2008 HRP Investigators’ Workshop Questions, Recommendations, & Responses Executive Summary At the 2008 HRP Investigators’ Workshop, the attendees participated in a Breakout Session that included five multi-discipline sessions: 1. Behavioral Health; 2. Bone, 3. Muscle & Nutrition; 4. Immunology, Pharmacology, Cardio, & Sensorimotor; and 5. Radiation; and SHFH: New Technologies Medical Capabilities. Each group was asked four questions in order to help us evaluate the program. The answers were collected and the Program has provided a response below. The Breakout Session questions, the attendees’ recommendations and the HRP responses are detailed below in the following format: Question to the Community Research Community Recommendation HRP response Philosophy: The approach for the HRP response includes: 1. informing the investigator community on the current state of knowledge or forward plan 2. giving the investigator community additional resources to locate information and documents 3. encouraging the investigator community to pursue internal and external collaborations and to enhance communication across research teams 2008 Breakout session questions 1. How well is the Human Research Program addressing the risks to humans in your discipline area from space exploration? What in your opinion would make this program more effective? 2. How well is the Human Research Program explaining its research needs and constraints to extramural participants? What recommendations do you have to improve this? 3. How well is the Human Research Program using the talents of the scientific community as a whole? What recommendations do you have for improvement? 4. What non-NASA alliances (types of technologies, not specific names) do you anticipate pursuing in 2008 to do the work required to close HRP's gaps? How do we make NASA a smarter investor? How can we redirect resources toward uncovered requirements? 2008 HRP Investigators’ Workshop Questions, Recommendations, & Responses BEHAVORIAL HEALTH (BHP) 1. How well is the Human Research Program addressing the risks to humans in your discipline area from space exploration? What in your opinion would make this program more effective? We are addressing the BHP risks well, but also discovering that new risks are emerging as we learn about the plans for the CEV, lunar reference mission, etc. BHP needs more timely information and briefings on CEV and lunar reference mission, related engineering environmental constraints that can affect behavioral capability and behavioral health of crewmembers. Need more communication for program management office regarding mission planning This type of information is still in development and not yet baselined within the Constellation Program, which has responsibility for planning such missions. In the absence of this information, HRP has developed a Lunar Human Research Requirements Document, to provide as much credible information as possible.. At the 2008 Investigator’s Workshop, a Constellation Program representative presented the current state of reference mission planning even though the concepts were still in development. The theme for the 2009 Investigator’s Workshop will focus on lunar mission planning, and we will again have a Constellation Program representative discuss current lunar mission planning. Paradigm shift--emphasis on shuttle experiences needs to give way to longer-duration mission experiences with isolation and remoteness as key components. The general philosophy within the HRP Elements is that studies will need to shift emphasis away from short-duration studies and utilize ISS crew time and ground analogs more. Given the fact that Shuttle opportunities are limited, the 2008 NASA Research Announcement solicitation was written with the intent to focus on long-duration or ground analog studies specifically in support of future longduration space exploration missions. 2. How well is the Human Research Program explaining its research needs and constraints to extramural participants? What recommendations do you have to improve this? Excellent Annual BHP meeting Monthly teleconferences Extensive e-mail and phone contact Evidence reports, programmatic review, etc. Improvements Ensure everyone knows our analogs and what’s going on in those analogs HRP has established a Flight Analogs Project within the Human Health Countermeasures Element that functions as the analog coordinator. The Project 2 2008 HRP Investigators’ Workshop Questions, Recommendations, & Responses is developing an Analog Engagement Plan that describes each analog facility available to HRP investigators and the process to utilize those facilities. A website is in development that will include an overview of each facility, the types of simulations that can be performed as well as contact information for each facility. In addition, BHP has taken the initiative and made a thorough assessment of analogs specifically relevant to its own needs. There is a consensus that a common set of BHP measures are deployed in the analogs. The Analog Engagement Plan will codify the common set of measures within each analog. 