WEBVTT 1 00:00:01.242 --> 00:00:04.992 Hi, I am Jenny Bozella from the University of Missouri, 2 00:00:04.992 --> 00:00:12.992 and this is the second video in a series on health and outreach partnerships and public libraries. 3 00:00:12.992 --> 00:00:14.852 Denise, can you introduce yourself? 4 00:00:14.852 --> 00:00:25.142 Hello, I'm Denise Adkins, and I am happy to participate in this second video and we're here interviewing Dr Marshall Stewart, 5 00:00:25.142 --> 00:00:33.272 the vice chancellor for extension and engagement and the University of Missouri system of Chief Engagement Officer. 6 00:00:33.272 --> 00:00:39.272 So first off, I wanted to mention the longevity of partnerships between public libraries and extension services. 7 00:00:39.272 --> 00:00:44.462 I found one publication from 1890 to about local public libraries and their relation 8 00:00:44.462 --> 00:00:50.282 to university extension offers a link to that that's from New York extension. 9 00:00:50.282 --> 00:00:58.382 So that said, public libraries and university extension have definitely both evolved since 1892. 10 00:00:58.382 --> 00:01:07.692 So we're going to focus on current partnerships. Denise, you want kick us off here. 11 00:01:07.692 --> 00:01:19.032 All right, so Dr. Stewart, can you tell us about the role of extension generally in the United States and then more specifically in Missouri? 12 00:01:19.032 --> 00:01:26.622 Well, the and Jenny, it's good to be with you today to talk a little bit about extension and how it's evolved here in Missouri. 13 00:01:26.622 --> 00:01:35.082 Early extension grew out of the moral act of 1862. If you go back far enough in history, the moral act was signed by Abraham Lincoln 1862, 14 00:01:35.082 --> 00:01:41.322 and it was the first time that ever been a compact or relationship in any formal way between higher education. 15 00:01:41.322 --> 00:01:45.462 The federal government is named a moral act because it was named after just 16 00:01:45.462 --> 00:01:51.282 a moral who was a senator for Vermont and just a moral as an industrialist. 17 00:01:51.282 --> 00:01:55.302 Part of the what would be called the well-to-do of that time. Abraham Lincoln. 18 00:01:55.302 --> 00:01:58.752 Obviously, we know his story from poverty up to the presidency, 19 00:01:58.752 --> 00:02:04.812 and they knew that at that time in this country, there was a need to bring access to higher education. 20 00:02:04.812 --> 00:02:09.642 So you really have to go back to Lincoln's time to really understand extension, because that's where it began. 21 00:02:09.642 --> 00:02:14.682 It was the first time that this thing we call the Land Grant University was established. 22 00:02:14.682 --> 00:02:20.292 The Land Grant University was basically out of the moral act where they so public lands gave those to 23 00:02:20.292 --> 00:02:27.492 the universities to really focus all opportunities of education for the sons and daughters of toil. 24 00:02:27.492 --> 00:02:34.902 And that's the exact language that came out of that. Those were the agrarian primary, the agrarian class of society, the farmers, 25 00:02:34.902 --> 00:02:39.522 the folks that lived in rural areas in particular to have a chance to go into higher education. 26 00:02:39.522 --> 00:02:48.342 Because prior to that, in order to get higher education access, which speaks to public libraries, eventually you had to have certain education. 27 00:02:48.342 --> 00:02:51.942 You had to be from a certain class of of of the of society. 28 00:02:51.942 --> 00:02:57.312 And so it was an opportunity to begin to open up that what we would call today the middle class 29 00:02:57.312 --> 00:03:01.932 it was to create a middle class to bring people from sort of the underserved population, 30 00:03:01.932 --> 00:03:06.912 which are primarily rural and scattered in the middle of a civil war, no less in 1862. 31 00:03:06.912 --> 00:03:13.002 To bring them up into higher education, allow them the opportunity to build what we today call the middle class. 32 00:03:13.002 --> 00:03:19.482 Now you fast forward that as the university continued to grow and universities at the University of Missouri here in Missouri, 33 00:03:19.482 --> 00:03:23.262 the state chose to put the land grant inside of the University of Missouri. 34 00:03:23.262 --> 00:03:27.312 And so the institution here, for instance, was established in eighteen thirty nine. 35 00:03:27.312 --> 00:03:32.082 So sixty two, they said, we're going to make you the land grant and some other states. 