH
OF THE DIFFERENT COMMUNITIES
THAT WE COULD REALLY LOOK INTO
AND GET DEEP INTO THE DETAILS SO
THAT WE CAN BE ABLE TO ADDRESS
THOSE.
AND ALSO THINK -- MOSE ALSO
IDENTIFIED SOMETHING THAT IS
ALSO IMPORTANT AND MR. KUTZ
MENTIONED THIS AS WELL.
RESEARCH -- WE HAVEN'T BEEN ABLE
TO -- WE DIDN'T IDENTIFY
RESEARCH THAT IS BENEFICIAL TO
OUR TRIBAL COMMUNITIES, BUT MORE
FOCUSED ON THE GENERAL
POPULATION. AND HOW DO WE
LEVERAGE THAT RESEARCH, SO THAT
TRIBES HAVE ACCESS TO THAT
INFORMATION AS WELL.
AND SO JUST WANTED TO INPUT AND
CHIME IN REAL QUICK HERE BEFORE
WE OPEN IT UP FOR MORE
QUESTIONS.
>> MR. KUTZ?
>> YEAH, I ASKED A BUNCH OF
QUESTIONS LAST TIME, AND WAITING
HOPING SOME OTHERS WERE, I
DIDN'T WANT TO JUMP IN FRONT OF
THE OTHERS, AND REALLY... TAKE
THIS OVER. SO I'LL TRY AND BE
QUICK. THIS CONVERSATION TODAY
REALLY HIGHLIGHTS THE NEED FOR
US TO HAVE FACE-TO-FACE
CONVERSATION ABOUT SOME OF THESE
THINGS. I DON'T THINK WE CAN
HAVE REALLY IN DEPTH MEANINGFUL
CONVERSATION IN THE SHORT
POWERPOINT PRESENTATIONS. AND
SO A COUPLE THINGS STRIKE ME.
YOU TALKED ABOUT THE RESEARCH
YOU HAD GRANTED TO UNIVERSITY OF
COLORADO. SOMEWHERE AROUND DATA
HOUSING OR DATA REPOSITORY OR
SOMETHING LIKE THAT. SO I DON'T
REALLY UNDERSTAND, WHAT YOU TALK
ABOUT THAT HOUSING NIH, DATA, OR
HOUSING THE UNIVERSE OF
RESEARCH. AND SO THAT'S A
QUESTION I HAVE. AND THEN...
THE OTHER QUESTION I HAVE:
WHILE YOU WERE DOING THIS
PRESENTATION, I WAS SEARCHING
THROUGH NIH AND WENT TO THE
NATIONAL LIBRARY OF MEDICINE,
AND SIMILAR OTHER PLACES. AND
REALLY TRYING TO FIND -- SOME OF
WHAT YOU ARE TALKING ABOUT IS
RESEARCH ON GOING, AND PROBABLY
NOT GOING TO BE PUBLISHED NOW.
BUT HOW DO WE WHO ARE OUT IN
THE WORLD WORKING IN OUR TRIBAL
COMMUNITIES DAY-TO-DAY NOT
REALLY BE INVOLVED IN SOME OF
THIS RESEARCH FIND THE
INFORMATION THAT WE NEED TO
APPLY THE RESEARCH THAT'S GOING
OUT THERE INTO THE COMMUNITIES.
SO FOR EXAMPLE, YOU TALKED A
LITTLE BIT ABOUT THE PAIN
MANAGEMENT THING THAT'S ON GOING
IN YAKIMA. I HAD NEVER HEARD
ABOUT THAT AND MAYBE NEVER HEARD
ABOUT IT AND MY MOM'S A YAKIMA.
BUT, HOW DO WE... WHERE ARE
PLACES WE CAN GO TO FIND THIS
AND DO SOME SEARCHING, AND MAYBE
IT'S JUST... I'M HAM HANDED AT
THIS. BECAUSE A LOT OF TIMES
YOU WANT TO FIGURE OUT HOW TO
APPLY SOME THINGS TO THE
COMMUNITY BASED ON THINGS YOU
LEARNED, AND GETTING THE
RESEARCH, AND I THINK YOU TALKED
A LIT BIT ABOUT THAT. OR YOU DO
MOSE, OR MAYBE DAVE. I'M NOT
SURE. HOW TO BRING THE RESEARCH
BACK TO OUR COMMUNITIES. AND SO
DATA REPOSITORY WITH A WAY TO
CATALOG ALL THIS STUFF IS ONE OF
THE THINGS. AND SO I JUST
TALKED MORE THAN I AM MEANT TO.
SORRY.
>> NO, THAT'S FINE, THOSE ARE
GREAT QUESTIONS. I'M NOT SURE
OF THE SPECIFIC PROGRAM ABOUT
THE DATA HOUSING, BUT, I
THINK... THERE IS THE COLORAD
RESOURCE CENTRE FOR THE TACS.
BUT I THINK THE TACS, IF THEY'RE
INVOLVED... WELL, FIRST OF ALL,
I CAN'T REALLY ANSWER THAT,
BECAUSE I DON'T REALLY KNOW
ABOUT THE SPECIFIC PROJECT.
BUT I CAN TACKLE THE SECOND
PART OF YOUR QUESTION. THE:
HOW TO FIND OUT MORE ABOUT THE
PROJECTS IN YOUR AREA.
THE REPORTER FUNCTION IS --
OBVIOUSLY ANYBODY CAN LOGIN AND
FIND OUT WHAT'S GOING ON AND
AMERICAN INDIAN ALASKAN NATIVE
RESEARCH FIND OUT WHAT'S GOING
ON IN YOUR STATE. BUT, YOU KNOW
IDEALLY THE INVESTIGATORS SHOULD
BE REACHING OUT TO FOLKS IN THE
AREA THAT TO SHARE RESULTS FROM
THE RESEARCH BACK WITH THE
COMMUNITY. SO IF THEY'RE NOT
DOING THAT IN YAKIMA. THEY
SHOULD BE.
AND THE OTHER THING, YOU KNOW,
AS -- AT HOPI -- I DON'T KNOW AS
A PROVIDER IN THE COMMUNITY AND
INTERACTING WITH PEOPLE IN THE
COMMUNITY YOU FIND OUT WHAT A
LOT MORE WHAT IS GOING ON
LOCALLY. AND I GUESS THAT'S ONE
WAY TO DO IT. BUT ALSO TO GO TO
THE REPORTER WEBSITE, AND
ACTUALLY JUST DO A SEARCH AND
FIND OUT WHAT IS GOING ON NEAR
YOU. AND THEN, THE INVESTIGATOR
SHOULD BE MORE THAN WILLING TO
SHARE THE INFORMATION THAT SOME
OF THE FINDINGS COMING OUT OF
THE WORK, THEY LOVE TO DO THAT.
AND SO I WOULD INVITE THEM TO DO
A PRESENTATION ON THEIR STUDY.
TO GET UP TO SPEED ON WHAT THEY
HAVE BEEN DOING. AND THEN, ASK
THEM, HOW DO WE TRANSLATE THIS
INTO THE PRACTICE.
AND I'M SURE WILL BE A REALLY
GREAT DISCUSSION. OR YOU CAN
REACH OUT TO US, AND WE WOULD BE
HAPPY TO -- IF YOU HEAR OF
SOMETHING, OR WONDERING WHAT IS
GOING ON IN YOUR AREA, WE CAN
DEFINITELY DO A SEARCH, AND PUT
YOU IN TOUCH WITH PEOPLE TO HAVE
THAT CONVERSATION.
>> YEAH, WELL, I JUST USE THAT
AS AN EXAMPLE, I THINK THAT'S ON
GOING RESEARCH, AND DON'T THINK
IT'S REALLY -- PROBABLY
FINALIZED SOME THINGS, DOING
RESEARCH IN INDIAN COUNTRY, ALL
ACROSS THE UNITED STATES, A LOT
OF THAT IS APPLICABLE NO MATTER
WHAT AREA YOU ARE IN.
SO HOW DO WE... HOW DO WE...
HOW DO WE GO OUT AND CAPTURE
SOME OF THAT STUFF, AND GO OUT
AND SEARCH FOR THAT?
I'LL GO AHEAD AND TALK TO SOME
OF MY RESEARCH FOLKS AND FIND
OUT. BUT HOW DO WE FIND THINGS
THAT WE CAN APPLY IN OUR
PRACTICE, LOOKING AT DOING
CERTAIN THINGS. FOR EXAMPLE,
JUST TALKED ABOUT PAIN
MANAGEMENT IN INDIAN COUNTRY.
OR, YOU KNOW, I WAS REAL
INTERESTED IN SOME OF THE THINGS
YOU JUST ANNOUNCED, THAT ARE
ONGOING AND THOSE WILL BE COMING
OUT. AND SO...
>> MR. KUTZ IF I MAY ADD TO
THAT. DR. B POSTED IN HERE THE
LINK TO THE CATEGORY SPENDING
AND CDC AND REPORTER. IF YOU GO
TO THE LINK ON THE BANNER OF THE
WEBSITE, TERMS, THERE IS A TAB
THAT SAYS RESEARCH, AND THERE IT
HAS THE LINK TO ALL THE
INTRAMURAL RESEARCH, AND THAT IS
HAPPENING, AND SEE ALL THE
RESEARCH HAPPENING INSIDE THE
NIH AND LINK TO IMPACT OF NIH
FUNDED RESEARCH, AND CLINICAL
TRIALS AND SUPPORTED CLINICAL
TRIALS NEAR YOU AND ABLE TO DO
THAT SEARCH TO IDENTIFY WHERE
YOU MIGHT WANT TO PARTICIPATE,
OR SPECIFIC DISEASE CONDITION
YOU WANT COMMUNITY MEMBERS TO BE
ABLE TO LEVERAGE AND TAKE
ADVANTAGE OF. AND ANOTHER
REALLY IMPORTANT LINK IS AFTER
RESEARCH FINDINGS ARE PUBLISHED
THEY ARE STORED IN NATIONAL
LIBRARY OF MEDICINE PUBMED, AND
THIS IS WHERE YOU CAN GO TO THE
NCBI DATA BASE, AND PLUG IN
WHATEVER DISEASE CONDITION YOU
ARE LOOKING FOR, WHETHER IT'S
PSORIATIC ART ARTHRITIS OR WHET
IT'S A SPECIFIC TYPE OF CANCER,
AND ALL THE PUBLICATIONS THAT
HAVE THAT THOSE KEY WORDS AND IT
WILL COME UP, AND YOU'LL BE ABLE
TO IDENTIFY AND PRINT OUT THOSE
PUBLICATIONS, AND TO BE ABLE TO
SHARE THOSE WITH YOUR HEALTH
CARE PROVIDERS, IF THERE ARE
INTERVENTIONS, IF THERE ARE BEST
PRACTICES THAT HAVE BEEN
IDENTIFIED, AND HAVE BEEN
PUBLISHED ON THAT WEBSITE, SO
THOSE ARE TWO REALLY IMPORTANT
WAYS YOU HAVE ACCESS TO DATA
IMMEDIATELY. AND I AGREE WITH
MOSE, THAT YOU CAN REACH OUT TO
US, AND HELP US GUIDE YOU AND
POINT YOU IN THE RIGHT
DIRECTION. IF YOU LOOK IN THE
REPORTER AS WELL, AND KNOW THE
TYPE OF RESEARCH, AND IDENTIFY
THE INVESTIGATORS FUNDED. YOU
THEN HAVE THE OPPORTUNITY TO
REACH OUT TO THEM F THEY'RE IN
THE UNIVERSITY OF WASHINGTON,
AND KNOW THE NAMES OF
INVESTIGATORS AND SHOULD BE ABLE
TO SEND THEM AN EMAIL SAYING I'M
INTERESTED IN LEARNING MORE
ABOUT YOUR NIH FUNDED RESEARCH
PROJECTS AND HOW IT MIGHT HAVE
APPLICATION TO OUR COMMUNITIES,
SO ENCOURAGE YOU TO FOLLOW THAT
AVENUE AS WELL.
>> THANKS.
>> COUNCILWOMAN FRIAS. THANK
YOU, MOSE AND DR. WILSON FOR THE
PRESENTATION.