3. How well is the Human Research Program using the talents of the scientific community as a whole? What recommendations do you have for improvement? More outreach To military relative to hyperbaric effects, team cohesion, effects of extreme confinement To the stress management community Investigators are encouraged to coordinate outreach to the external community via their Element Mgrs/Scientists as well as individually. Increase involvement of more BHP investigators in long-duration analog studies by participating, data sharing, etc. Investigators are encouraged to propose long-duration analog studies to their HRP Element as directed tasks or through responses to NASA Research Announcements. In addition, the Flight Analogs Project website will increase visibility of the facilities available to funded investigators. Hold analog environment workshop to optimize use of the analogs An analog environment workshop is a great idea to help optimize the use of all analogs available to HRP Investigators. BHP is developing an analog assessment strategy that should help with optimizing use of the analogs. In addition, HRP has established a Flight Analogs Project with the Human Health Countermeasures Element that functions as the analog coordinator. Currently, the Flight Analogs Project has the charge to integrate HRP requirements to enable the use of analogs. More information on the Flight Analogs Project can be found at http://hacd.jsc.nasa.gov/projects/flight_analogs.cfm. 4. What non-NASA alliances (types of technologies, not specific names) do you anticipate pursuing in 2008 to do the work required to close HRP's gaps? How do we make NASA a smarter investor? How can we redirect resources toward uncovered requirements? BHP Leveraging is already extensive Bud Brainard—Apollo—blue light study 3 2008 HRP Investigators’ Workshop Questions, Recommendations, & Responses Judith Orasanu—DARPA—cognitive tool David Dinges—NIH/Department of Homeland Security—PVT Self-Test development/validation Chuck Czeisler—NIH etc. NIMH, NIA, NHLBI, AHRQ, NIOSH, NINDS, NIGMS, NIJ, USARIE, NINR, AFOSR, DHS Our use of analogs needs to be visible—we have extensive translation underway The investment in the fundamental science has yielded technologies and interventions These technologies are now being deployed in analogs environments There is a need for resources for these translation and technology feasibility studies. Investigator teams need to develop a strategy for addressing both translation and transition of technologies to stakeholders (i.e., moving technologies from laboratories to analogs and then from analogs to medical operations.) The Element-sponsored Working Groups and Discipline Integrated Product Teams are ideal venues to make connections for translation of technologies. 4 2008 HRP Investigators’ Workshop Questions, Recommendations, & Responses BONE, MUSCLE, & NUTRITION 1. How well is the Human Research Program addressing the risks to humans in your discipline area from space exploration? What in your opinion would make this program more effective? Use of animal models to define long term health risk assessments is limited by the current program. Risks in BR cannot be adequately addressed by human studies and there needs to be a recognized requirement for animal studies that enable invasive measures. Animal models are currently used within the Program where they address research Gaps (e.g., Radiation). Investigators need to make a clear argument for animal models in their proposals. For nutrition, HRP need and gaps are well addressed but need greater emphasis on food sources of nutrients (e.g., stability, nutrient requirements, and observed nutrition deficiencies -cross disciplinary impact) integration between food science and nutrition. For example, there is no team for Food science. Need to fully integrate; more face-to -face discussion is needed within disciplinary team members or pull in extramural scientists. Points of integration for Food and Nutrition have been identified in the HRP Integrated Research Plan. The external community can contact Michele Perchonok in SHFH. Visit the Advanced Food Technology Website at http://hefd.jsc.nasa.gov/aft.htm. Foster collaborations between discipline groups and across Elements (e.g., Radiation); concur with need for animal studies, better definition of mission tasks to elucidate whether the human risks are being adequately addressed. HRP has focused on discipline and Element integration over the past year by holding combined disciple and Element workshops, taking a cross-Element approach at creating and reviewing the IRP, and initiating several directed studies with cross-Element participation. Reference missions have been developed within the Constellation Program based on those given in the ESAS report. These reference missions are being refined by the Constellation Program. HRP has developed a Lunar Human Research Requirements Document to document requirements specific to the space life sciences which can then be referred to Constellation to be fulfilled. 