36 00:03:32.082 --> 00:03:39.312 I'll use a state like where I'm from in North Carolina. They chose not to put it inside you and see Chapel Hill, which was established. 37 00:03:39.312 --> 00:03:43.242 They set aside to establish NC State University as a land grant. 38 00:03:43.242 --> 00:03:52.452 And it's important to note that because of the extension program, extension service extension outreach only exists in the land grant system, 39 00:03:52.452 --> 00:03:57.072 so you will not find it in other institutions of public, higher education or private institutions. 40 00:03:57.072 --> 00:04:02.382 So that's where it began, that's where it was started. So in every state, you look for that land grant university, 41 00:04:02.382 --> 00:04:10.632 be it Purdue in Indiana or be at Michigan State or be at Ohio State, wherever that land grant is. 42 00:04:10.632 --> 00:04:14.502 That's where extension is going to be. Now, as you move into the late eighteen hundreds, 43 00:04:14.502 --> 00:04:21.972 what you find is there's an effort to extend knowledge out to more of the folks who didn't get a chance, the people. 44 00:04:21.972 --> 00:04:23.472 They didn't get a chance to come to the university. 45 00:04:23.472 --> 00:04:28.512 How do you take the university to the and out of that came something called agricultural experiment stations, 46 00:04:28.512 --> 00:04:31.752 agricultural experiment stations or what we call today, AG Research Farms. 47 00:04:31.752 --> 00:04:38.622 You'll find it scattered all over the state of Missouri that they found was not enough because you still had to go to a location. 48 00:04:38.622 --> 00:04:42.222 So in 1914 was when it was federalized. 49 00:04:42.222 --> 00:04:48.702 But you spoke earlier, a few minutes ago, Jenny, that there were pieces of extension beginning to permeate in the late eighteen hundreds. 50 00:04:48.702 --> 00:04:56.502 Well, they were doing was sending people out to communities to work with communities, to say, What's your issue in agriculture and rural communities? 51 00:04:56.502 --> 00:05:01.392 How can we at the university solve that, bring a solution and then extend that? 52 00:05:01.392 --> 00:05:05.502 That's extension, extend that into community. That's the extension part of it. 53 00:05:05.502 --> 00:05:10.752 So again, if you fast forward legislation was passed in 1914, the Smith Labor Act, 54 00:05:10.752 --> 00:05:16.272 which is federalized it, which put extension across the entire United States and over 3000 counties. 55 00:05:16.272 --> 00:05:21.492 We have county partnerships with all 114 counties here in Missouri, plus the city of St. Louis. 56 00:05:21.492 --> 00:05:27.552 And that was again early. Nineteen hundred nineteen fourteen and a few years thereafter that began to take shape. 57 00:05:27.552 --> 00:05:33.132 And so out of that became what we know as today, IMU extension in Missouri. 58 00:05:33.132 --> 00:05:42.402 It also is what we've seen. We talk about extension and engagement. It is also broadened out historically was very much in agriculture for h. 59 00:05:42.402 --> 00:05:47.562 Some things that people in our communities would definitely understand nutrition, education, career, development, education. 60 00:05:47.562 --> 00:05:52.992 We have extension folks across the state doing that business development, another area we touch on. 61 00:05:52.992 --> 00:05:57.072 But how about when engagement came along? It was like, how do we engage the full university? 62 00:05:57.072 --> 00:06:02.482 So today at the University of Missouri, we have partnerships over the last five years, for instance, we've built. 63 00:06:02.482 --> 00:06:06.832 Partnerships with every department, every college, every school here we have, 64 00:06:06.832 --> 00:06:11.812 every division is in some way connected with our unit here as we engage universe. 65 00:06:11.812 --> 00:06:16.522 You can go to journalism and you can find them doing outreach and engagement, connecting to extension. 66 00:06:16.522 --> 00:06:22.432 You go to the business school and you'll see it. I can show you examples of it in the College of Medicine School of Nursing. 67 00:06:22.432 --> 00:06:26.992 There are examples now populated all the way across the university because as Elaine Grant, 68 00:06:26.992 --> 00:06:31.672 we believe at the University of Missouri in particular that we should extend the university, we should. 