explanation of hinri labs

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  • 8/14/2019 Explanation of HINRI Labs

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    Translational Labs

    A patient-centered approach to:

    Turning knowledge into practice totransform lives.

    HINRI Labs 2008

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    HINRI Translational LabsMission

    Build a nationally recognized nexusfor academia, science, medicine,

    business, philanthropy, and publicpolicy to advance patient-centered

    research, rehabilitation,

    restoration, and recovery fromneurological impairments due toinjury, disease, or congenital causes.

    HINRI Labs 2008

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    HINRI Labs 2008

    HINRI Translational Labs Goals

    Turn knowledge into practice to transform lives by: Creating the nation's leading translational laboratories for

    spinal cord injury, brain trauma, and neurological disorderswith collaboration centers in Atlanta, Palo Alto, and Boston

    Linking knowledge, ideas, and innovation from thescientific, medical, philanthropic, public policy, investment,and patient communities

    Create and support clinical trials to speed timesbetween innovation and application: Supporting translational and clinical research Promoting promising new technologies and commercial

    applications

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    HINRI Translational Labs Goals(cont.)

    Develop patient-centric coordinated care models: Collaborate with experts on clinical, physical, emotional,

    lifestyle, financial, family, friends, community, and faith

    for optimum capabilities development

    Engage Venture Philanthropy, Foundations, & Payors:

    Fostering a pre-competitive environment to evaluate anddistribute critical intellectual property from research

    Establishing best practices and a model standard of care forrehabilitation and restoration

    Creating economic support and rationalization of care forrecovery

    HINRI Labs 2008

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    HINRI Labs 2008

    HINRI Translational LabThe Problem Statement

    Institute of Medicine it takes 18 years for acceptedresearch to become common practice, because of:

    Inadequately focused research

    Delays in research to trials Delays in trials to specialist providers

    Delays in specialist knowledge to common practice

    Delays in treatment applications to help patients

    Lack of patient-centered treatments traditional focus is onincomplete SCI rather than acute (1st 30 days) or complete SCI

    Reimbursement and Treatment Limits

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    HINRI Labs 2008

    HINRI Translational Lab The Solution

    Rapid Dissemination and Translation of Ideas &Best Practices for:

    Research coordinate and support new ideas Rehabilitation Test and develop new individualized

    patient-centered physical and emotional approaches torehabilitation

    Restoration Promote and conduct clinical trial testing inpartnership with researchers, early stage companies andtrauma centers

    Recovery Provide clinical, emotional, & lifestyleeducation for individual, family, and friends to optimizerecovery and capabilities

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    Translational Research

    HINRI Labs 2008

    Atlanta*

    Boston*Palo

    Alto*HINRILABS

    Finding Patient Centered Solutions

    RestorationRehabilitation

    Recovery

    * Academia, Science,

    Medicine, Business,

    Philanthropy, and

    Public Policy

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    Translational Rehabilitation

    HINRI Labs HINRI Labs HINRI Labs

    Activity-Based

    Electrophysiology

    Patients

    Payors

    Nutrition/Supplements

    Mental, Spiritual

    Emotional Health

    Locomat &

    Armin

    Manual Therapies

    Massage TriggerMedical

    Monitoring

    PatientCentered

    Best Practices

    Improved

    FunctionalityOptimum

    Capabilities

    Hyperbaric

    Chamber

    Collaboration Traditional RehabNon-Traditional Rehab

    Assistive

    Technology

    Clinical Trials

    Clinical Practice

    Academia,

    Business

    HINRI Labs 2008

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    Translational Restoration

    HINRI Labs 2008

    Basic

    Research

    P of P

    Research

    Clinical

    Research

    Clinical

    Practice

    University

    Partners

    HINRI

    Labs

    Shepherd

    Center

    Trauma

    Centers

    Proof of Principle Research Does the basic science &

    new ideas hold true for human patients?

    HINRI Translational Labs patient-centered clinical

    trial platform will foster collaboration between

    universities and clinical research centers.

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    Translational Recovery

    HINRI Labs 2008

    Medication

    Therapy

    Physical

    Health

    NutritionSocialization

    Readiness for

    Employment

    Education

    Spirituality

    Leisure

    Activities

    Family and

    FriendsPatient Centered

    Goals

    Normality

    Functionality

    Fulfillment

    Independence

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    HINRI Labs 2008

    Hinri LABSAreas of Focus

    Permanent or irreversible

    central nervous system disorders

    Phase 1 - Complete Spinal Cord Injury (SCI)

    Phase 2 - Traumatic Brain Injury (TBI) and Stroke

    Phase 3 - Neurological Disorders*

    *Disease/Degeneration Multiple Sclerosis, Amyotrophic

    Lateral Sclerosis, Parkinsons, and Alzheimers

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    HINRI Labs Action Plan

    1A Complete SCI Measurement NeuralPlasticity, Functional

    Recovery

    Electrophysiology and

    Robotics

    1B Complete SCI Translation Bench toBedside Assistive Technology,Holistic Medicine,Stem Cell Research