2. How well is the Human Research Program explaining its research needs and constraints to extramural participants? What recommendations do you have to improve this? There is a lack of knowledge of re: constraints with food supply, e.g., shielding, meal vs. ―food bars‖, and knowledge regarding food processing information which impacts nutrient stability. Food supply is still in definition by the Constellation Program. Stability concerns should be coordinated across all Elements and their Projects, such as Non- 5 2008 HRP Investigators’ Workshop Questions, Recommendations, & Responses Exercise Physiological Countermeasures, Advanced Food Technology, and Space Radiation. Need to make the Bioastronautics Roadmap understandable, accessible, avoid acronyms so that extramural scientists are not lost in jargon and ill defined needs; need to emphasize the critical requirement of directly relating research to GAPS and Roadmap risk/critical questions as a specific aim. What is the transition plan to the Integrated Research Plan? Does this document replace the Roadmap? The Bioastronautics Roadmap will be supplanted by the Human Research Roadmap which will include the Program Requirements Documents (Risks) and the Integrated Research Plan (gaps and tasks). The current Integrated Research Plan is available at http://humanresearch.jsc.nasa.gov/files/hrp-47065_HRPIRP.pdf and the Program Requirements Document is available at http://humanresearch.jsc.nasa.gov/files/hrp-47052_HRP-Req-Doc.pdf. The HRP Evidence Book Risk Reports will be made available in early 2009 to the public and will be located on the HRP external website (http://humanresearch.jsc.nasa.gov/about.asp). 3. How well is the Human Research Program using the talents of the scientific community as a whole? What recommendations do you have for improvement? NASA should develop new investigator and mentors awards in order to capture a new generation of applied and basic researchers. HRP acknowledges the pressing need for new investigators, but mentoring opportunities are limited due to available resources. Opportunities for postdoctoral fellowships include Oak Ridge Associated Universities (http://nasa.orau.org/postdoc/) and NSBRI (http://www.nsbri.org/Announcements/index.html). HRP Elements are encouraged to allocate resources within their budgets to foster such opportunities if they can also contribute to the Elements’ goals. Nutrition as a countermeasure not fully explored, e.g., impact on muscle was not addressed in the last NRA. Not a clear path for extramural food scientists to be funded – provide more face-to-face meetings of the discipline teams. The Elements bring forth priority research for each NASA Research Announcement. Areas of research essential to exploration missions are represented in the IRP Risks, Gaps, and Tasks via coordination with the Element Scientist. Improvement with a NASA funded 1-day workshop at extramural institutions or NASA centers to spread the word to the extramural community. NASA-funded workshops at extramural institutions are not feasible due to limited personnel and funding resources. This is especially true during 2009 due to 6 2008 HRP Investigators’ Workshop Questions, Recommendations, & Responses specific restrictions applied to NASA support of scientific conferences in the budget legislation. Extramural investigators already working in HRP could help facilitate this at their own institutions, collaborating with their Elements as needed. 4. What non-NASA alliances (types of technologies, not specific names) do you anticipate pursuing in 2008 to do the work required to close HRP's gaps? How do we make NASA a smarter investor? How can we redirect resources toward uncovered requirements? Need for partnering with commercial and IP for flight opportunities of experiments, technologies for cartilage assessments, e.g., MRI, improved ultrasound technologies (DOD), ESA-funded technologies. HRP relies on the extramural community to bring non-NASA alliances into our Program. HRP leverages commercial and International Partner capabilities in many areas of the Program (flight as well as ground). These partnerships are discussed and managed under the auspices of groups like the International Space Life Sciences Working Group, and the Joint Working Group (with Russian partners). HRP encourages investigators to bring new partnerships to the table and leverage commercial and International Partner work to address HRP gaps and risks. ―Smarter‖ investments by defining the specific requirements that must be met (e.g., low power, smaller size, multifunctional applications). Need better integration between engineering needs and research needs. Reference missions have been developed within Constellation and are given in the ESAS report. These reference missions are being refined by the Constellation program. HRP has developed a Lunar Human Research Requirements Document. 