69 00:06:31.672 --> 00:06:35.092 We're here to serve part of our ethics service to others, 70 00:06:35.092 --> 00:06:42.592 just like it would be in the public library system or as you guys work in that area of library is to serve a public need. 71 00:06:42.592 --> 00:06:46.762 And so that takes you forward. We also had one last piece. 72 00:06:46.762 --> 00:06:49.822 I'll leave you with is over the last five years, 73 00:06:49.822 --> 00:06:57.592 we've also connected the other three universities of the University of Missouri system Missouri S.A. and you have Casey to the extension system. 74 00:06:57.592 --> 00:07:04.522 So if there's knowledge coming out of S.A. that could help in northern Missouri community, we can pull that in the community through extension. 75 00:07:04.522 --> 00:07:08.662 It's a very unique model. You will not see this in other states. 76 00:07:08.662 --> 00:07:10.282 We're very proud of what we've done here. 77 00:07:10.282 --> 00:07:16.642 We've got a lot of great people work to make that happen, but that gives you sort of the big picture overview of extension. 78 00:07:16.642 --> 00:07:23.782 We obviously partner with libraries and many others and glad to take further questions you may have about how that looks as well. 79 00:07:23.782 --> 00:07:25.252 Thank you so much. 80 00:07:25.252 --> 00:07:35.602 Yeah, you touched on a lot of different partnerships that you have around the university and you mentioned medicine and nursing and the can you. 81 00:07:35.602 --> 00:07:43.672 Can you talk about some of the maybe some specific projects that you've had that concentrate on health? 82 00:07:43.672 --> 00:07:48.232 Yes. When it comes to the health arena, obviously, if you look at the state of Missouri, 83 00:07:48.232 --> 00:07:51.842 like many other states, there's tremendous need in the health arena. 84 00:07:51.842 --> 00:07:56.962 We saw that really become poignant, mirroring COVID 19 and the pandemic. 85 00:07:56.962 --> 00:08:04.672 I became more heightened awareness around it. But if you go pre, pre-pandemic, Missouri ranks somewhere between 40 second, 86 00:08:04.672 --> 00:08:09.472 40 third and fiftieth in about every health indicator, which is not where you want to be. 87 00:08:09.472 --> 00:08:16.042 So what we began to do was take a hard look at that data and say, what can we do to improve that? 88 00:08:16.042 --> 00:08:21.382 So if you look at, for instance, water health on negatives in the state was opioid use. 89 00:08:21.382 --> 00:08:28.582 We have done a lot of work with our partners in the College of Medicine, School of Nursing Health Professions, 90 00:08:28.582 --> 00:08:35.542 also our partners at Um Casey to bring opioid education, how to stop opioid use in rural communities. 91 00:08:35.542 --> 00:08:38.432 That's one example that we're working in right now. 92 00:08:38.432 --> 00:08:45.352 We've got another initiative that in fact, I'm going to be speaking on tomorrow and another meeting about rural mental health. 93 00:08:45.352 --> 00:08:49.132 Rural mental health is a incredibly important issue. 94 00:08:49.132 --> 00:08:56.092 We don't have the mental health opportunities for people to get help in those rural communities, oftentimes. 95 00:08:56.092 --> 00:09:01.942 So we're working closely between IMU Extension, the Department of Psychology here at Arts and Sciences, 96 00:09:01.942 --> 00:09:10.072 as well as our partners at unsought to bring rural mental health content into those communities to provide counseling. 97 00:09:10.072 --> 00:09:16.252 We've got opportunities where some communities use an app to go online or individual can if the care. 98 00:09:16.252 --> 00:09:21.922 So those began to give you some examples of where we're beginning to touch in this space. 99 00:09:21.922 --> 00:09:27.082 Another thing we're looking at right now is working with our next gen enterprise, our precision medicine, 100 00:09:27.082 --> 00:09:37.852 precision health enterprise here on campus to really help faculty researchers go in and do very targeted research where there are cancer clusters. 101 00:09:37.852 --> 00:09:43.642 For instance, in a community, we have IMU extension has the buy in locally. 102 00:09:43.642 --> 00:09:48.592 They know us in the community because our people are embedded there. They may not know a researcher for a Mamu. 103 00:09:48.592 --> 00:09:54.622 So we're working on a plan that will enable us to bring our brand and bring that, 104 00:09:54.622 --> 00:09:59.482 that good feeling that people have that brand identity people have for IMU extension locally. 