    2 Brain Injury Measurement andTranslation

    Imaging, Surgery,

    Pharmaceuticals, Stem

    Cells, EmergingTherapies

    3 Neuro-

    Disease

    Neural Injury and

    Degeneration - Cell

    death, nerve regeneration

    and reconnection

    Basic Research

    Phase Target Focus Method

    HINRI Labs 2008

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    HINRI Labs Rehabilitation Phase1A and 1B

    Provide the scientific insights, new technologies and novel treatments to test, train and measurefunctional recovery (neural activity, muscle pattern activity, spinal reflexes and plasticity) Activity-Based Rehabilitation New Drugs, Electrical Stimulation and Cell Transplantation Therapies Train Reaching and Grasping (to improve upper extremity function)

    Electrophysiology and Robotics (Lokomat and Armin) Control experimental conditions Generate standardized training of motor tasks Measure mechanical aspects of functional recovery

    Proof of Principle Studies

    Focus on underserved areas of investigation in SCI research Translate animal studies research to human SCI studies Neural mechanisms underlying functional recovery and neural connections across the level of injury Measure Brain Motor Control Assay (BMCA) Functional MRI and diffusion tensor imaging

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    HINRI Labs Timeline 2009

    JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC

    Atlanta 1A

    ($3 MM)

    Atlanta 1B

    ($5 MM)Palo Alto 1A

    ($2.5 MM)

    Boston 1A

    ($2.5 MM)

    Atlanta 2

    ($7.5 MM)

    Atlanta 3

    ($5 MM)

    Phase

    HINRI Labs 2008

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    US Military

    Wounded Veterans

    Patients

    Test & Develop

    Best Practices

    Rehabilitation

    Business Model

    Promote/Conduct

    Clinical Trials

    Restoration

    Collaborate on

    Best Practices

    Rehabilitation

    Patient Centered

    Clinical & Lifestyle

    Recovery

    Foundations & Charities

    Common Mission

    Collaborate on

    Best Practices

    Rehabilitation

    Government, VA,

    Private Insurance

    Capital

    Venture Philanthropy

    Common Goals

    Coordinate & Support

    ResearchStrategic Partners

    Collaboration

    Translational

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    Strategic Partners

    Location The Shepherd Center has agreed to providethe third floor in their main building for HINRI Labs

    University Partners - Emory, Georgia Tech and

    Morehouse; Stanford and Harvard/MIT Media CNN (Dr. Sanjay Gupta)

    Corporate - Google Health and Microsoft HealthVault

    SHARE Initiative a $6MM partnership between

    Humana, Major League Baseball, Bernie Marcus andthe McCormick Foundation to assist Wounded Veteransand their Families at Shepherd (68 participants to date)

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    Venture Philanthropy

    Corporate Partners Dr. Louis Sullivan* 3M; Bristol, Myers, Squibb; CIGNA Bernie Marcus SHARE Initiative, Home Depot ($300 MM) Jeff Arnold WebMD

    Bill Ide Former ABA President, East West Institute Bob Bozeman Google Health Ron Bachman - Microsoft HealthVault John Brandon Apple John Moore Morgan Stanley (Former Head of Global HC)

    Carter Burton GE Healthcare Financial Services Sanjay Gupta CNN Medical Director Steve Case Former Vice-Chair CECP Anthony Begando Tenon Consulting

    * Have agreed to collaborate

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    Foundations & CharitiesInitial Prospect List

    Foundation Partners:

    Woodruff

    Hewlett Healthcare Georgia Bill/Melinda Gates Omidyar Network Google

    Gordon Moore Henry Kravitz

    Advisory Panel:

    David Brailer Health Evolution Partners

    Kleiner PerkinsDraper Fisher JurvetsonJames Robinson III RRE VenturesPete G. Peterson BlackstoneSilicon Valley Bank Carlyle GroupBono Elevation Partners

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    Military Partners Armed Forces Service Organization (AFSO) United Service Organization (USO) Wounded Warrior Project Military Foundations (2) Tenon Consulting Solutions

    Advisory Panel Hon. Sam Nunn and/or Max Cleland Hon. John McCain (Orson Swindle) Gen. Norman Schwartzkopf Hon. Jeb Bush and/or Hon. Jay Rockefeller Tom Hanks www.welcomebackveterans.org Congressional Service Academy Representatives Former Head(s) of VA or VA Hospital System Secretary of the Army and/or Joint Chiefs

    US MilitaryInitial Prospect List

    http://www.welcomebackveterans.org/http://www.welcomebackveterans.org/http://www.welcomebackveterans.org/http://www.welcomebackveterans.org/
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    HINRI Labs 2008

    CHT Partnership

    A CHT Capabilities Project

    Ross Mason, Fellow CHT

    The Center for Health Transformation (CHT) willpartner with HINRI Translational Labs (Atlanta, Palo

    Alto, and Boston) to advise, support, and promote the

    creation of a national nexus, collaboration, and model

    of a patient-centered standard of care in research,rehabilitation, restoration, and recovery from

    permanent central nervous system disorders.