DEPARTMENT OF HEALTH AND HUMAN SERVICES
NATIONAL INSTITUTES OF HEALTH
NATIONAL HEART, LUNG, AND BLOOD ADVISORY COUNCIL
MEETING SUMMARY OF THE
NATIONAL HEART, LUNG, AND BLOOD ADVISORY COUNCIL
February 12, 2014
The 254th meeting of the National Heart, Lung, and Blood Advisory Council (NHLBAC) was convened on Wednesday, February 12, 2014, in Conference Room 10, C Wing, Building 31, National Institutes of Health, Bethesda, Maryland. The meeting was open to the public from 8:10 a.m. until adjournment at 1:35 p.m. Dr. Gary H. Gibbons, Director of the National Heart, Lung, and Blood Institute (NHLBI), presided as Chair. Because of the impending winter storm, the agenda was abbreviated and the entire session was open. A closed session via teleconference, entirely for grant review, was planned.
Council Members attending in person:
Mr. Jonathan R. Alger
Dr. Ivor J. Benjamin
Dr. Jonathan A. Epstein
Dr. Robert L. Jesse (ex officio)
Dr. Ron G. King
Dr. Talmadge E. King
Dr. Barbara A. Konkle
Dr. Naomi L.C. Luban
Dr. Polly E. Parsons
Dr. Anna Maria Siega-Riz
Dr. Gilbert C. White
Dr. Jeffrey A. Whitsett
Council Members attending via videoconference:
Ms. Coletta C. Barrett
Dr. George Q. Daley
Dr. Pamela S. Douglas
Dr. Lanetta B. Jordan
Dr. Veronique Lee Roger
Dr. Leslee J. Shaw
Council member unable to attend:
Dr. Bruce M. Psaty
Dr. Larry Boerboom
Dr. Ghenima Dirami
Dr. Noni Byrnes
Dr. Kathy Malinda
Ms. Supie Shea, Decision Lens
Ms. Debbie Yu, Decision Lens
Members of the Public Present:
Ms. Katrina Burson, RTI International
Mr. Dale Dirks, Health and Medicine Counsel of Washington, D.C
Ms. Virgnia Meehan, Northwestern University
Ms. Nuala Moore, American Thoracic Society
Ms. Lori Pellnitz, SRI
Dr. Michael Salgaller, The Conafay Group
Ms. Priyanka Suno, Health and Medicine Counsel of Washington, D.C.
NHLBI Employees Present:
Numerous NHLBI staff members were in attendance or were able to view the meeting via closed circuit broadcast.
I. CALL TO ORDER
Dr. Gary H. Gibbons, Director of the National Heart, Lung, and Blood Institute, welcomed members to the 254th meeting of the National Heart, Lung, and Blood Advisory Council.
II. ADMINISTRATIVE ANNOUNCEMENTS
Dr. Stephen C. Mockrin, Director, Division of Extramural Research Activities, NHLBI, reviewed which Council members were participating in the meeting via videoconference and which were unable to participate due to inclement weather. He announced that prospective new Council members are expected to attend the June 2014 Council meeting. He also thanked recently retired Council members, Dr. Lanetta Jordan, Dr. Talmadge King, and Dr. Leslee Shaw for attending one last meeting. Dr. Mockrin outlined the agenda for the Council meeting, which was modified due to the forecast for severe weather.
The Council was also provided an update on staff appointments and transitions:
- Dr. Lenora Johnson has joined the NHLBI as Director of the emerging Office of Health Education, Communications, and Science Policy (OHECSP)
- The NHLBI has established the Center for Translation Research and Implementation Science (CTRIS), with Dr. George Mensah as its Director. The Center will serve as the strategic focal point for implementation science, translation research to improve health outcomes in the real world, health inequities, global health, and research training for the workforce to meet these goals.
III. REPORT OF THE DIRECTOR
Dr. Gibbons began his Report of the Director with an overview of the changes in the Office of the Director since the beginning of his tenure, a fiscal update and the trajectory of the Institute?s budget, a review of the management of the Institute?s investment portfolio, and a preview of the priority-setting process in regards to idea generation and initiative development.
Secondly, Dr. Gibbons spoke about the mission-driven realignment of the Office of the Director. He reviewed the consolidation of the Office of Communications and the Office of Science and Technology into the new OHECSP, which is headed by Dr. Johnson. He also previewed the creation of the CTRIS as a result of merging of the Office of Global Health, Division for the Application of Research Discoveries, and Office of Research Training and Minority Health into a new unit. Dr. Mensah will direct the new center.
Dr. Gibbons recapped the FY 2013 budget and gave the Council an update on the FY 2014 budget. He highlighted the fact that despite a cut of $175 million, the NHLBI FY 2013 paylines increased over FY 2012. He predicted that the overall FY 2014 budget would increase 2.5% over the FY 2013 budget, but pointed out that the Institute would still not be back to pre-sequester levels. He also anticipated that the payline for new competing applications would be greater than or equal to the FY 2013 payline. Dr. Gibbons stated that a main goal in FY 2014 was to maintain the funding level of Early Stage Investigators and to follow through with the trainee stipend increases.