7 2008 HRP Investigators’ Workshop Questions, Recommendations, & Responses IMMUNOLOGY PHARMACOLOGY CARDIO SENSORIMOTOR 1. How well is the Human Research Program addressing the risks to humans in your discipline area from space exploration? What in your opinion would make this program more effective? Highest priority risk addressed, but other risks are lost. Origin of risks for some disciplines is not clear. Origins of HRP risks are contained within the Evidence Book Risk Reports, which will be available in early 2009. Concerned about process, how gaps are added and removed. No transparency on risk process A process to add or remove risks is currently in development within the HRP Program Office to include configuration control. This process includes the Chief Medical Officer’s Human System Risk Board which evaluates space life sciences Risks. Risks are managed by the Program, and Gaps are managed by the Element, but all levels can bring forth evidence. Difficult to keep a basic research component in the discipline; basic scientists feel disenfranchised. Gravitational physiology as well all biological research has lost status as a science. Basic research is still required, NASA is only agency concerned with gravitational research. HRP gaps and tasks are focused on specific deliverables for stakeholders such as Constellation, which require directed research over the short term. Some basic research is accomplished by the NSBRI. This focus is required to fulfill the HRP objective to deliver human health and performance countermeasures, knowledge, technologies, and tools to enable safe, reliable, and productive human space exploration within the near term. There are significant limitations for data collection post-flight, prioritization for crew time and facilities are necessary. Currently, these resources are limited due to factors beyond HRP control. HRP recognizes this as a significant constraint, and post-flight data collection time is included as a component of the top HRP programmatic risks (# 1375: Lack of Sufficient ISS Flight Resources for HRP Investigations). Prioritization for crew time and facilities, and resolution of limitation for post-flight data collection is managed and implemented by the ISS Medical Project for the HRP, in conjunction with the ISS and Shuttle Programs and the International Partners. Integration with flight medicine has been a limitation, has improved but is still in need of work. There has been an unwillingness to investigate what can be done. Information on flight crew medical problems is not shared, difficult to know where the issues lie. The relationship with Flight Medicine is improving with increasing understanding of HRP deliverables. Clinical information is restricted by law and policy. The Life Sciences Data Archive (http://lsda.jsc.nasa.gov/) and the Longitudinal Study of 8 2008 HRP Investigators’ Workshop Questions, Recommendations, & Responses Astronaut Health http://lsda.jsc.nasa.gov/docs/research/LSAH_nav.cfmhave been instituted to provide useful data consistent with requestors' needs and subjects' rights. There will be a plenary presentation at the 2009 Investigators’ Workshop describing access to these resources. A survey will be taken during the 2009 Investigator’s Workshop to assess the needs of the investigator community and to advertise the resources available. Additionally, a presentation on Data Accessibility issues will be given at the 2009 Investigator’s Workshop to communicate the processes and procedures for obtaining reports of unattributable data. Difficult to find way in the current system…NASA presents a moving target, priorities keep changing Priorities often change in response to redirections imposed by Congress and the Administration; these are beyond HRP control. Research priorities can be found in the Program Requirements Document (http://humanresearch.jsc.nasa.gov/files/hrp-47052_HRP-Req-Doc.pdf), Integrated Research Plan (http://humanresearch.jsc.nasa.gov/files/hrp47065_HRP-IRP.pdf). Make better connections with crew and med ops, data debriefs etc. Get them interested and invested in research…little attendance from these groups at this meeting. Flight surgeons, and even astronauts, must be active partners, possibly designate representatives to each discipline who are given the time and resources to be a participatory member of the teams. This is happening in some groups, but they are spread too thin. Flight surgeons have been represented on each Discipline Integrated Product Team. All Elements, Projects, and Disciplines are encouraged to collaborate as needed. HRP is working to establish continual communication with the astronauts and with medical operations through the Human System Risk Board. This is an integrated look at all human system risks and an opportunity for crew and med ops to provide their insight into the research needs. 2. How well is the Human Research Program explaining its research needs and constraints to extramural participants? What recommendations do you have to improve this? Tired of hearing about constraints, too often first response is ―no, it can’t be done‖. Constraints are not real. Communication about the environment in which we must operate is vital, and not being done. The HRP faces many constraints beyond our control. This includes limited availability of flight and crew resources with which we accomplish our research goals. A goal of the HRP Investigator’s Workshop is to communicate the constraints of spaceflight and then to develop ways to work around them, if possible. 