THE QUESTION THAT I HAD MOSE IS
YOU PRESENTED THE PRIORITIES
FOR... OR, YEAH, YOU PRESENTED
THE PRIORITIES FOR NIH, AND THE
TAC, AND THEN YOU PRESENTED THE
PRIORITIES FOR THE TAC THAT WE
SUBMITTED. BUT WE ALSO
SUBMITTED THE GOALS AND
OBJECTIVES FOR THE TAC THAT
INCLUDED THE... THAT INCLUDED
THE PRIORITY ACTIVITIES... WHICH
SOME OF THEM MAY OVERLAP WITH
SOME OF THE PRIORITIES. BECAUSE
SOME OF THE PRIORITIES THAT WE
GAVE TO YOU WERE JUST TOPICS.
AND THE ACTIVITIES WERE A LITTLE
BIT MORE SPECIFIC.
AND SO I DIDN'T... WE DIDN'T GO
OVER THAT, AND NEVER HAD A
CONVERSATION ABOUT THAT. HOW
THOSE ACTIVITIES AND THOSE GOALS
AND OBJECTIVES OVERLAP WITH THE
NIH TAC, AND ALL THE LIST OF
PRIORITIES THAT WE GAVE YOU.
AND SO I WAS WONDERING IF THAT'S
ONE OF THE AREAS THAT YOU WERE
GOING TO GO OVER TOO?
I'M TAKING A LOOK AT THE
DOCUMENT. DOES ANYONE HAVE THE
DOCUMENT IN FRONT OF THEM?
TAC PRIORITIES. I KNOW THEY'RE
IN THE BOX
>> YEAH, THEY'RE IN THE BOX.
THE ONE THAT HAS THE GOALS AND
OBJECTIVES?
>> YOU KNOW WHAT COUNCILWOMAN
FRIAS, WE CAN LOOK AT THIS
DURING THE BREAK, WHY DON'T WOE
DO THAT. ARE THERE ANY OTHER
QUESTIONS?
>> THANK YOU FOR THE
PRESENTATION, I JUST WANTED TO
ECHO CHAIRWOMAN F
ECHO CHAIRWOMAN FRIAS, BECAUSE
WHEN I WAS LOOKING AT THE
DOCUMENT THAT WE HAVE WITH OUR
PRIORITIES I THINK THEY WERE A
LITTLE HIGHER LEVEL BECAUSE WHEN
CHAIRWOMAN FRIAS HAD MENTIONED,
WE ALSO HAD THE LIST OF TOPICS,
BUT I THINK WHEN THE
CONVERSATION WHEN IT CAME TO HOW
INFORMATION IS BEING
DISSEMINATED BACK TO TRIBES, WE
HAD ONE AREA THAT COVERED AND
THE GOAL ARTICULATES IS THAT WE
WERE WANTING TO SEE EFFECTIVE
DISSEMINATION, INFORMATION ABOUT
RELEVANT RESEARCH AND RESEARCH
FINDINGS TO AI/AN, BY THE
PUBLIC AT APPROPRIATE LITERACY
LEVELS AND INFORMATICS BEYOND
SCIENTIFIC JOURNALS, SO IT WAS
GOING BEYOND WHAT'S EXISTING,
AND HAVING TRAINING ON HOW TO
USE THE REPORTER, BUT IT'S ALSO
HAVING NIH BE VERY BEING VERY
FLEXIBLE IN TERMS OF REALLY
MEETING COMMUNITY NEED AND IS
MEETING COMMUNITY WHERE THEY'RE
AT. AND OTHER PRIORITY
ACTIVITIES THAT WERE IN THE
DOCUMENT THAT YOU WILL BE
LOOKING UP. THAT WERE AT HOW
NIH NEEDS TO INCREASE IT'S
CAPACITY IN TERMS OF AREAS FOR
TRAINING THAT WOULD BE HELPFUL
IN TERMS OF IMPROVING THE TYPES
OF RESEARCH WE'RE SEEING, AND
HOW NIH IS WORKING WITH TRIBES.
FOR EXAMPLE, THERE WERE A COUPLE
OF SUGGESTED ACTIVITIES. ONE
WAS REQUIRED TRAINING FOR NIH
STAFF AND REVIEWERS REGARDING
FEDERAL TRUST TREATY OBLIGATION
AND IS AND TRIBAL SOVEREIGNTY
AND CULTURAL COMPETENCY. SO I
THINK THAT'S WHAT I DID NOT SEE
IN THE PRESENTATION I THINK IT
WAS A GOOD ATTEMPT TO TRY TO
TAKE THE, WHAT FUNDED PROJECTS
ARE OUT THERE BUT I THINK WHAT
WE HAD OFFERED WAS A LITTLE BIT
MORE SPECIFIC IN TERMS OF WHAT
NIH NEEDS TO DO AND TAKE THAT
MIRROR AND TURN IT INWARDS TO
SEE SOME OF THE AREAS WHERE THE
IMPROVE PROVEMENTS CAN BE MADE.
THAT'S ALL I HAVE THANK YOU.
>> THANK YOU.
>> SO WHAT WE'RE TALKING ABOUT
IS MORE INTRAMURAL CHANGES AND
THINGS WE WANT TO ADDRESS. AND
WE ACTUALLY HAVE BEEN DOING A
LOT OF THAT. AND I THINK WE
CAN -- WE HEARD SOME OF THAT
THROUGH OUR PRESENTATIONS
YESTERDAY.
AND WE CAN TALK A LITTLE BIT
MORE ABOUT THAT. AS WE GO INTO
THE NEXT SESSION AND TALK ABOUT
FUTURE PRIORITIES. AND I WILL
SAY THAT AS WE CONTINUE TO
EDUCATE, NOT ONLY THE INSTITUTE
CENTRE AND OFFICES AND ALL THE
PROGRAM OFFICERS THAT MAKE UP
THE NIH, ONE OF THE THINGS
THEY'RE LEARNING ABOUT IS HOW TO
EFFECTIVELY DEVELOP AND SUPPORT
COLLABORATIVE EFFORTS WITH
TRIBAL COMMUNITIES. AND ALSO
WHAT DO THOSE LOOK LIKE IN TERMS
OF NOT JUST THE STANDARD RUBBER
STA
STAMP. WE GOT THE SIGNATURE
FROM THE TRIBE AND THAT'S ALL WE
NEED. HOW DO WE ESTABLISH
MEANINGFUL COLLABORATION, AND
WITHIN THOSE MEANINGFUL
COLLABORATIONS WE RELY HEAVILY
ON TRIBAL COMMUNITIES ON THE
PARAMETERS OF WHAT RESEARCH
COMING BACK TO THE COMMUNITIES
THAT LOOKS LIKE. IF THERE IS
REQUIREMENT THAT SAYS WE NEED TO
COME BACK AND REPORT TO US
ANNUALLY, THOSE ARE THE TYPES OF
THINGS RERELYING ON WITH THE
TRIBAL IRBS, AND GOAL IS MAKE
SURE THE RESEARCHERS THAT WE
FUND ARE FOLLOWING BEST PRACTICE
AND ENGAGE HONESTLY, AND
INTENTLY AND ETHICALLY, WITH THE
TRIBAL COMMUNITIES SO THE TRIBAL
COMMUNITIES HAVE THE OPPORTUNITY
TO LAY OUT THEIR EXPECTATIONS
FOR PARTNERSHIPS IN RESEARCH,
AND THAT'S WHERE ALL THE
SUBSEQUENT THINGS YOU BROUGHT UP
WOULD FALL INTO ALIGNMENT, AND
THOSE CAN BE FOUND ON CRITICAL
CONSIDERATION FOR RESEARCH, AND
ALSO OUTLINED IN WEST PRACTICES,
AND CRITICAL CONVERSATION, FOR
ENGAGING URBAN INDIAN
POPULATIONS AS WELL.
>> EXCELLENT, SO WE'RE 6
MINUTES BEYOND OUR BREAK. SO
WHY DON'T WE GO AHEAD AND TAKE A
BREAK UNTIL 4 O'CLOCK.... IF
THERE ARE NO MORE IMMEDIATE
QUESTIONS. ANYBODY ELSE WOULD
LIKE TO ASK A QUESTION BEFORE WE
GO TO BREAK?
ALL RIGHT, EXCELLENT, WHY DON'T
WE BREAK UNTIL 4 O'CLOCK AND
THEN COME BACK AND BEGIN OUR
NEXT SESSION WHICH WILL EVOLVE
AROUND THE ELECTION OF OUR 2023
TAC CHAIR PERSONSES AND 2023
WORKPLAN. SEE EVERYBODY IN A
FEW MINUTES.
>> I THINK IT'S IMPORTANT WE
CONTINUE OUR CONVERSATION. AND
I THINK WANTED TO CLARIFY A
COUPLE THINGS. AND SO MOSE DID
YOU WANT TO GO AHEAD AND...
>> YEAH, THANK YOU. YEAH, I
THINK THERE IS SOME CONFUSION
AND I WOULD SAY MOSTLY -- AT
LEAST SOME ON MY PART AS WELL.
AS TO WHAT THE TAC PRIORITIES
WERE, AND HOW THEY CAME ABOUT.
AND COUNCILWOMAN FRIAS CAN SPEAK
MORE ABOUT THIS. WHAT I DID WAS
TAKE THE LIST OF THE TAC
PRIORITIES, AND THE DIFFERENT
AREAS OF INTEREST, AND I
ORGANIZED THOSE WITHIN THE
CURRENT STRATEGIC PLAN. AND SO
THE CURRENT STRATEGIC PLAN GOES
THROUGH FY2023. AND I WANTED TO
ORGANIZE IT THAT WAY, SO YOU CAN
LOOK AT THE PRIORITY AND IS SEE
WHERE A LOT OF WORK HAS BEEN
HAPPENING, AND WHERE LESSER WORK
HAS BEEN HAPPENING.
AND THEN, GOING FORWARD, WE CAN
TALK ABOUT HOW WE COULD REVISE
THOSE GOALS, AND OBJECTIVES, TO
BETTER ALIGN WITH WHAT THE DATA
ARE TELLING US, AND ALSO WHAT IS
HAPPENING IN YOUR COMMUNITIES.
AND I THINK IF ANYTHING IT
SPELLS OUT WE NEED TO CONTINUE
THE CONVERSATIONAL WE'RE ALL IN
THE SAME PAGE, AND LOOKING AT
THE SAME DOCUMENTS AND THAT WE
CAN MOVE FORWARD TOGETHER, IN
HOW WE'RE GOING TO REVISE THE
STRATEGIC PLAN AND ADAPT TO WHAT
THE NEEDS ARE GOING FORWARD. I
DON'T KNOW, IS THAT HELPFUL AT
ALL?
>> ANY FOLLOW-UP COUNCILWOMAN
FRIAS.
>> I THINK WHAT WOULD BE
HELPFUL IF YOU PULLED UP THE
STRATEGIC GOALS AND OBJECTIVES
FOR ALL OF THE TAC TO SEE THEM.
THE ONES THAT THE TAC SUBMITTED
IN THE FALL, OR EARLIER THIS
YEAR. TO SHOW THESE WERE
INCORPORATED INTO THE
PRESENTATION.
>> YEAH, THERE WERE TWO
DOCUMENTS...
SO WE HAVE BEEN PUTTING THEM ALL
IN BOX. I DON'T KNOW, SELENA,
DO YOU HAVE THE MOST RECENT COPY
OF TAC PRIORITIES IN BOX THAT
YOU CAN PULL UP.
>> YES, I CAN DO THAT. JUST
GIVE ME A SECOND, OKAY.
>> SURE, THANK YOU.
COUNCILWOMAN CAN YOU SPEAK A LIT
BIT MORE ABOUT THE TAC PRIORITY
DOCUMENT, THERE IS TWO DOCUMENTS
AND I THINK THAT MIGHT BE PART
OF THE CONFUSION. SO COULD YOU
SPEAK A LITTLE BIT TO THAT?
>> AND SELENA IT'S THE OTHER
DOCUMENT: GOALS AND OBJECTIVES.
>> OKAY.
>> OKAY, LET ME GET THAT, HOLD
ON A SECOND.
>> SO THAT MAY BE PART OF THE
PROBLEM. BECAUSE I USED THE
DOCUMENT THAT SAID TAC
PRIORITIES TO DO...
>> OH, OKAY. ALL RIGHT.
>> SO PROBABLY LOOKING AT
DIFFERENT DOCUMENTS, ALL RIGHT.