105 00:09:59.482 --> 00:10:05.812 Together with that high level researcher to do community population health research with the community. 106 00:10:05.812 --> 00:10:08.122 So I just think there's a lot of opportunities. 107 00:10:08.122 --> 00:10:15.402 Again, I'm giving you a couple examples and things we're working on right now that will take shape over the next few months. 108 00:10:15.402 --> 00:10:22.122 So that really there are some things that you said in there that make me think of our projects. 109 00:10:22.122 --> 00:10:31.092 Public libraries often. You know, one of the places where people do go for health information and so can you. 110 00:10:31.092 --> 00:10:36.342 Can you imagine how some of those projects you mentioned could be located? 111 00:10:36.342 --> 00:10:40.692 If you're looking for a space, I mean, a public library might be a really good. 112 00:10:40.692 --> 00:10:47.342 That might be a good opportunity. Have you ever you ever work with public libraries and that kind of capacity? 113 00:10:47.342 --> 00:10:53.322 Yeah. Locally, our field faculty, we have faculty all over the state that work in extension in various disciplines, 114 00:10:53.322 --> 00:11:00.102 and they oftentimes interact with community based libraries and cities and small municipalities, et cetera. 115 00:11:00.102 --> 00:11:02.862 One of the things that's really interesting is to go back and look historically, 116 00:11:02.862 --> 00:11:08.742 if you look at many places in the country, the library in a community was actually started. 117 00:11:08.742 --> 00:11:12.732 By extension, people saw a need for an extension got organized. 118 00:11:12.732 --> 00:11:18.702 We did the same thing in rural electric, the rural electricity, when it was being expanded around the country. 119 00:11:18.702 --> 00:11:20.292 Same thing with hospitals. 120 00:11:20.292 --> 00:11:27.402 Extension has played a vital role in not only working together today, but helping establishing those infrastructures in communities. 121 00:11:27.402 --> 00:11:31.732 Because we are convener, we bring people together, we bring knowledge of how to do it. 122 00:11:31.732 --> 00:11:34.512 So if you go historically, there's an opportunity. 123 00:11:34.512 --> 00:11:41.102 But also if you fast forward to the day, there would be great opportunity because as you said, today, we have libraries. 124 00:11:41.102 --> 00:11:47.922 They are a public entity. They have public space for all kinds of educational programs and many of our communities. 125 00:11:47.922 --> 00:11:53.082 Our faculty will use our public spaces, public spaces in a library to do that. 126 00:11:53.082 --> 00:11:58.452 We also find opportunities. For instance, we're working very closely with in certain areas of the state. 127 00:11:58.452 --> 00:12:07.272 We've done some work around broadband access because sometimes that lab, that library is a public space where you can get access when there, 128 00:12:07.272 --> 00:12:11.412 maybe the person doesn't have it and maybe we're doing training programs on how to use broadband. 129 00:12:11.412 --> 00:12:15.762 We're very involved in the broadband expansion work at the state. 130 00:12:15.762 --> 00:12:22.812 And so there's a lot of synergy between the public library space as a public good and doing something 131 00:12:22.812 --> 00:12:27.552 bigger than ourselves and the work we do an extension and engagement as an outreach of the university. 132 00:12:27.552 --> 00:12:33.372 You see a lot of synergy happen there, whether it's in health, broadband or other kinds of educational programs. 133 00:12:33.372 --> 00:12:37.182 I mean, there's really no limit as to how those partnerships can take place. 134 00:12:37.182 --> 00:12:41.742 But the key is for us not to dictate. Maybe we share some ideas of how you can do it. 135 00:12:41.742 --> 00:12:44.772 But those local people coming together, convening, figuring out, Hey, 136 00:12:44.772 --> 00:12:50.862 here's how we can leverage space we have for the betterment of people in our community. 137 00:12:50.862 --> 00:12:58.152 Thank you. That actually reminds me of a couple of projects I'm working on now where we are 138 00:12:58.152 --> 00:13:03.702 working with the Missouri Department of Education and Department of Special Education, 139 00:13:03.702 --> 00:13:07.452 and we were talking with first steps providers, 140 00:13:07.452 --> 00:13:12.642 the people who go out and are direct service providers talking about, Well, how do you use public libraries? 