9 2008 HRP Investigators’ Workshop Questions, Recommendations, & Responses Two-step solicitations lead to a schizophrenic response due to the requirements The 2007 NRA allowed some responders to submit Step-1 proposals via NSPIRES and Step-2 proposals via grants.gov. The 2008 NRA contained specific instructions that responders should use the same system for each step. This process will be implemented for subsequent announcements. For more information, please visit the 2008 NRA website at http://nspires.nasaprs.com/external/solicitations/summary.do?method=init&solId= {184B6520-2AAE-14C8-F32A-D8C37AF77E7A}&path=open. Publish the evidence books as ―primers‖ for future work. The purpose of the HRP Evidence Book is to serve as a primer for future work. The HRP Evidence Book Risk Reports will be made available in early 2009 on the HRP external website (http://humanresearch.jsc.nasa.gov/about.asp) as well as a NASA special publication. 3. How well is the Human Research Program using the talents of the scientific community as a whole? What recommendations do you have for improvement? Many of the current document efforts are redundant and/or unnecessary. The Bioastronautics Roadmap was used to build the Program Requirements Document and the Integrated Research Plan. These guiding documents are necessary to address the new requirements for human research and enable the HRP to provide deliverables to Constellation and other stakeholders. Change annual investigator meeting to every other year and improve intermediate communication; we need less programmatic content, more science. Change plenary sessions to be a ―state of the art‖ session. Improving the quality of the science portion of this meeting is desired. Include more international participation, broaden scope of meeting. A biennial meeting has been given serious consideration. HRP determined that an annual meeting is in the best interest of the program in order to provide up-todate information. We will work to improve the scientific content of the workshop. Programmatic orientation is unavoidable due to the many requests for more programmatic information, such as helping investigators find their way through the NASA system, i.e. Integrated Research Plan, Program Requirements Document, and Evidence Book. The 2009 Investigators’ Workshop will include more scientific content. Programmatic content will be limited to providing investigators with the status of new directions and decisions that occurred this year, and new information on data accessibility, per investigators’ requests. 10 2008 HRP Investigators’ Workshop Questions, Recommendations, & Responses Lack of clear communication about what research is currently being funded leads to wasted effort on NRA proposals. Information about currently funded HRP research can be found in the HRP Task Book (http://peer1.nasaprs.com/Publication/welcome.cfm). An effort is currently with the underway with the Elements to capture all HRP research tasks and provide updates to the Task Book. 4. What non-NASA alliances (types of technologies, not specific names) do you anticipate pursuing in 2008 to do the work required to close HRP's gaps? How do we make NASA a smarter investor? How can we redirect resources toward uncovered requirements? What are the possibilities/opportunities to take advantage of commercial spaceflight? Is there a group investigating this avenue? Yes. The HRP, working through the JSC Space Life Sciences Directorate, has met with the Federal Aviation Administration to discuss potential collaboration on use of commercial spaceflight data. We have also begun exploring how commercial flight opportunities can help us in our risk reduction activities, especially through testing hardware in the flight environment before committing it to missions lasting many months or years. While the results of this are still preliminary, there may be opportunities in the future for such collaboration. 11 2008 HRP Investigators’ Workshop Questions, Recommendations, & Responses RADIATION 1. How well is the Human Research Program addressing the risks to humans in your discipline area from space exploration? What in your opinion would make this program more effective? Need to consider physiological effects of potential radiation pharmaceuticals countermeasures. Need to consider additional physiological stressors (such as sleep deprivation, lack of nutrition, vibration, etc.) in our radiation effects studies. Areas of study important to exploration missions are represented in the IRP Risks, Gaps, and Tasks via coordination with the Elements. More interaction with other focus groups is needed. Radiation group’s location in another building at this meeting was not conducive to this goal. We understand that Space Radiation seemed sequestered in another building at the workshop but this was due to space limitations. In an effort to encourage a multi-disciplinary approach, the 2009 Investigator’s Workshop will include sessions organized by risks instead of discipline. These sessions will be coordinated so that subject matter experts from multiple disciplines will be able to attend multiple sessions. 