In addition, Dr. Gibbons spoke about the need to understand and address the declining trend in new NHLBI investigator-initiated R01 awards. He presented data showing there has been a 36% drop in the number of new R01 awards between FY 2003 and FY 2012. He described the importance of tracking and modeling the Institute?s research investment portfolio through strategic priority setting, data-guided resource allocation, and systematic program and process review. He also spoke about the need to balance priorities and plan out-year commitments when looking at Institute-initiated scientific initiatives. Lastly, Dr. Gibbons outlined Council?s new role in strategic priority-setting, prospective resource allocation, and portfolio review using a new tool called ?Decision Lens.? Upon concluding his presentation, Dr. Gibbons took questions and comments from Council members about how the ?Initiative Development Process 2.0? will move forward.
IV. NHLBI INITIATIVE DEVELOPMENT 2.0 (IDP 2.0)
Dr. James Kiley, Director of the Division of Lung Diseases, NHLBI, gave a brief review and update on the proposed NHLBI Initiative Development process (IDP 2.0).
- An IDP 2.0 Working Group (WG) of NHLBI staff members was initially convened in summer 2013.
- In late 2013, a sub-Working Group of Council and Board of External Experts (BEE) members was brought on to help further refine the process and develop criteria.
- The IDP 2.0 is a potential framework to generate and manage ideas, develop and refine scientific initiatives, prioritize those initiatives, and evaluate the return on investment.
Dr. Kiley described how the NHLBI wants to engage Council members earlier in the initiative development process and better leverage the expertise of Council and BEE members. He pointed out that some of the limitations in the current NHLBI approach include the narrow involvement of Council, BEE, external stakeholders, and the public.
Also presented was the proposed future state of the NHLBI initiative development process, which will start with setting strategic goals in a transparent and data-driven manner. He described how the process would start with the current Council meeting, with Council members using the new ?Decision Lens? software to weigh criteria that will be used to score and prioritize Institute intitiatives.
Dr. Kiley expanded upon the new IT infrastructure the NHLBI will use for idea generation and management, introducing ?Idea Scale,? a crowdsourcing platform with discussion boards and forums, as well as analytics to sort, group, asses, and select ideas.
Key steps in the process also include the following:
- The NHLBI might use think tanks (virtual and in-person) involving external stakeholders (including the public), BEE and Council members, and NHLBI staff to generate ideas for possible future initiatives.
- Initiatives would be further developed and refined at an Innovation Round Table, which would include BEE and Council members and NHLBI staff.
- At the end of the procesAt the end of the process, after BEE and Council each assess and prioritize proposed scientific initiatives and NHLBI staff write and publish Funding Opportunity Announcements (FOAs), the Council and BEE will assess the return on investment of those initiatives that were ultimately approved and developed into FOAs.
The Council was presented with a proposed timeline for assessing and prioritizing initiatives in 2014:
- In February 2014, the BEE/Council WG and NHLBI leadership approved the final criteria that Council members will weigh at the current Council meeting and that will then be used to evaluate future scientific initiatives. e May 2014 BEE meeting, members will assess and prioritize initiatives using the weighted criteria determined at the February 12, 2014, Council meeting.
- At the June 2014 Council meeting, members will assess and prioritize the scientific initiatives that were discussed by BEE (once again using the new, weighted criteria).
- In September 2014, Council and BEE members will help set the Institute?s strategic goals and revisit the criteria.
V. DECISION LENS PRESENTATION AND DEMONSTRATION
Ms. Supie Shea, Director of Client Management at Decision Lens, gave a presentation and demonstration on the Decision Lens software, which she described as a software solution for collaborative, group decision-making that leverages experiences and subjective views in a transparent manner.
VI. CRITERIA FOR INITIATIVE PRIORITIZATION
The rest of the meeting was devoted to Council members using the Decision Lens software to assign weights to the following six main criteria for initiative prioritization:
- Scientific or Public Health Need
- Scientific or Public Health Opportunity
- Need for NHLBI Leadership
- Is Perceived Benefit Worth the Cost
Council members also assigned weights to the nine sub-criteria for NHLBI initiative prioritization that were developed by the IDP 2.0 Team, Council/BEE Working Group, and the NHLBI Strategic Investment and Management Steering Committee (SIMSC). Ms. Debbie Yu, Client Decision Manager at Decision Lens, led the Council members through this exercise.
Throughout the weighting exercise, Council members discussed the definitions of the criteria and the manner in which the criteria were being weighted.
Dr. Gibbons stated that NHLBI Dr. Gibbons stated that NHLBI staff would compile a summary of the discussion and results of the weighting exercise so Council members could further analyze the information.
The meeting was adjourned at 1:35pm
Last Updated July 2014