>> THAT JUST MEANS WE HAVE
SOMETHING TO PREPARE FOR THE
NEXT MEETING, RIGHT?
>> AND THAT IS NOT THE MOST
RECENT DOCUMENT. THAT'S AN OLD
ONE.
>> THE MOST RECENT ONE IS
AUGUST...
>> OCTOBER 24TH. LAST
MODIFIEDED OCTOBER 24TH, 2022.
>> YEAH, THE LAST ONE I SAW WAS
IN AUGUST.
>> AND THERE'S THE FOLDER
OCTOBER 24TH.
>> I STARTED WORKING ING ON TH
PROJECT IN AUGUST, AND IF THERE
IS ANOTHER ONE IN OCTOBER, I
HAVEN'T SEEN IT.
>> THAT'S THE SAME DOCUMENT
THAT I HAVE AS WELL TOO, THE ONE
THAT IS AUGUST.
>> THERE IS IN THE BOX, THERE
IS ANOTHER ONE.
>>....
>> I WOULD PULL IT UP ON MINE,
IT HAS A BLOCK, I CAN'T OPEN...
NEED TO GET IT TO TAKE OFF THE
BLOCK. IT'S IN THE BOX, BECAUSE
I OPENED IT UP FROM MY BOX.
>> CAN'T FIND THE FOLDER.
>> OKAY, SELENA IF YOU CAN STOP
SHARING, I THINK I FOUND THE
DOCUMENT.
>> OKAY.
>> YEP, THAT'S IT!
THAT'S APRIL 20TH. BUT THERE
IS AN OCTOBER VERSION.
>> OKAY, I DON'T HAVE THE
OCTOBER...
>> BUT IT PRETTY MUCH LOOKS
LIKE THAT. OKAY. SO MAYBE I'LL
STOP SHARING AND SELENA, IF YOU
CAN LOCATE THE OCTOBER VERSION
WE CAN WORK FROM THAT.
>> THIS IS WHERE MICHELLE, DR.
S GOT THOSE AREAS THAT WAS BEING
REFERRED TO WHEN SHE REFERRED TO
THE PUBLICATIONS.
>> OKAY, IS THIS THE ONE.
>> YEP, THAT'S IT. SO THESE
WERE THE GOALS AND OBJECTIVES
SUBMITTED FROM THE TAC TO NIH.
AND WE SUBMITTED THOSE IN OUR
MEETING IN SEPTEMBER OR OCTOBER,
ALONG WITH THE PRIORITIES. AND
THOSE HAVE GOALS AND OBJECTIVES,
AND THEY HAVE... IF YOU SCROLL
DOWN A LITTLE BIT... LITTLE BIT
MORE. THEY HAVE PRIORITY
ACTIVITIES, I THINK IT'S CALLED.
YEAH, PRIORITY ACTIVITY. AND
THEN THE OTHER AREAS WERE JUST
PRIORITIES WERE JUST TOPIC
AREAS. BUT WE NEVER HAD... WE
NEVER HAD A CHANCE TO GO OVER
THESE AREAS WITH YOU IN GETTING
FEEDBACK FROM THESE AREAS, AND
THAT'S WHERE I WAS AM COMING
FROM ABOUT HAVING A DISCUSSION
ABOUT ALIGNMENT WITH NIH, AND,
YOU KNOW, SOME OF THE OVERLAP,
AND SOME OF THE THINGS THAT HAVE
ALREADY BEEN DONE.
BECAUSE SOME OF THESE AREAS
HAVE ALREADY BEEN DONE. IT'S
JUST THAT... WHEN THESE STARTED,
THEY STARTED WHEN THE TAC FIRST
GOT STARTED WHICH WAS, YOU KNOW,
A FEW YEARS BACK. AND SO WHEN
WE COMPILED ALL THE INFORMATION
WE DIDN'T WANT TO LEAVE OUT ANY
INFORMATION THAT HAD ALREADY
BEEN STARTED. AND SO SOME OF
THAT INFORMATION THAT YOU WILL
SEE FROM THE VERY BEGINNING LIKE
HIRE DIRECT AND THINGS LIKE THAT
HAVE ALREADY BEEN DONE, AND WE
DIDN'T WANT TO REMOVE ANYTHING
THAT HAD BEEN PUT INTO THIS
GOALS AND OBJECTIVES.
SO WANT TO GIVE IT TO YOU SO
YOU CAN SAY THIS HAS BEEN
COMPLETED AND BEEN DONE. BUT
NEVER GOTTEN ANY FEEDBACK ON IT.
SO SOME OF THOSE AREAS, MAY
HAVE ALREADY BEEN DONE, AND SOME
OF THE AREAS ARE STILL AREAS
THAT WE NEED FEEDBACK FROM. AND
AREAS THAT CAN BE AREAS THAT WE
CAN TARGET SOME OF THE CENTERS
OR INSTITUTES, AND SO BE AREAS
YOU JUST MENTIONED EARLIER ABOUT
FUNDING. WHERE WE CAN
PRIORITIZE FOR THE NEXT YEAR.
>> IF I COULD JUMP IN.
>> SO THAT'S REALLY LIKE PART
OF THE STRATEGIC PLANNING
PROCESS. WHAT YOU GUYS ARE
TALKING ABOUT. AND THAT WOULD
BE THE NEXT STEP. YOU ARE
ABSOLUTELY RIGHT. THAT'S
SOMETHING WE WOULD DO NEXT.
WHAT I DID WAS TAKE THE
PRIORITIES, AND ALL THE LISTED.
AND PUT THEM, ORGANIZED BY THE
CURRENT STRATEGIC GOALS, AND
SHOWED WHERE WE MADE... AND
WHERE WE'RE WORKING A LOT, AND
WHERE WE'RE WORKING NOT SO MUCH.
AND SO THE NEXT STEP WOULD BE TO
TAKE THAT, AND YOU ARE RIGHT,
THEN IT WOULD BE LIKE, OKAY,
THESE ARE THE AREAS WE
IDENTIFIED, AND WHAT I DID WAS
BASICALLY A GAP ANALYSIS, RIGHT?
WHERE ARE THE GAPS, AND HOW DO
WE ALIGN THIS, AND HOW DO WE
CHANGE GOALS AND OBJECTIVES
GOING FORWARD. SO, YEAH, YOU
ARE EXACTLY RIGHT, THAT WOULD BE
THE NEXT STEP IN THE PROCESS,
AND STRATEGIC PLANNING PROCESS,
CAN TAKE 6 MONTHS TO A YEAR TO
GET THROUGH ALL THAT. I THINK
WE HAVE ENOUGH NOW, WHERE WE CAN
START HAVING DISCUSSIONS ON HOW
IT NEEDS TO CHANGE, WHICH WAS
THE INTENT OF THE REPORT ON THE
TECH PRIORITIES TO BEGIN WITH.
AND SO I THINK WE'RE RIGHT
WHERE WE NEED TO BE IF THAT
MAKES SENSE?
>> YEAH, SO I AGREE WITH YOU
MOSE. AND I THINK THAT'S A
REALLY IMPORTANT POINT, NOW THAT
WE HAVE ALL THE DATA AND HOW
THEY ALIE. THEN WE CAN BEGIN TO
OVERLAY THESE ON THIS DOCUMENT.
OVERLAY THESE ON THIS DOCUMENT.O
OVERLAY THESE ON THIS DOCUMENT.
TO OVERLAY THESE ON THIS
DOCUMENT. AND LEAVE MOST RECENT
DOCUMENT FROM AUGUST, AND DIDN'T
GET THE OCTOBER DOCUMENT. AND
SO IMPORTANT FOR US -- WE'LL
START FOCUSING ON THE OCTOBER
DOCUMENT AND USE THAT SO WE'RE
ALL IN AGREEMENT. AND THAT'S A
DOCUMENT THAT WE WILL OVERLAY,
AND BE ABLE TO REALLY HIGHLIGHT
THE GAPS, AND WHERE THERE IS NOT
AS MUCH RESEARCH OR SUPPORT, AND
IT WOULD BE CLEARLY OBVIOUS AND
VISIBLE FOR THE TAC TO BE ABLE
TO MOVE FORWARD WITH PROVIDING
REMEMBER MEN DRECOMMENDATIONS O
WE MAKE MODIFICATIONS FOR THE
NEXT STRATEGIC PLAN, AND GO INTO
THE 2024. COMMENDATIONS ON HOW
MODIFICATIONS FOR THE NEXT
STRATEGIC PLAN, AND GO INTO THE
2024. O THIS IS VERY TIMELY FOR
US TO DO THIS EXERCISE AND I'M
GLAD THAT WE'RE ALL SPEAKING
ABOUT THIS FINALLY -- NOT IN
PERSON, BUT VIRTUAL SETTING, BUT
LOOKING FORWARD TO SPEAKING TO
EVERYBODY IN PERSON AS TIME
COMES ABOUT THIS.
>> GO AHEAD MOSE. JUST GOING
TO SAY, "IS THAT HELPFUL. ".
AND I THINK YOU HAD SOME
CONCERNS, IS THAT HELPFUL?"
YEAH, THIS WAS THE DOCUMENT I
WAS REFERRING TO, AND IF YOU
SCROLL DOWN A LITTLE BIT
FURTHER, WE HAD THE CONVERSATION
RELATED TO DESEMINATION OF
INFORMATION, AND IT'S UNDER GOAL
6. AND WHERE WE ACTUALLY HAD IT
FURTHER ARTICULATED. AND AGAIN
GOES BACK TO MEETING COMMUNITIES
WHERE THEY'RE AT, AND MAKING IT
DISSEMINATING FORMAT THAT MAKES
SENSE ON THE COMMUNITY LEVEL.
AND I JUST WANTED TO HIGHLIGHT
THAT AND MAKE SURE NONE OF THIS
GOT LOST. BECAUSE WE SPENT A
LOT OF TIME IN CONVERSATION.
AND THAT'S HOW WE HAVE DIFFERENT
VERSION, RIGHT?
AND WHERE WE WERE REALLY
WORKING ON THE PRECISE WORDING
THAT WE THOUGHT WAS IMPORTANT.
AND I JUST DID NOT WANT TO SEE
THIS GET LOST.
>> NO, IT WON'T BE LOST, AND
THANK YOU. FIRST TIME WE'RE
SEEING THIS DOCUMENT.
SO WE CAN GO BACK AND TAKE A
LOOK AT THIS, AND AS WE MOVE
FORWARD. THAT'S ONE OF THE MOST
IMPORTANT THINGS, IS
DISSEMINATION OF FINDINGS TO THE
COMMUNITY AND THAT'S NOT GOING
TO GET LOST ALONG THE WAY, THIS
IS HELPFUL THANK YOU.
>> ABSOLUTELY MOSE. AND MAYBE
THIS IS A GREAT OPPORTUNITY FOR
ME TO ASK OUR COMMUNICATIONS
DIRECTOR TO TALK ABOUT SOME OF
THE STRATEGIES WE'RE CURRENTLY
EMPLOYING THAT ACTUALLY MEET
THIS PARTICULAR NEED, AND SOME
OF THE INNOVATIVE THINGS WE HAVE
BEEN DOING OVER THE PREVIOUS
YEAR THAT ARE NEW TO THE OFFICE
THAT WE THINK HAVE REALLY BEEN
WORKING EFFECTIVELY, TO ENGAGE
TRIBAL COMMUNITIES, AND NOT ONLY
COMMUNITIES THEMSELVES BUT
COMMUNITIES AND RESEARCHERS AT
VARIOUS LEVELS IN TERMS OF THEIR
STAGE OF PROFESSIONAL
DEVELOPMENT, AND WITH THAT I
WOULD LIKE TO CALL ON OUR
DIRECTOR OF COMMUNICATIONS
BONNIE T, TO HIGHLIGHT THE
COMMUNITY OR THE TAC, FOR SOME
INITIATIVES WE'RE PURSUING AND
UNDER WAY AS WELL.
>> HELLO, EVERYBODY, YEAH, IT'S
BEEN A BIG YEAR FOR
COMMUNICATIONS. ONE OF THE
MAJOR THINGS WE HAVE BEEN WORK
ON IS OUR WEBSITE, AND OVER THE
NEXT MONTH YOU WILL SEE A
REFRESHED HOME PAGE, THAT IS
REALLY EXCITING, AND WHAT I DONE
IS GONE BACK THE PAST 3 YEARS,
AND PULLED ANY INFORMATION
RELATED TO TRIBAL HEALTH
RESEARCH, INTO ONE NEWS STREAM.