2. How well is the Human Research Program explaining its research needs and constraints to extramural participants? What recommendations do you have to improve this? Need increased facilities to accommodate the focus on low dose/low dose-rate and chronic exposures The extramural community can help advertise their need for facilities by using their research network (outside of NASA) and channeling that back into the program (e.g. access to Los Alamos National Lab via Department of Energy, or international facilities in Europe and Japan.) Need associate editor in Space Radiation Science at journal of Radiation Research to identify appropriate reviewers This is not a NASA issue, as we do not sponsor the Journal of Radiation Research. This is best worked by the investigator community directly with the journal. 3. How well is the Human Research Program using the talents of the scientific community as a whole? What recommendations do you have for improvement? NASA supports several educational opportunities to train graduate level students and bring new talented individuals into the field. The program PI’s would like better information on such opportunities that may benefit their research. 12 2008 HRP Investigators’ Workshop Questions, Recommendations, & Responses Radiation-specific graduate and post-doctoral fellow opportunity programs include: Oak Ridge Associated Universities (http://nasa.orau.org/postdoc/) Brookhaven Space Radiation Summer School program (http://www.bnl.gov/medical/NASA/NSRSS/default.asp) NASA Radiation Interuniversity Science and Engineering (RaISE) Project (http://humanresearch.jsc.nasa.gov/education/RaISE_main.asp) Need PIs to team up in experimental design to maximize use of resources if possible. HRP encourages investigators to take a multi-disciplinary look at problems and team up when developing proposals. Need more info on access to archived human blood samples from astronauts for pilot studies on radiation effects in crew. The Biospecimen Sharing Program (BSP) at Johnson Space Center provides the scientific community with access to NASA's inventory of biological materials from organisms that have flown in space or from related ground control studies. To obtain specific information and requirements for requesting archival samples, please visit the Life Sciences Data Archive (LSDA) website at http://lsda.jsc.nasa.gov/scripts/biospecimens/biospecNRA.cfm. 4. What non-NASA alliances (types of technologies, not specific names) do you anticipate pursuing in 2008 to do the work required to close HRP's gaps? How do we make NASA a smarter investor? How can we redirect resources toward uncovered requirements? Need to leverage additional low-LET facilities to increase access for PI’s (ex. Loma Linda). These facilities are currently available to investigators and are included as resources in the Radiation solicitation calls. 13 2008 HRP Investigators’ Workshop Questions, Recommendations, & Responses SHFH: NEW TECHNOLOGIES MEDICAL CAPABILITIES 1. How well is the Human Research Program addressing the risks to humans in your discipline area from space exploration? What in your opinion would make this program more effective? Considerable progress has been made with the IRP, evidence book, discipline integrated project team approach; however, the information should be available to investigator on the external internet. The HRP Evidence Book Risk Reports will be made available in early 2009 on the HRP external website (http://humanresearch.jsc.nasa.gov/about.asp) as well as a NASA special publication. The information should be available in a format that permits NSBRI investigators to comment before the document baselined. NSBRI Directors and Liaisons are included in document reviews prior to baseline. HRP encourages investigators and team leaders to work with their Element counterparts and Liaisons to provide input to HRP documentation. The Program Implementation Review panel which reviewed the HRP for NASA in 2008 commended our coordination efforts with the NSBRI. Constellation has been successful in incorporating comments and distributing information – this would be a good model; a wiki-type environment for collaboration on these documents should be explored. A Wiki-approach to document collaboration is a good idea and HRP is evaluating its usefulness. HRP is also evaluating an open source environment for documents such as the HRP Evidence Book Risk Reports. 2. How well is the Human Research Program explaining its research needs and constraints to extramural participants? What recommendations do you have to improve this? Mentoring/relationships on a PI-level are good way to communicate needs and constraints to outside investigator in addition to the NSBRI liaisons: Example 1-engineer assigned to get ready for flight. (Example: Contractor or NASA scientist who can be on site as a liaison to know what is going-on at NASA and understand PI project to relay info back & forth; can be implemented through help from project scientists and NSBRI team leads). This approach can be successful, but financial resources must be allocated to compensate NASA personnel and make sure that they have sufficient time & recognize that it is part of their job. Needs and constraints are communicated to outside investigators by ISSMP personnel for flight studies and by Flight Analogs Project personnel for analog environment studies. A project team is assigned to each investigation which includes all aspects of integrating experiments into the NASA system. Significant resources are allocated to these activities which are designed to guide a PI through the NASA system. 