141 00:13:12.642 --> 00:13:15.042 And they were talking about and working in public libraries do for us. 142 00:13:15.042 --> 00:13:24.462 But it occurs to me that extension has been the missing piece of this that we have a lot of a lot of our direct service providers saying, 143 00:13:24.462 --> 00:13:28.842 Well, I didn't know what the library offered in the library, saying I don't know what people need. 144 00:13:28.842 --> 00:13:34.932 And this is seems like exactly where extension would come in to say, we've collected these needs. 145 00:13:34.932 --> 00:13:38.712 We have the resources. This is how we fit together. 146 00:13:38.712 --> 00:13:47.592 So that sounds like a wonderful opportunity for us to actually join forces to make our state better. 147 00:13:47.592 --> 00:13:51.162 Yes, and we would we would welcome that opportunity. Obviously, 148 00:13:51.162 --> 00:13:58.422 one of the things that we have as a sort of a strategic advantage is we are constantly involved in the work of what we call needs assessment. 149 00:13:58.422 --> 00:14:03.042 We can if folks want to know more about that, they can go to all things Missouri dot org. 150 00:14:03.042 --> 00:14:09.612 It's a public site we created five years ago. It's where all data points in the state and nationally. 151 00:14:09.612 --> 00:14:15.282 Some sort of secondary data from around the country that relates to Missouri all comes into that. 152 00:14:15.282 --> 00:14:21.702 Twenty four seven, it's about thirty one thirty two thousand streams of data on any given second that's going in there. 153 00:14:21.702 --> 00:14:27.642 You can map things, you can look at economic issues, you look at education, you can do comparative analysis. 154 00:14:27.642 --> 00:14:32.232 It's a great tool. It's a public source. We put it out there for the public. There's no charge for it. 155 00:14:32.232 --> 00:14:38.052 But what what that does that to get to your question, that's a needs assessment driven thing. 156 00:14:38.052 --> 00:14:44.472 So we are constantly looking at needs and so that intersection between what the libraries are trying to do, 157 00:14:44.472 --> 00:14:51.552 trying to build those kind of partnerships to provide good work for community and in partnership with community. 158 00:14:51.552 --> 00:14:56.682 That's right on top of what we do. So we welcome the opportunity to partner. 159 00:14:56.682 --> 00:15:02.202 We'd encourage your colleagues in the libraries across Missouri as well as our colleagues and extension. 160 00:15:02.202 --> 00:15:05.532 If you don't know each other, you need to get to know each other because this is a great opportunity to 161 00:15:05.532 --> 00:15:10.242 synergize around things that could really be of great service to the community. 162 00:15:10.242 --> 00:15:19.422 Just Serbian. So how does what's a good method for getting in touch with extension if I was a librarian working at Pearl Missouri? 163 00:15:19.422 --> 00:15:25.182 Well, in every single county there is a county extension office. Typically, it's in the county seat. 164 00:15:25.182 --> 00:15:30.012 Sometimes it's in the courthouse or the courthouse square. Not always, but somewhere in that area. 165 00:15:30.012 --> 00:15:35.262 If you basically go to IMU extension dot org, I'll go to any extension edu rather. 166 00:15:35.262 --> 00:15:42.052 Excuse me, just do a Google there. You can put in any county and you can see who the contact person is. 167 00:15:42.052 --> 00:15:45.822 They're easy to find, easy to navigate. You've also got it. 168 00:15:45.822 --> 00:15:51.742 So that's that locally, that's how you best do it. Obviously, people are welcome to call our office here at the University of Missouri. 169 00:15:51.742 --> 00:15:59.622 I'm easy to find probably the most public facing people this university has, and we certainly can help direct you as well. 170 00:15:59.622 --> 00:16:06.252 But the key is as local relationships as again, every county in the state of Missouri has. 171 00:16:06.252 --> 00:16:10.032 That presence of extension is something we're very proud of. 172 00:16:10.032 --> 00:16:14.742 It's made possible by the county partnership that we have at our county extension councils. 173 00:16:14.742 --> 00:16:19.812 Our county commissioners all make that possible. And we're very grateful for that. 174 00:16:19.812 --> 00:16:24.262 So we encourage folks go online. Look, if you can't find it safely, contact us. 175 00:16:24.262 --> 00:16:30.282 So we won't have to direct you where we can get you the assistance and the partnership that you need. 176 00:16:30.282 --> 00:16:38.532 So I have one real quick last question if obviously we're in Missouri, but if I was in a state, 177 00:16:38.532 --> 00:16:47.022 another state with a land grant university with extension, would it be set up similarly or is there a different structure in each state? 