SO IF YOU HEAR ABOUT SOMETHING
NIH RELATED AND COMB THROUGH THE
DIFFERENT WEBSITES AND DIFFERENT
IC'S, AND YOU CAN COME TO OUR
HOME PAGE, AND SORT BY NEWS
ELEASE, AND EVENTS, AND COUPLE
OF CATEGORIESES IT THAT MAKE IT
EASY TO PULL RIGHT UP. AND HOPE
THAT INCREASES COMMUNICATION AND
TRANSPARENCY FROM AGENCY-WIDE
PERSPECTIVE.
AND ALSO THIS YEAR, AND PART OF
LAST YEAR, HOPEFULLY WILL HAVE
SEEN THAT DAVE HAS BEEN TALKING
TO IC DIRECTORS AND WE HAVE
POSTED A FEW OF HIS
CONVERSATIONS THAT SHARE ABOUT
THE INSTITUTE CENTER AND BIT
ABOUT THEIR RESEARCH PORTFOLIO
AND HOW THEY WORK WITH TRIBAL
COMMUNITIES, AND HOPING TO DO
MORE OF THOSE AS WELL.
AND WE WERE VERY EXCITED THIS
YEAR TO GET LINKEDIN GOING.
AND THAT AUDIENCE THERE HAS
GROWN TO ALMOST 800. AND WE'RE
REALLY HOPING THAT YOUNG
AMERICAN INDIAN AND AALASKAN
NATIVE STUDENTS AND PROFESSORS
AND RESEARCHERS, AND COMMUNITIES
REALLY JOIN US THERE AND CAN
CREATE A STRONG COMMUNITY IN
TERMS OF CAREERS, AND TRAINING,
AND CONNECTING PEOPLE WITH
OTHERS AT NIH. AND JUST MAKING
THAT AS STRONG OF A COMMUNITY AS
POSSIBLE. AND JUST AN EASY WAY
TO CONNECT AND COMMUNICATION
ABOUT ALL THE INFORMATION THAT
WE HAVE.... GOING ON. I HOPE
THAT HELPS PROVIDE A QUICK
OVERVIEW. DAVE, ANYTHING ELSE
YOU WANTED ME TO MENTION.
>> NO, THANK YOU BONNIE THAT'S
GREAT. AND INFORMATION ABOUT
THE NEWSLETTER THAT'S BEEN
REALLY EFFECTIVE AND SHARING SO
MANY DIFFERENT TYPES OF
IMPORTANT INFORMATION TO THE
COMMUNITIES.
AND I THINK ALSO, WITH...
>> SORRY.
>> I WAS JUST GOING TO SAY, YOU
CAN SIGN UP FOR THE NEWS LETTER,
IF YOU DON'T RECEIVE THAT ON THE
HOMEPAGE, AND ALSO ALWAYS OPEN
TO FEEDBACK, IF THERE IS IT
OTHER CATEGORIESES THAT ARE NOT
INCLUDE AND HAD THAT WOULD BE
HELPFUL TO YOU AND YOUR
COMMUNITIES, THAT WOULD BE
WONDERFUL. AND JUST OPEN IN
GENERAL TO HEARING FEEDBACK. IN
THE TAC MEETINGS OR OTHER TIMES
OF THE MONTH THAT MIGHT BE
HELPFUL TO KNOW.
>> YEAH, STEVE HERE, I SPENT A
LITTLE TIME LOOKING AT THE
RESOURCES YOU SENT ME TO ON THE
BRAKE WHILE WE WERE TALKING, AND
I REALLY CAN'T FIND WHERE THE
WRITTEN STUFF IS ON THAT. I CAN
FIND THE RESEARCH THAT IS GOING
ON REAL QUICK. BUT NO
INFORMATION COMING OUT OF THE
RESEARCH.
AND THAT MIGHT BE BECAUSE IT
HASN'T BEEN PUBLISHED YET. AND
THAT'S WHY THEN YOU SAID YOU GO
TO PUBMED. AND SO KIND OF GOES
BACK TO, YOU KNOW, UNLESS YOU
ARE INTO RESEARCH, IT'S KIND OF
LIKE... IT'S... A NEW SKILLSET
YOU HAVE TO DEVELOP TO MINE THAT
PLACE, TO FIND THE STUFF THAT
YOU WANT. AND THAT KIND OF GOES
BACK TO THE PART OF THAT BULLET
THAT WE HAD ABOUT HOW DO WE MAKE
THIS RESEARCH READILY AVAILABLE
TO THE COMMUNITIES?
AND, YOU KNOW, SO... SO I LOOK
FORWARD TO HAVING SOME
CONVERSATIONS IN THE FUTURE
ABOUT... WHAT DO THINGS LOOK
LIKE. AND HOW... BECAUSE, I
HAVE PARTICIPATED IN RESEARCH,
AND COAUTHORED SOME THINGS, AND
I HAVEN'T EVEN GONE LOOKING FOR
MY STUFF. AND I DON'T REALLY
KNOW WHERE YOU FIND IT ALL.
>> ANOTHER THING WE HOPE TO DO
NEXT YEAR, AND AGAIN, AS WE GET
MORE SUPPORT ON BOARD, BUT WE
WOULD LIKE TO DO RESEARCH BRIEFS
AND HIGHLIGHTS ON OUR WEBSITE.
AND BE ABLE TO SHARE THOSE
THROUGH LINKEDIN AND FACEBOOK,
AND LISTSERV AND REALLY HIGH
LEVEL. AND CALLING TENSION TO
IT. AND WHAT WAS THE RESULT AND
WHAT WERE SOME OF THE SUCCESS
ASSOCIATED WITH THE RESEARCH,
AND MAKING THAT MORE VISIBLE AND
EASY TO SHARE.
>> AND WOI ALSO SAY, PROBABLY
NEED TO ENGAGE IN THE
CONVERSATION WITH NARCH. I ALSO
NEED TO ENGAGE IN THE
CONVERSATION WITH NARCH. ALSO
NEED TO ENGAGE IN THE
CONVERSATION WITH NARCH. W ALSO
NEED TO ENGAGE IN THE
CONVERSATION WITH NARCH. OU ALSY
NEED TO ENGAGE IN THE
CONVERSATION WITH NARCH. L ALSO
PROBABLY NEED TO ENGAGE IN THE
CONVERSATION WITH NARCH. D ALSO
PROBABLY NEED TO ENGAGE IN THE
CONVERSATION WITH NARCH.
BECAUSE THEY'RE DOING THE
FOREFRONT OF THE RESEARCH WITH
US. SO, YOU KNOW.
>> NARCH IS DEFINITELY INCLUDED
AND WE WORK CLOSELY TOGETHER ON
A VARIETY OF DIFFERENT THINGS.
AND SO WE WORK CLOSELY IN TERMS
OF CONSULTATION. AND CURRENTLY
WORKING TOGETHER CLOSELY ON
PROVIDING ADDITIONAL SUPPORT AND
RESOURCES AROUND IRB'S,
SUPPORTING TRIBAL IRBS, AND SO
WE DEFINITELY DO WORK CLOSELY
WITH THEM ON MANY DIFFERENT
FRONTS.
AND I ALSO THINK IT'S IMPORTANT
FOR US TO REMEMBER THAT WHEN WE
THINK ABOUT ON GOING RESEARCH,
AND TRYING TO IDENTIFY THE
RESULTS FROM THAT RESEARCH, MANY
OF OUR NIH FUNDED GRANTS FROM
4-5 YEARS, AND DOES TAKE A WHILE
FOR THOSE FINDINGS TO BE
VALIDATED AND PUBLISHED AND FOR
THOSE TO COME OUT. AND SO I
THINK IT'S SOMETHING TO REMEMBER
WHEN WE THINK ABOUT HOW WE FIND
RESEARCH, AND FIND RESULTS AND
FROM RESEARCH THAT'S BEEN
SUPPORTED BY THE AGENCY.
>> AND WANTED TO POINT OUT
QUICK RESOURCES IN CASE YOU ARE
NOT AWARE OF THEM. AND ONE IS
NIH NEWS AND HEALTH, AND ALL
BASED ON NIH FUNDED RESEARCH,
AND ACTUALLY WRITTEN IN PLAIN
LANGUAGE. AND 8TH AND 10TH
GRADE LEVEL. AND I THINK
EVERYONE CAN APPRECIATE THE
INFORMATION IN THE WAY YOU CAN
SKIM AND UNDERSTAND AND SHARE.
AND SO AAVAILABLE FOR FREE. AND
BENEFIT OF PLAIN LANGUAGE, 4
PAGES, AND COLORFUL NEWSLETTER,
AND EACH MONTH... ONE COLOR AND
IT HAS ILLUSTRATIONS AND I THINK
IT TRANSLATES RESEARCH
BEAUTIFULLY, FOR COMMUNITIES,
AND WE HAVE IN A LOT OF
LIBRARIES, AND WOULD LOVE IF
MORE COMMUNITIES REQUESTED THAT
FOR FREE, AND IT WOULD COME
MONTHLY, AND PEOPLE CAN TAKE IT
MOME, AND THERE IS PARTS YOU CAN
CUT OUT FOR BULLETIN BOARDS,
REALLY NICE RESOURCE, AND OTHER
IS NIH RESEARCH MATTERS. AND
THAT COMES OUT EVERY WEEK, AND
THEY LOOK AT RESEARCH, AND
DISTILL INTO THE BITE-SIZE
INFORMATION, AND VERY WELL DONE,
AND NIH, AND NIH FUNDED
RESEARCH, A LITTLE BIT HIGHER
LEVEL FOR RESEARCHERS, AND
JUST... A WONDERFUL LEVEL OF --
YOU CAN COMPREHEND IT VERY
EASILY. GREAT WRITING, AND
HAPPY TO PUT THOSE IN THE CHAT
IF THAT'S HELPFUL.
>> SO YOU CAN SEE THERE IS A
LOT GOING ON IN TERMS OF
COMMUNICATION AND OUTREACH AND
ENGAGEMENT, AND WHAT WE CAN DO
AS WELL, IS WORK WITH THE
DIFFERENT PROGRAMS, LIKE THE
NARCH PROGRAM ON LEARNING MORE
ABOUT HOW THEY DISSEMINATE THEIR
FINDINGS TO THE COMMUNITIES.
AND SINCE THESE ARE TRIBELY
DRIVEN RESEARCH INITIATIVE IT IS
OR PROGRAMS, IT WOULD BE
INTERESTED TO HEARING FROM THE
COMMUNITIES THAT LEAD THE
PROGRAMS, AND HOW THEY'RE
GETTING THE RESULTS BACK INTO
THE COMMUNITIES.
AND I THINK WE WOULD BE ABLE TO
IDENTIFY SOME BEST PRACTICES HOW
TRIBAL COMMUNITIES ARE DOING IT.
OF COURSE IT'S GOING TO BE
REGION-TO-REGION SPECIFIC AND
TRIBE-TO-TRIBE SPECIFIC. WE
KNOW IF WE ENGAGE AND WORK WITH
ONE TRIBE, WE WORKED AND ENGAGED
WITH ONE TRIBE.
SO IMPORTANT TO TAKE THAT INTO
CONSIDERATION THERE IS NOT A ONE
SIZE FITS ALL IN TERMS OF
ADDRESSING ALL THE COMMUNICATION
NEEDS BUT WE CAN HELP PROVIDE
SOME BEST PRACTICES, AND SOME
THINGS THAT PEOPLE CAN USE AS
THEY YAS A REQUIREMENT OR SOMET
THAT THEY SHOULD BE THINKING
ABOUT WHEN RESEARCH IS COMPLETED
AND WITH THEY Y TRIBAL COMMUNIT
AND SO IN TERMS OF THINKING
ABOUT 2023 WORK PLAN. WHAT I'M
HEARING FROM THE COMMITTEE WHAT
WHAT I REALLY THINK WE SHOULD BE
THINKING ABOUT ARE OPPORTUNITIES
FOR LEARNING MORE ABOUT THE
TOOLS AND RESOURCES THAT ARE
AVAILABLE NOT ONLY TO THE TAC,
BUT TO THE COMMUNITY. AND ONE
OF THE THINGS WE WOULD LIKE TO
THINK ABOUT IS MAYBE BRINGING IN
A REPRESENTATIVE OR OFFICE
MEMBER FROM THE OFFICE OF
EXTRAMURAL RESEARCH, OER WHO
WOULD HELP US BETTER UNDERSTAND
THE PLATFORM, AND BE ABLE TO
NAVIGATE IT AND IDENTIFY
SPECIFIC PROJECTS NOT ONLY IN
OUR AREA BUT SPECIFIC RESEARCH
TOPIC AND MAYBE THE RESEARCH
TAKEN ON OR SUPPORTED BY
PARTICULAR INVESTIGATOR, AND
THAT MIGHT BE ONE OF THE HELPFUL
TRAINING INSTRUMENTS WE MIGHT BE
ABLE TO PURSUES IN 2023 TO HELP
US BETTER UNDERSTAND THE
RESEARCH THAT'S HAPPENING IN
REALTIME ACROSS THE NIH, AND
ALSO A GUIDED TOUR THROUGH THE
NCBI DATA BASE. WHERE PUBMED
STORES ALL THE PUBLICATIONS AND
HOW TO IDENTIFY AND FIND
RESEARCH THAT IS IMPORTANT FOR
OUR COMMUNITIES THAT WE WANT TO
SHARE WITH OUR COMMUNITIES, AND
WITH OUR TRIBAL HEALTH
DEPARTMENTS, AND/OR OTHERS.
AND SO I THINK THAT'S WHAT WE
HAVE... AND ALSO, I THINK IT
WOULD BE IMPORTANT TO KICK OFF
THE NEW YEAR, WITH AN AGENCY
OVERVIEW OF WHERE WE STAND IN
TERMS OF NIH LEADERSHIP, AND
WHAT ARE SOME OF THE ON GOING
PRIORITIES FOR THE AGENCY, AND
HOW THE AGENCY OVERALL
FUNCTIONS, I THINK YOU HEARD
THAT EACH OF THE 27TH... IT WAS
ALLUDED TO IN HIS REMARKS. THAT
THERE ARE 27 INSTITUTES THAT
HAVE 27 DIRECTORS AND VERY
DIFFERENT, AND RECEIVE THEIR
APPROPRIATIONS DIRECTLY FROM
CONGRESS, AND NOT LIKE THEY COME
FROM THE OFFICE OF DIRECTOR, AND
THEY GO TO THE IC'S, AND SO WE
ALL ARE LIKE A BIG RESEARCH
CITY, WHERE WE HAVE TO
COLLABORATE TOGETHER TO ACHIEVE
COMMON GOALS. AND LEARNING
ABOUT HOW EACH OF THE DIFFERENT
INSTITUTES AND CENTERS ARE
WORKING WITH ROA OR WORKING WITH
THE OFFICE OF DIRECTOR TO
ACHIEVE THE GOALS OF TAC AND
THINK WOULD ALSO BE BENEFICIAL
TO THE COMMITTEE ON ACHIEVING
OUR PRIORITIES IN 2023.
ANY THOUGHTS ON THOSE
SUGGESTIONS SO FAR?
>> DR. S.
>> YEAH, I THINK JUST GOING
BACK TO HOW INFORMATION GETS
COMMUNICATED, AND WITH THE
REPORTER. I HAVE SEEN, YOU
KNOW, INFORMATION THAT IS
DESCRIBED AROUND A PROPOSAL IN
THE REPORTER, AND HOW IT GETS
COMMUNICATED TO THE COMMUNITY IS
MORE -- IT SEEMS LIKE IT'S
CLENSED TO BE MORE PALATABLE TO
THE COMMUNITY AND THINK NOT THAT
TRANSPARENCY HAPPENING IN THE
COMMUNITY, AND REALLY NEEDS TO
KNOW THE TRUE INTENT OF SPECIFIC
STUDIES AND I THINK THAT'S AN
ISSUE, AND NEED US US TO BE MORE
TRANSPARENCY HOW INFORMATION IS
SHARED.
>> THANK YOU, MR. S.
>> THANK YOU, DR. WILSON. I
THINK IN OUR CAUCUSES THIS
AFTERNOON, AND EARLY THIS
AFTERNOON, PARTICULARLY AMONG
THE NEW NUMBERS AND THE
DISCUSSION DESIRE TO GET MORE
INFORMATION ABOUT HOW NIH WORKS,
AND THE POINT OF INSTITUTE
UNDERSTANDING OF THE
RELATIONSHIP BETWEEN THE
INSTITUTE AND IS ASSOCIATION
BETWEEN THE INSTITUTES, AND ALL
THOSE TYPES OF THINGS WOULD BE
REALLY HELPFUL I THINK
PARTICULARLY FOR THE NEWER
MEMBERS. AND I THINK IT NEVER
HURTS TO HAVE A REFRESHER, AND I
THINK ALONG WITH THAT WE HAD
DISCUSSION ABOUT, AS SOON AS WE
POSSIBLY CAN, RENEWING THE IN
PERSON MEETING, SO THAT WE CAN
ACTUALLY GET TO MEET SOME OF THE
DIRECTORS, OR DEPUTY DISTRICTERS
OR WHOEVER, I KNOW WHEN WE HAD
IN PERSON MEETINGS WE COULD
ACTUALLY MEET FOLKS, AND PRETTY
WELL ATTENDED. AND I THINK THAT
WOULD BE HELPFUL AS WELL. AS
SOON AS WE CAN TO PERHAPS THINK
ABOUT IN PERSON MEETING AND
REALLY ENCOURAGING
REPRESENTATION FROM AS MANY
INSTITUTES AS POSSIBLE, TO
ACTUALLY MEET SOME FOLKS, AND,
YOU KNOW, ENGAGE WITH THEM
DIRECTLY. AND SO THAT WAS
PRETTY CLEAR DESIRE, WISH FROM
THE CAUCUS THIS MORNING. THANK
YOU.
>> THANK YOU THERE S.
>> I THINK THAT'S A TERRIFIC
IDEA. I KNOW WE HAD A NUMBER OF
IC DIRECTORS WHO HAVE BEEN
ANXIOUSLY HOPING TO GET IN FRONT
OF THE TAC, AND SPEAK WITH YOU
ALL. AND I THINK WHEN WE HAVE
OUR NEXT IN-PERSON MEETING
THINKING ABOUT IC DIRECTOR
MIXER, WHERE WE CAN ALL HAVE
INFORMAL CONVERSATIONS, AND
GREET EACH OTHER, AND THAT CAN
TRANSITION MORE INTO THE FORMAL
SETTING AND TALK ABOUT THE
FUNCTIONS OF INSTITUTES, AND
CENTRES AND OFFICES, AND CAN
HEAR ABOUT NUMBER ONE WHAT ARE
THEIR PRIORITIES AND HAVE NEW
DIRECTORS AND THAT WOULD BE
GREAT TO MAKE YOUR ACQUAINTANCE
AND VICE VERSA, AND HEAR ABOUT
THE TOP PRIORITIES FOR THE
INSTITUTE MOVING FORWARD.
>> AND ON THE FLIP SIDE TO HAVE
THAT DR. WILSON, AND CHANCE TO
HAVE SOME TRIBAL PRESENTATIONS,
AND AS A REQUIREMENT OR
SOMETHING THAT THEY SHOULD BE
THINKING ABOUT WHEN RESEARCH IS
COMPLETED AND WITH AND SO IT
MIGHT BE TIME TO REVISIT SOME OF
THOSE PRESENTATIONS FROM, FROM
OUR SIDE AS WELL. THANK YOU. .
>> THANK YOU.
>> EXCELLENT, WONDERFUL.
>> I THINK WE'LL HAVE TO... I
THINK THINGS ARE TRANSITIONING
MORE TOWARD IN-PERSON, YOU KNOW,
AND THERE IS ALWAYS GOING TO BE
A LITTLE BIT OF HESITANTSY
BECAUSE WE'RE IN THE WINTER
SEASON WITH RSV, AND ALSO WITH
THE FLU, BUT ARE TRYING TO MAKE
THAT TRANSITION, AND I THINK AS
WE GET MORE INTO THE NEW YEAR,
THAT WILL HOPEFULLY BECOME LESS
AND LESS OF AN ISSUE, AND
DEFINITELY WILL SEEK GUIDANCE
FROM LEADERSHIP, AND HOW THEY
WANT TO MOVE FORWARD.
BUT, I AGREE WITH YOU, I THINK
IT'S TIME FOR US TO START
MEETING IN PERSON AGAIN, BECAUSE
THERE IS A LOT THERE THAT IS
LOST WHEN WE ARE NOT ABLE TO
MEET FACE TO FACE. AND NOT ABLE
TO DO LIKE WE DID IN THE PAST,
AND BREAK BREAD TOGETHER AND
HAVE CONVERSATION ABOUT THESE
PRIORITIES.
>> ARE THERE ANY OTHER
SUGGESTED FEATURES OR
PRESENTATIONS WE SHOULD BE
THINKING ABOUT MOVING INTO 2023.
I REALLY APPRECIATE THINKING
ABOUT HOW DO WE INCLUDE THE IC
DIRECTORS INTO THIS?
AND HOW CAN WE PROVIDE A VERY
ROBUST, AND COMPREHENSIVE
OVERVIEW OF HOW THE NIH WORKS?
AND HOW ALL THE DIFFERENT IC'S
WORK TOGETHER. I THINK IT'S
ALSO IMPORTANT FOR US TO TALK
MORE ABOUT... AND THIS CAN BE IN
ADDITION TO ONE OF THESE
IN-PERSON MEETINGS. IS ABOUT
HOW THE TAC WANTS TO OPERATE OR
FUNCTION AS A COMMITTEE.
I THINK THAT'S REALLY WHAT WE
WANT TO LAY OUT, MOVING FORWARD.
SO I THINK WE COVERED A LOT
HERE. COUNCILWOMAN FRIAS IS
THERE ANYTHING ELSE YOU WANTED
TO TALK ABOUT THE PRIORITIES,
HOW DID WE WANT TO END, I KNOW
WE HAVE EVERYTHING THAT'S BEEN
LISTED IN TERMS OF ITEMS AND
SUBJECTS FOR TAC PRIORITIES BUT
THOSE HAVEN'T BEEN OVERLAID ON
TO THE GOALS, AND I THINK THAT'S
OUR NEXT STEP TO DO THAT. AND
THEN, ONCE THAT HAPPENS, THEN WE
CAN READILY BE ABLE TO IDENTIFY
THE GAPS, YOU KNOW, THAT EXIST,
AND THEN, I THINK THEN WE CAN
SUGGEST THOSE GAPS AS PRIORITY
AREAS FOR THE COMMITTEE IN 2023.
IT WOULD BE UP FOR TO YOU SELECT
OF COURSE WHAT THE PRIORITIES
WOULD BE. BUT I THINK THAT'S
THE NEXT STEP IN OUR PROCESS.
AND THEN ONCE WE IDENTIFY THOSE
GAPS, THOSE RECOMMENDATIONS
SHOULD PROBABLY ALSO GO FORWARD
INTO THE NEXT STRATEGIC PLAN,
BECAUSE WE'RE NOT GOING TO BE
ABLE TO ACCOMPLISH ALL THOSE IN
ONE YEAR, RIGHT?
AND SOME OF THEM ARE SHORT TERM,
AND MANY OF THEM ARE LONGER
TERM. AND SO HOW CAN WE INCLUDE
THOSE INTO THE NEW ITERATION OF
THE 2024 TO 2028 NIH STRATEGIC
PLAN FOR TRIBAL HEALTH RESEARCH.
>> YEAH, I AGREE WITH THAT. I
THINK BECAUSE THE PLAN YOU
PRESENTED... UNTIL 2023...?
>> YES, THAT'S CORRECT.
>> SO, START MOVING ON THAT
ONE. I AGREE WITH THAT.
AND SO FOR THE NEXT MEETING IN
JANUARY, ARE WE LOOKING AT... WE
WERE SUPPOSED TO HAVE A MEETING
AT THE END OF THIS MONTH, AND
WITH THE TAC WE'RE NOT PLANNING
ON HAVING ANOTHER MEETING THIS
MONTH, THIS IS THE MEETING.