178 00:16:47.022 --> 00:16:50.862 That's a great question. Every state has land grant universities. 179 00:16:50.862 --> 00:16:56.742 All 50 states have. In fact, in our state, in some states you have as many as two. 180 00:16:56.742 --> 00:17:01.262 Our state would be one. Lincoln University is a land grant. It was established in 1890. 181 00:17:01.262 --> 00:17:07.662 Different act, as you might expect of that era that looked into the HBCU world of the South. 182 00:17:07.662 --> 00:17:18.342 So in the southern U.S., you will find two land grants typically charter one, specifically HBCU, one typically of 1862 version. 183 00:17:18.342 --> 00:17:21.852 So but if you were to go to any state to your question, if you were to go to Kansas, 184 00:17:21.852 --> 00:17:26.262 Illinois or anywhere, if you put an Illinois extension in Kansas State Extension, 185 00:17:26.262 --> 00:17:33.162 if you go and look at Nebraska extension, our state extension, you are to put that in a Google search bar that all comes up. 186 00:17:33.162 --> 00:17:38.082 Every single state has it all the way to Vermont, Maine, Washington, Washington state. 187 00:17:38.082 --> 00:17:44.052 I mean, you go anywhere in the country. The other neat thing about the land grant system, if you think about it that way is we're all connected. 188 00:17:44.052 --> 00:17:51.132 So we may we may have certain areas of expertize that we definitely have grown in and we're very good at. 189 00:17:51.132 --> 00:17:53.742 There may be something you're looking for that another state has. 190 00:17:53.742 --> 00:17:59.292 You might think, Well, I wonder what they do at Texas A&M or blank Texas A&M as a land grant. 191 00:17:59.292 --> 00:18:01.812 They definitely they may have the resource you're looking for. 192 00:18:01.812 --> 00:18:09.882 So we do share a lot of stuff across borders because information content doesn't stop at our borders. 193 00:18:09.882 --> 00:18:16.962 Those are things we set in place many years ago. Just like County County Lines, state lines are the same way. 194 00:18:16.962 --> 00:18:24.162 And so we do want to encourage our folks if you're in some other part of the country for another state or what have you. 195 00:18:24.162 --> 00:18:31.872 We encourage you to go to your extension a group there with your at university to learn from them as well. 196 00:18:31.872 --> 00:18:37.482 Well, thank you. Those are all the questions that we have. Did you have anything done to follow up with? 197 00:18:37.482 --> 00:18:41.142 Well, I don't know. It's a follow up, but I'll say thank you very much for the opportunity. 198 00:18:41.142 --> 00:18:45.852 One of the things you learn about extension is it's all based on partnership is the only way it works. 199 00:18:45.852 --> 00:18:53.382 It's a partnership. Again, as I said really earlier, it's between the federal government and the state and the states and the counties. 200 00:18:53.382 --> 00:19:00.912 Everything we exist on is around partnerships. We partner with state agencies, we partner with on campus agencies like libraries. 201 00:19:00.912 --> 00:19:05.232 We work every unit on campus as well as public libraries out in the state. 202 00:19:05.232 --> 00:19:09.762 So we are constantly seeking looking for connecting with various partners. 203 00:19:09.762 --> 00:19:16.302 And if anyone's watching this thinking, hey, I wonder if they'd be interested in partnering with us on blank, whatever blank is. 204 00:19:16.302 --> 00:19:23.262 It doesn't hurt to ask. Sometimes we can, as it does, we can't. Typically, if we can't for some reason, or it's not the right time for us, 205 00:19:23.262 --> 00:19:32.562 we are very adept at finding a good partner for you because we do know where partners are and we have literally thousands of them on any given day, 206 00:19:32.562 --> 00:19:37.812 so we welcome the opportunity to do that. And again, it's been a delight to be with you today. 207 00:19:37.812 --> 00:19:40.602 Thank you so much. Yes, indeed. Thank you. 208 00:19:40.602 --> 00:19:51.052 That has been a great look at the way the value of partnerships in making health information available to all of our citizens. 209 00:19:51.052 --> 00:19:54.908 So thanks so much.