>> CORRECT.
>> AND SO FOR THE NEXT MEETING
IN JANUARY, YOU WOULD BRING UP
THE AGENCY OVERVIEW...
>> SO WE CAN DO ONE OF TWO
THINGS, WE CAN EITHER DO THE
AGENCY OVERVIEW, OR WE CAN
WORK -- WE CAN PRIORITIZE THE
OVERLAY OF EVERYTHING WE
ACCUMULATED IN TERMS OF THE TECH
PRIORITIES, AND THEN PUT THOSE
OVER THE TAC GOALS, AND
OBJECTIVES, AND THEN BE ABLE TO
IDENTIFY THOSE GAPS IN YOU
PRIORITIES, AND THEN PUT THOSE
OVER THE TAC GOALS, AND
OBJECTIVES, AND THEN BE ABLE TO
IDENTIFY THOSE GAPS IN YOUA
PRIORITIES, AND THEN PUT THOSE
OVER THE TAC GOALS, AND
OBJECTIVES, AND THEN BE ABLE TO
IDENTIFY THOSE GAPS IN YOUC
PRIORITIES, AND THEN PUT THOSE
OVER THE TAC GOALS, AND
OBJECTIVES, AND THEN BE ABLE TO
IDENTIFY THOSE GAPS IN YFEBR
FEBRURARY. AND THEN COULD START
THE AGENCY OVER VIEW, AND HOW
EVERYTHING WORKS, AND THEN BEGIN
TO CREATE PLANS HOW THE
IDENTIFIED PRIORITY ISSUES,
WHICH OF THE INSTITUTES AND
CENTRES AND OFFICES WOULD WE
WANT TO FOCUS ON TO HELP FOCUS
TO HELP US ACHIEVE THOSE TOP
LINE PRIORITY ITEMS FOR 2023.
>> THAT MAKES SENSE TO ME, HOW
DOES THE REST OF THE TAC FEEL
ABOUT THAT?
>> I THINK IT MAKES SENSE TO ME
TOO. I WOULD LIKE TO GO AHEAD
AND DO THE OVERHEAD THAT DR.
WILSON DISCUSSED AND MOSE DID AS
WELL. WITH THE NEW DOCUMENT
WHILE THAT'S STILL FRESH ON
EVERYBODY'S MIND AND GET THAT
TAKEN CARE OF AND FINALIZED.
AND YEAH, I THINK THAT IF WE DO
SOME OF THE IC INTRODUCTIONS,
AND THOSE TYPES OF THINGS, THEN
PERHAPS BY THE TIME WE DO HAVE
AN IN-PERSON MEETING, WE'LL HAVE
A LITTLE BIT BETTER
UNDERSTANDING OF HOW THE
INSTITUTES WORK, AND DON'T HAVE
TO SPEND ALL THE TIME GOING OVER
THAT AGAIN, IN PERSON. AND SO
IT MIGHT BE NICE TO HAVE THAT
ALREADY DONE. THANK YOU.
>> THANK YOU.
>> I THINK AS WE MOVE ALONG, IF
WE START, AS WE'RE
INSTITUTIONALIZING THIS PROCESS,
I THINK IT'S REALLY IMPORTANT,
BECAUSE... THIS IS ALL A
PROCESS, AND WE HAVEN'T REALLY
HAD THIS TYPE OF PROCESS.
AND SO AS WE START GETTING NEW
MEMBERS ON BOARD THEY CAN REFER
BACK TO THIS PROCESS, AND
ORIENTATION, AND HERE IT IS.
THESE ARE THE GOALS AND
PRIORITIES, AND ALL THE PROCESS
WE GONE THROUGH, SO THAT THEY
DON'T COME IN COLD. OR THEY
DON'T FEEL LIKE THEY'RE COMING
IN COLD.
>> RIGHT, ABSOLUTELY. I
TOTALLY AGREE WITH THAT. AND I
REALLY APPRECIATE ALL THE
COMMITTEE MEMBERS BEGINNING TO
RESHIFT. AND I KNOW YOU ARE
STILL FOCUSED AND A LOT GOING ON
IN OUR COMMUNITIES. AND AS WE
NOW BEGIN TO EMERGE OUT OF THE
PANDEMIC, AND REALLY REFOCUSING
ON THE OTHER HEALTH DISPARITIES,
WE REALLY NEED TO THINK ABOUT.
AND NOT ONLY HAVE THEY NOT GONE
AWAY, MANY OF THEM HAVE GOTTEN
WORSE, MUCH, MUCH, WORSE. AND
WE REALLY NEED A UNIFIED PLAN
TOGETHER, AND NOT ONLY TO
ADDRESS THEM, BUT ALSO TO
MEASURE OUR SUCCESS.
AND THAT'S ONE OF THE THINGS
THAT WE WERE STRUGGLING WITH
WITH THE 47 PRIORITIES, IS THAT
HOW ARE WE GOING TO MEASURE
THOSE?
YOU KNOW, SO ONCE WE IDENTIFY
THE GAPS... AND WE SAY, THIS IS
THE PARTICULAR ISSUE WE WANT TO
FOCUS ON, AND THEN WE CAN
DEVELOP THE METRICS TO GO ALONG
WITH THAT. AND THAT'S THE
REALLY IMPORTANT STEP AS WELL.
DR. S
>> YEAH, I AGREE WITH WHAT WAS
RECOMMENDED IN TERMS OF HOW WE
CHART OUR PATH WAY IN 2023. ONE
THING I WANTED TO SUGGEST TOO --
I KNOW THAT I THINK DR. J
TALKING ABOUT BEING A NEW
MEMBER, WHEN I STARTED I DID NOT
GET A REAL ORIENTATION, AND SORT
OF JUMP IN, AND YOU START
SWIMMING, REALLY FAST.
AND YOU LEARN AS YOU GO.
AND I WAS WONDERING IF IT MIGHT
BE POSSIBLE FOR THE DEVELOPMENT
OF JUST A SHORT VIDEO, LIKE AN
INTRODUCTORY VIDEO THAT IS A
WELCOME ORIENTATION VIDEO FOR
NEW TAC MEMBERS. JUST... I KNOW
WE HAVE A CHARTER, AND WE HAVE
DOCUMENTATION OF, YOU KNOW, SORT
OF HOW, WE OPERATE. BUT,
IT'S... I THINK A VIDEO AND
SOMEBODY LIKE, WELCOMING YOU ON
BOARD. AND A HUMAN FACE,
ACTUALLY, MIGHT MAKE A
DIFFERENCE IN TERMS OF RETAINING
SOME OF THIS INFORMATION.
AND MAKING PEOPLE FEEL LIKE
THEY'RE BROUGHT ONBOARD IN A WAY
WE'RE HAPPY YOU ARE HERE, AND
GLAD YOU ARE GOING TO JOIN US,
AND CAN BE SOMETHING THAT AS NEW
MEMBERS ARE ONBOARDED WE CAN
WATCH A WELCOME VIDEO WITH JUST
A BROADOVERVIEW OF UN, OUR
FUNCTION, AND OUR PURPOSE, AND
ROLES AND RESPONSIBILITIES AND
MANY SOME OF THOSE THAT WE'RE
WORKING ON CURRENTLY, AND THAT'S
A RECOMMENDATION I HAVE.
>> AND DR. B.
>> YEAH, NO, I'M SO GLAD YOU
MENTIONED THAT. BECAUSE THAT'S
ACTUALLY SOMETHING WE HAVE BEEN
THINKING ABOUT. AND WE WERE
CONSIDERING HOW WE COULD DO SOME
KIND OF VIDEO PRODUCTION, AND
THAT WOULD BE A SELF-PACED
MODULE THAT PEOPLE COULD WATCH
THAT WOULD EXPLAIN, AND SO HERE
IS NIH, AND HERE IS HOW WE WORK,
AND THAT KIND OF THING, AND ALSO
EXPLAIN RESEARCH, BECAUSE WE
KNOW EVERYBODY HAS UN, DIFFERENT
LEVELS OF UNDERSTANDING, AND
EXPERIENCE WITH RESEARCH, AND
SO... THAT'S SOMETHING WE WOULD
NEED TO GET ADDITIONAL SUPPORT
FOR, AND SO WE ARE LOOKING INTO
WHAT RESOURCES WE CAN GET TO
HIGHER EXTERNAL STAFF WHO COULD
HELP US DO SOMETHING LIKE THAT.
AND WE HAVE SEEN SOME OF THE
OTHER AGENCIES, MORE LIKE A
POWERPOINT, LIKE, CDC HAS AN
ORIENTATION, SELF-PACED 2-3 HOUR
COURSE FOR TAC MEMBERS. AND
THAT'S SOMETHING WE HAVE BEEN
THINKING ABOUT, AND GLAD YOU
MENTIONED IT. AND NOW I CAN
READ THAT AS SUPPORT FOR
ADVOCATING FOR RESOURCES AND
SOMETHING LIKE THAT. AND THANK
YOU. AND DR. S QUICKLY BEFORE I
GO TO MR. S.
>> WE USED TO DO THIS IN THE
PAST, AND IT WASN'T... I WOULD
SAY IT HAD LIMITED EFFECT. IN
TERMS OF PROVIDING AN OVERVIEW.
AND DR. ANDERSON AND I WOULD
GIVE ORIENTATIONS TO NEW
MEMBERS, AND SEVERAL TIMES WE
HAD TO DO THIS MULTIPLE TIMES,
AND I THINK YOU ARE RIGHT, MAYBE
HAVING A VIDEO THAT YOU COULD
WATCH AS MANY TIMES AS YOU
WANTED TO. TO BE ABLE TO REALLY
GET AN UNDERSTANDING. BECAUSE
THERE WAS A LOT OF INFORMATION
THAT WE COVERED IN THOSE
ORIENTATIONS.
AND YOU SHOULD HAVE ALSO
RECEIVED A TECH ORIENTATION,
BOOK WE CREATED TO HELP KIND OF
GIVE YOU SOME OF THAT BACKGROUND
INFORMATION AS WELL. ... WHEN
YOU ONBOARDED, AND REALLY LIKE
THE IDEA OF A VIDEO. THAT'S
SOMETHING THAT WOULD BE EASILY
ACCESSIBLE, AND WATCH IT ALL NOT
IN ONE SHOT. I THINK ALL OF US
ARE EXPERIENCING MULTIPLE
MEETINGS AND LACK OF TIME TO
REALLY FOCUS ON SOMETHING. AND
SO WOULD BE GREAT TO BE ABLE TO
WATCH HALF OF IT. AND HALF OF
IT BEFORE OUR NEXT MEETING OR
WHENEVER WE HAVE THE BREAKS
INBETWEEN, AND GREAT IDEA, AND
THAT'S SOMETHING WE DEFINITELY
WILL THINK ABOUT MORE CLOSELY.
>> I THINK THAT'S A REALLY
GOOD IDEA TOO. AGAIN, THAT WAS
A PROMMENT THEME THROUGH THE
CAUCUS TODAY. I WOULD NOT LIMIT
TO JUST THE NIH SIDE AS FAR AS
ORIENTATION GOES. INCLUDING
FROM THE TAC MEMBERSHIP
PERSPECTIVE AS WELL. AND FROM
OUR OUR ROLES ARE AND
EXPECTATIONS ARE, AND JUST AS
IMPORTANT AS PRESENTING FROM THE
NIH SIDE AS WELL. SO SOMETHING
TO KEEP IN MIND AS TAC MEMBERS,
THINGS WE MIGHT HAVE FOUND
HELPFUL FROM OUR PERSPECTIVE AND
NOT FROM AGENCY SIDE. THANK
YOU. EXCELLENT, YOU HAVE YOUR
HAND UP STILL. YOU HAVE ANOTHER
QUESTION. I'M SORRY, I DON'T
HAVE ANYTHING ELSE TO SAY.
[LAUGHTER] >> WELL, THESE HAVE
ALL BEEN FANTASTIC
RECOMMENDATIONS. AND THIS IS I
THINK WHAT DR. I SAID IN HIS
OPENING REMARKS, REALLY WANTED
TO HIT THAT RESET, AND I THINK
COMING OUT OF THIS IN 2023 WE
WILL HAVE A MUCH BETTER
RELATIONSHIP, AND COLLABORATIVE
PARTNERSHIP, AND EVERYBODY WILL
BE MORE CLEAR ABOUT WHAT WE'RE
TRYING TO ACCOMPLISH TOGETHER.
I THINK THAT'S BEEN A CHALLENGE
IN THE PAST, AND CHARTING A
COURSE FORWARD, SO THAT WILL NO
LONGER BE AN ISSUE.
I THINK THE NEXT THING WE HAVE
TO HAVE DISCUSSION ABOUT, AND
HAND OVER TO COUNCILWOMAN FRIAS
FOR THE ELECTION OF THE TAC
CHAIR AND CO-CHAIR FOR 2023.
>> I WANTED TO BRING THAT UP,
AND KNOW IT WAS GOING TO BE A
TOPIC DISCUSSED IN CAUCUS, AND
TURN IT OVER TO MR. SAUNKEAH,
AND GIVE AN UPDATE ON THAT. AND
WASN'T ABLE TO PARTICIPATE IN
THE CAUCUS TODAY.
>> AND THANK YOU, THERE WASN'T
VERY MANY OF US IN CAUCUS TODAY,
BUT AS FAR AS DELEGATES GO. BUT
CONSENSUS WAS WE WANT TO
POSTPONE THE ELECTION OF
OFFICERS UNTIL THE NEXT MEETING,
AND SAME THING WITH ORIENTATION,
THERE WERE FOLKS ON THAT WERE
NOT FAMILIAR WITH THAT PROCESS
WITH THE ELIGIBILITY CRITERIA,
AND ALL THOSE TYPES OF THINGS
THAT GO INTO ELECTING NEW
OFFICER, AND AGAIN, ONLY I THINK
5 OF US, 5 DELEGATES ON TODAY.
AND SO I THINK THAT THERE WAS
SOME... THERE WAS EXPRESSED
DESIRE TO PERHAPS POSTPONE IT
FOR A MONTH. AND AGAIN, THIS
WAS DR. WILSON TO RELY ON YOU IF
IT'S POSSIBLE, WE DON'T WANT TO
FALL OUTSIDE OF THE RULES AND
DON'T WANT TO RUSH THINGS
EITHER.
SO WE JUST WANTED TO SEE IF
THAT'S POSSIBLE, COUNCILWOMAN
FRIAS, IF WE CAN DO THAT. AND
PERHAPS HAVE A DISCUSSION, YOU
MIGHT HAVE A DISCUSSION, OR
HOWEVER YOU WANT TO HANDLE IT AS
FAR AS WHAT THIS ELECTION MIGHT
LOOK LIKE. AND YOU WANT US TO
SEND YOU NOMINATIONS, AND WE CAN
HAVE A VOTE NEXT MEETING, AND
WHATEVER YOU THINK MIGHT BE A
GOOD WAY TO DO IT.
AND AGAIN, DR. WILSON, WE NEED
TO KNOW WHAT OUR PARAMETERS ARE
FOR THESE ELECTIONS.
AND AGAIN I KNOW WE HAVE THIS
QUESTION EVERY YEAR ABOUT
ELIGIBILITY, AS FAR AS WHO IS
ELIGIBILITY FOR CHAIR AND
CO-CHAIR, IS A LITTLE MORE MORE
STRINGENT THAN GENERAL
MEMBERSHIP, AND WANTED TO CHECK
WITH YOU AS WELL TO SEE WHAT
THOSE PARAMETERS MIGHT BE. AND
I KNOW A LOT OF TAC MEMBERS AND
PARTICULARLY SOME OF THE NEW
ONES THAT HAD TO HOP OFF TODAY,
BECAUSE OF SOME CONFUSION WHEN
IT STARTED TODAY AND WHEN IT
ENDED.
AND SO I KNOW THERE IS A LOT OF
PEOPLE ARE OFF. AND SO THAT'S
ANOTHER REASON, I THINK WOULD BE
WISER TO POSTPONE THE VOTE FOR
NOW. THANK YOU.
>> THANK YOU MR. S.
>> I THINK AS LONG AS
COUNCILWOMAN IS AGREEABLE FOR
REMAINING CHAIR FOR ANOTHER
MONTH, WE WOULD BE HAPPY TO
ACCOMMODATE THAT. I THINK
THAT'S IMPORTANT AS WELL.
BECAUSE WE'RE GOING TO BE... I
KNOW WE RECEIVED MESSAGES THAT
MANY OF OUR DELEGATES, AND
POTENTIAL FUTURE DELEGATES ARE
RELYING ON TRIBAL PROCESSES TO
APPROVE THEIR NOMINATION, OR
SUBMIT THEIR NOMINATION
PACKAGES, AND THAT'S ALWAYS A
LIMITING FACTOR WE HAVE TO BE
VERY CONCOGNIZANT ABOUT. AND I
THINK THERE WILL BE MORE
APPLICATION, OR MORE NOMINATIONS
THAT WE RECEIVE, AND SO GREATER
NUMBER OF DELEGATES, IN
ATTENDANCE, I THINK AGREE WITH
YOU, I THINK IT WOULD BE
BENEFICIAL FOR THE COMMITTEE TO
DELAY OR POSTPOEN THE ELECTION,
AND WE WILL PROVIDE ALL OF THE
REQUIREMENT ELIGIBILITY
REQUIREMENTS FOR THE MATERIALS
INFORMATION TO THE TAC GOING
INTO THE NEXT ELECTION -- BEFORE
THE NEXT ELECTION.
SO HAVE THE OPPORTUNITY TO READ
IT, AND SHARE IT, AND AGREE UPON
IT BEFORE WE GO INTO THE
ELECTION. AND WE HAVE DONE IT
BOTH WAYS, AND DONE IT WHERE
IT'S BEEN OPEN, AND ALSO DONE IT
WHERE TAC DELEGATES HAVE SENT US
THEIR RECOMMENDATIONS OR THEIR
NOMINATIONS, AND WE TALLIED THEM
IN PRIVATE AND JUST SHARED WHO
HAS THE MAJORITY.
AND SO IT'S UP TO THE COMMITTEE
ON HOW THEY WANT TO MOVE FORWARD
WITH THAT.
>> THAT DOESN'T HAVE TO BE
AGREED UPON RIGHT AT THIS
MOMENT.
>> COULD YOU CLARIFY AGAIN,
PLEASE FOR THE DIFFERENCE
BETWEEN THE ELECTED OR APPOINTED
TRIBAL OFFICIAL VERSUS LEADER,
WHICH IS WHERE I THINK H HANG UP
COMES BETWEEN REGULAR MEMBERSHIP
AND VERSUS CHAIR AND CO-CHAIR.
DOES THAT PUT US OUT OF
REGULATION, IF PERHAPS THE CHAIR
CO-CHAIR IS NOT AN ELECTED
TRIBAL LEADER AS FAR AS
LEGISLATURE AND SOMETHING LIKE
THAT.
>> LET US CREATE A DOCUMENT
THAT LET'S US CLARIFY ALL THAT.
BECAUSE THERE ARE -- THAT'S A
REALLY IMPORTANT CONSIDERATION,
AND SOMETHING THAT THE WAY THE A
LOT OF THE BYLAWS ARE WRITTEN
DON'T TAKE INTO ACCOUNT.
>> AND THAT'S SOMETHING WE HAVE
TO CHANGE IN OUR POLICIES AS
WELL. SOME OF OUR TRIBAL
LEADERS ARE APPOINTED AND NOT
ELECTED. AND THAT'S ONE OF THE
NUANCES, AND WE WILL GET ALL
THAT INFORMATION TO YOU BEFORE
THE NEXT MEETING, SO THAT YOU
HAVE ALL OF THAT AT HAND.
THERE WERE SOME CHARTER
MODIFICATIONS THAT COMMITTEE
WANTED TO SEE IMPLEMENTED BEFORE
THE NEXT MEETING, AND THOSE ARE
CURRENTLY BEING ADDRESSED AS
WELL.
I DON'T WANT TO MAKE ANY BROAD
STATEMENTS UNTIL ALL OF THOSE
ARE FINALIZED, AND WE CAN GO
INTO THE COMMITTEE WITH
EVERYTHING FULLY SOLIDIFIED.
>> THANK YOU, SIR.
>> ABSOLUTELY.
>> OKAY, AND I'M OKAY WITH
POSTPONING FOR ANOTHER MONTH. I
CAN STAY ON FOR ANOTHER MONTH.
THANK YOU.
>> THANK YOU SO MUCH!
>> ALL RIGHT, SO... THOSE ARE
THE BIG THINGS. I THINK WE HAVE
ALL OF OUR NEXT STEPS IN PLACE,
AND SO WE NOW HAVE THE GOALS AND
OBJECTIVES, OF THE TAC.
WE ALREADY CATEGORIZED THE TAC
PRIORITIES, AND NOW WE WILL DO
THE OVERLAY ON THOSE AND PRESENT
THE GAPS THAT WE FIND IN THE
ANALYSIS. AND THEN FOR THE
JANUARY MEETING, WE WILL BE ABLE
TO PRESENT OUR FINDINGS FROM
THAT... FROM OUR RESEARCH BACK
TO THE TAC, AND HOPEFULLY BE
ABLE TO IDENTIFY PRIORITIES FOR
2023, BUT, ALSO WE WILL BEGIN
COORDINATING SOME OF THE
TRAINING SESSIONS THAT WE HAD
TALKED ABOUT FOR FEBRUARY,
AROUND... THE AGENCY FUNCTION,
AND HOW THE NIH WORKS AS A
WHOLE. AND THEN WE WILL ALSO
BEGIN THINKING ABOUT THE
IN-PERSON MEETINGS AND SEEKING
APPROVAL FOR THOSE, AND I THINK
THE EARLIER WE KNOW, THE FASTER
WE CAN GET THOSE ON THE
CALENDARS, BE BEFORE THEY GET
FILLED UP 2023. AND DEFINITELY
BEGIN THAT, AND WILL BE HEARING
FROM OUR CONTRACTOR KENDRA AND
ALL FAMILIAR WITH HER, AND WILL
BE SENDING OUT A DOODLE POLL FOR
US TO BEGIN COORDINATING THOSE
MEETINGS EARLY ON.
AND I THINK THOSE ARE THE NEXT
STEPS THAT WE CAN TAKE FOR 2023.
... FOR PLANNING FOR 2023.
>> WELL, I THINK WE HAVE
ADDRESSED ALL OF OUR AGENDA
ITEMS SO FAR.
AND SO... WE ACTUALLY MIGHT BE
ABLE TO END EARLY IF EVERYBODY
IS AGREEABLE TO THAT. MR
MR. SAUNKEAH. I WAS JUST GOING
TO LET COUNCILWOMAN FRIAS
KNOW -- I TOOK A LOT OF NOTES IN
CAUCUS TODAY AND I WILL COMPILE
ALL THE NOTES AND A LOT OF GOOD
QUESTIONS AND INFORMATION IN
THERE. AND I WILL COMPILE THOSE
NOTES, AND I WAS GOING TO SEND
THEM OUT IF IT'S OKAY WITH YOU
TO THE TAC MEMBERSHIP TO MAKE
SURE THEY'RE ACCURATE, AND
ACTUALLY WROTE DOWN WHAT PEOPLE
MEANT TO SAY.
AND THEN, YOU CAN HAVE THOSE,
AND THEN MAYBE SOME THINGS WE
NEED TO BRING BACK TO THE THROW
LEADERSHIP AS WELL, AND SO IF
THAT'S OKAY, I'LL COMPILE THOSE
AND SEND OUT COMMITTEE AND GET
THEM TO YOU. THANK YOU, I
APPRECIATE THAT. I THINK WE ALL
DO.
>> THANK YOU.
>> AND WHAT'S THE DATE FOR THE
NEXT MEETING?
STEVE HERE.
>> IT WILL THE BE JANUARY...
ARE WE STILL PLANNING ON HAVING
MONTHLY MEETING ON THE 4TH
WEDNESDAY?
I THINK WE STILL HAVE THAT ON
THE SCHEDULE, 4TH WEDNESDAY
EVERY MONTH. AND SO SAME
SCHEDULE IF THAT'S OKAY WITH
EVERYONE?
I DON'T KNOW WHAT THE DATE IS
THOUGH.
>> MAY BE THE 25TH.
>> OKAY.
>> YES, THAT IS THE AGREED UPON
DATE. AND THAT IS ON THE
CALENDAR.
>> OKAY.
>> WHAT ABOUT OUR FACE-TO-FACE
ONE?
IS IT AUGUST WE WERE PLANNING
THAT?
>> SO THERE WILL BE TWO OF THEM
IN 2023. AND THESE ARE WHAT WE
WANTED TO SEEK YOUR OPEN DATES
ON, AND SO THIS IS WHAT I
MENTIONED OUR CONTRACTOR KENDRA
WILL BE SENDING OUT A DOODLE
POLL, SO YOU CAN ALL FILL THOSE
IN.
>> OKAY.
ALSO, I THINK IT'S IMPORTANT
THAT WE AGREE UPON THE SITE FOR
THE NEXT POTENTIAL TWO-IN-PERSON
MEETINGS. AND I THINK MR
MR. SAUNKEAH RAISE THE CONCERN
ON IMPORTANT OF HAVING THEM HELD
ON THE NIH CAMPUS. AND I THINK
THAT'S WHAT WE'LL PLAN FOR THE
TWO MEETINGS IN 2023 AS WELL.
>> WONDERFUL.
>> SO AT THIS TIME, I WOULD
LIKE TO ASK DR. I OUR ACTING
DIRECTOR FOR... TO SAY A FEW
WORDS AS WE CLOSE OUT THE
MEETING TODAY. AND WONDERFUL
MEETING.
>> THANK YOU DR. WILSON, AND
WANT TO THANK YOU FOR THE
INFORMATION YOU SHARED WITH US,
AND INSIGHT AND ADVICE, AND AS
WE MOVE INTO THE NEW CALENDAR
YEAR, WE LOOK FORWARD TO
CONTINUING OUR STRONG
COLLABORATION, AND CONTACTS WITH
YOU. AND WE GAIN A GREAT DEAL
IN REGARDS TO TRIBAL HEALTH
RESEARCH IN GENERAL FROM THESE
DISCUSSIONS. AND SO... AGAIN,
THANK YOU FOR TAKING THE TIME TO
PARTICIPATE IN THIS PROCESS.
AND WISHING ALL OF YOU A HEALTHY
AND HAPPY HOLIDAY SEASON. THANK
YOU!
>> THANK YOU SO MUCH DR.
EISINGER. ABSOLUTELY, AND I
WANT TO REITERATE WHAT DR.
EISINGER SAID. THAT'S SO
IMPORTANT THIS PROCESS, IT IS A
PROCESS. AND WE ALWAYS THINK
THAT WE HAVE THE PROCESS DOWN,
AND THEN THINGS CHANGE. COVID
HITS, AND THEN, REALLY THROWS
THE PROCESS OFF. AND WE HAVE TO
REBUILD AND REINVENT THE
PROCESS, AND THAT'S WHAT WE'RE
DOING NOW TOGETHER AND THIS HAS
BEEN WONDERFUL. AND A LOT OF
IDEAS MOVING FORWARD.
AND SO REALLY EXCITED TO WHAT
2023 BRINGS. SO ANY FINAL
WORDS?
I SEE STEVEN TURNED HIS CAMERA
ON?
MR. KUTZ
>> I GUESS I REALLY ENJOYED
HAVING THE CONVERSATION TODAY,
AND, YOU KNOW, WHEN WE START
TALKING ABOUT MEANDERING THROUGH
ALL THE DATA BASES AND THINGS,
IT BROUGHT ME BACK TO WHEN THE
WEB CAME ONLINE BACK IN THE
EARLY 90'S, AND I TOOK THIS
TRAINING ON... IT WAS CALLED...
I DON'T KNOW, IT WAS A BROWSER,
I DON'T THINK EXISTS ANY MORE,
MAYBE, AND TRYING TO FIGURE OUT
HOW YOU FIND ALL THIS STUFF IN
THE WORLDWIDE WEB. AND NOW YOU
HAVE THIS HUGE WEB, WITHIN NIH.
AND SO HARD TO FIND THINGS, AND
SO... I GUESS, MAYBE... YOU
KNOW, HAVING A DIRECTORY UP
THERE, AND ACTUALLY MAYBE HAVING
SOME KIND OF VIDEO TRAINING
MAYBE UP THERE ON HOW TO
MANEUVER AND FIND THINGS IN
THERE FOR PEOPLE WHEN THEY GO ON
AND MIGHT BE HELPFUL.
>> AND WE DO HAVE THOSE VIDEO
TRAININGS THAT WE CAN MAKE SURE
TO PROVIDE AS A RESOURCE IN
FUTURE MEETINGS, AND DR. B.
>> YEAH, NO, I WAS GOING TO SAY
THAT'S AN IMPORTANT POINT.
>> I THINK GIVEN OUR BUDGET AS
45 BILLION DOLLARS, AND WE HAVE
HUNDREDS AND THOUSANDS OF
PROJECTS GOING ON, IT IS HARD TO
NAVIGATE. AND HAVE THAT
DIFFICULT AS NIH EMPLOYEES TO
LEARN EVERYTHING THAT IS
AVAILABLE.
AND SO I WAS WONDERING IF IT
MIGHT BE MORE HELPFUL TO FIND
OUT FROM YOU AND OTHER
DELEGATES, WHAT ARE SOME OF THE
SPECIFIC THINGS YOU WOULD WANT
TO KNOW ABOUT SPECIFIC AREAS?
BECAUSE IT WOULD BE... IT WOULD
BE ALMOST IMPOSSIBLE TO COMPILE
A LIST OF EVERYTHING THAT IS
AVAILABLE. BUT IF YOU SAID...
WE WANT TO KNOW WHERE WE WOULD
GO TO FIND HEALTH INFORMATION
THAT I WOULD SHARE WITH FAMILY
MEMBERS. OR... I WANTED TO KNOW
WHERE I WOULD GO TO READ ABOUT
THE OUTCOMES ASSOCIATED WITH
SPECIFIC RESEARCH, WHICH YOU CAN
DO IN REPORTER. AND SO MAYBE,
WE COULD THINK ABOUT HAVING
ON-GOING, QUESTIONS THAT COME
IN, THAT WE'RE FEATURING
RESPONSES, AND TRYING TO HELP
PEOPLE WALK THROUGH. BECAUSE
NIH DOES HAVE ONLINE VIDEOS FOR
THE PUBLIC, TO TRY... THAT
EXPLAIN HOW TO USE WHAT IS
AVAILABLE. AND THAT IS PART OF
OUR MISSION IS TO BE OPEN AND
TRANSPARENT, AND LET THE PUBLIC
KNOW WHAT WE'RE SPENDING THEIR
MONEY ON, RIGHT?
BECAUSE WE USE TAXPAYERS FUNDS.
AND SO SOMETHING TO THINK
ABOUT.
>> YEAH, I WAS ABLE TO FIND THE
RESEARCH STUFF ON RECORDER. AND
THAT WAS EASY. FINDING THE
REPORTS FROM THAT... IT GETS...
A BRIEF SYNOPSIS OF WHAT THEY'RE
DOING, AND WANTING TO GET INTO
THE FINDINGS AND THINGS, SOUNDS
YOU NEED TO GET TO PUBMED.
>> THERE IS A LINK IN REPORT,
WHEN YOU GO AND CLICK ON A
PROJECT, IF YOU LOOK TO THE
LEFT-HAND SIDE, THERE IS
DIFFERENT TABS, AND ONE OF THEM
IS OUTCOMES. AND SO IF YOU
CLICK ON "OUTCOMES" IT WOULD
SHOW YOU IF THERE IS ANY
PUBLISHED FINDINGS.
>> I DID THAT AND EXPECT WHEN I
DID THAT AND NOTHING THERE.
EITHER WASN'T THERE OR HAD NOT
BEEN PUT IN YET, BECAUSE THE
RESEARCH IS PROBABLY IN
PROGRESS.
>> RIGHT, IF THERE IS NOTHING
THERE. BECAUSE PEOPLE ARE
REQUIRED TO REPORT THEIR
OUTCOMES, IT MEANS THAT THERE
AREN'T ANY YES, SIR. YET. AS
MENTIONED BECAUSE WE FUND AWARDS
AND FIVE YEAR INCREMENTS AND
SOMETIMES THEIR RENEWED, THERE
CAN BE A LAG BETWEEN WHEN THEY
HAVE A FINDING, AND THEN WHEN
THEY ANALYZE THAT DATA AND MAKE
SURE THEY REPORT THAT AND A
DELAY TO GET THAT REPORTED IN A
JOURNAL, AND BECOMES TRANSLATED
FROM THERE INTO THE CLINICAL
PRACTICE. IT'S A LONG PROCESS.
[LAUGHTER]
>> YEAH, AND I GUESS IF YOU ARE
INTO RESEARCH, AND DOING THAT
CONSTANTLY YOU KNOW HOW TO
NAVIGATE ALL THAT STUFF.
>> YEAH, THANKS.
>> >> YOU'RE WELCOME.
>> ANY FINAL COMMENTS?
OR ANY ADDITIONAL?
>> YES, DR. WILSON, I WOULD
JUST LIKE TO THANK EVERYONE FOR
THEIR PARTICIPATION TODAY, AND
YESTERDAY. I THINK THAT WE HAD
REALLY GREAT DIALOGUE, AND I
WASN'T SURE HOW IT WAS GOING TO
GO BECAUSE IT WAS VIRTUAL. BUT
I THINK IT WENT REALLY WELL.
BECAUSE THE INFORMATION WAS
VERY... IT WAS VERY THOUGHTFUL
AND THE ENGAGEMENT WAS GREAT,
AND I THINK ONCE WE GET TO MEET
IN PERSON, IT WILL BE EVEN
BETTER. BUT HAVING THIS FOCUS
HAS BEEN VERY HELPFUL. AND I
THINK THAT WE ARE CONTINUE TO
PROGRESS, AND REALLY APPRECIATE
YOUR LEADERSHIP, AND EVERYBODY'S
LEADERSHIP THAT HAS BEEN ON THE
TAC, AND THIS HAS BEEN SO
HELPFUL AND YOUR GUIDANCE IN
HELPING ME, AND REALLY DO
APPRECIATE IT. BECAUSE... YOU
KNOW, IT'S A LOT -- WE'RE ALL
JUGGLING A LOT OF DIFFERENT
THINGS. AND I DO REALLY
APPRECIATE EVERYBODY'S
UNDERSTANDING AND PATIENTS, AND
ASSISTANCE, AND I REALLY DO
APPRECIATE IT.
AND I AM LOOKING FORWARD TO
CONTINUING TO WORK WITH
EVERYBODY, BECAUSE... THIS IS
REALLY GREAT WORK. AND LAST
NIGHT I HAD A CHANCE TO WATCH
THE VIDEO FROM THE PRESENTATION
EARLIER OR LAST MONTH, FROM VIA
AND SHE WAS SO INSPIRATIONAL AND
AWESOME, AND REMINDED ME WHY I
LOVE DOING WHAT I DO. AND JUST
WORKING FOR MY COMMUNITY, AND
WHY RESEARCH IS SO IMPORTANT IN
MAKING CONNECTIONS WITH POLICY.
AND SO YOU HAVE TO GET A CHANCE
IF YOU HAVEN'T SEEN IT ON THE
WEBSITE. AND YOU GET TO SEE
WHAT IS HAPPENING ALASKAN, AND
JUST TO HEAR HER AS AN ELDER AND
ALL HER KNOWLEDGE, IT'S JUST...
SHE'S JUST SO INSPIRING, AND
SO... IT JUST... YOU KNOW,
PEOPLE LIKE HER AND PEOPLE LIKE
YOU ARE PEOPLE THAT CONNECT ME
BACK TO MY PURPOSE AND I JUST
WANTED TO SAY THANK YOU, AND
WISH YOU ALL HAPPY HOLIDAYS, AND
HOPE YOUR FAMILIES ARE HAPPY.
THANK YOU.
>> >> THANK YOU SO MUCH
EVERYBODY.
>> THANK YOU, AGAIN, AND THIS
CONCLUDES OUR 2022, WINTER
SESSION FOR THE TAC MEETING.
AND LOOK FORWARD TO RECONVENING
IN EARLY NEXT YEAR, SO THANK YOU
SO MUCH EVERYBODY. HAPPY
HOLIDAYS.