14 2008 HRP Investigators’ Workshop Questions, Recommendations, & Responses Q&A formatted document might help explain research needs and constraints to potential new investigators thinking of applying to a solicitation. HRP has made several improvements to recent solicitations and is continuing to seek ways to make research needs and constraints clearer. A Frequently Asked Questions (FAQ) section is included with each solicitation and is continually updated while the solicitation is open. These include questions sent in by investigators writing proposals. An example can be seen for the 2008 NASA/NSBRI research announcement at the following website: http://nspires.nasaprs.com/external/viewrepositorydocument/cmdocumentid=154 847/NNJ08ZSA002N_FAQ.pdf. 3. How well is the Human Research Program using the talents of the scientific community as a whole? What recommendations do you have for improvement? Include scientists/experts from outside of NSBRI/NASA at either annual meeting or team meetings to get new ideas (i.e., special session with 5 panelists from outside). The Exploration Medical Capabilities Element (ExMC) does do summits on narrow topics discussing specific topics. NSBRI would like to be involved and have the opportunity to participate as experts or provide recommendations for other people they know, outside the program to participate. Extramural scientists are encouraged to register for the annual meeting as observers. Although non-HRP investigators may attend, the purpose of the meeting is to communicate progress of HRP funded investigations. The 2009 Workshop will have round-table sessions that focus on specific risks and encourage interactive participation. Improve reputation of NASA from one who cancels projects and doesn’t have regular solicitations. The HRP currently releases two NASA Research Announcements (NRA) per year, as well as National Specialized Centers of Research and Small Business Innovative Research solicitations. Consider ground and analog applications of technologies that are being developed, so as not to discourage investigators may not be able to have flight opportunities. The current NASA Research Announcement includes flight and ground analog studies, so flight is not the only type of application being funded. Research solicitations should be jargon free and understandable for people unfamiliar with NASA. HRP has made several improvements to recent solicitations and is continuing to seek ways to make them clearer to include an updated acronym section for proposers to reference. Your constructive criticism will always be welcomed and appreciated. 15 2008 HRP Investigators’ Workshop Questions, Recommendations, & Responses 4. What non-NASA alliances (types of technologies, not specific names) do you anticipate pursuing in 2008 to do the work required to close HRP's gaps? How do we make NASA a smarter investor? How can we redirect resources toward uncovered requirements? ExMC leverages Department of Defense (DoD) supported projects (e.g., LTM, SonoSite). Need to recognize that if DoD is paying most of the bill, NASA has to understand the limitations that puts on scheduling. HRP understands the case of externally supported projects and is aware that this may levee additional constraints on the Element. Please continue to communicate scheduling issues with the Program Manager. NASA/NSBRI should look at other industries/areas that might have the same risk and examine them for leveraging opportunities. There is an agency-wide initiative to establish collaborative relationships with outside industries. As one example, recently the HRP established a relationship with the FAA, which shares similar human health risks for flight. The two organizations are seeking ways to share data and expertise. In addition, the Space Life Sciences Directorate at JSC that manages HRP has an extensive effort underway to benchmark industry-leading standards in research and technology development. Leveraging commercial partners has had mixed results, but can be successful. Consider joint solicitations with other federal agencies like NIH, NSF & DoD. Joint solicitations are currently implemented by NASA and the NSBRI. The HRP also collaborates with the National Institutes of Health (NIH), the Department of Energy (DOE), the Department of Defense (DOD), and the National Science Foundation (NSF). NSBRI could form ―think tanks‖ to help provide advice, in the form of a document, to suggest how medical care, for instance could be done for commercial space flight. We should act fast to get involved in this industry now, as they are moving ahead. Commercial space flight offers a tremendous opportunity for leveraging, providing a much larger range of health conditions compared to healthy astronauts. The NASA/NSBRI Steering Committee meets monthly to discuss HRP needs. The NSBRI also employs a User Panel and an External Advisory Council. Other NSBRI “think tanks” would need to be included in NSBRI planning. The HRP recently met with the Federal Aviation Administration to discuss potential collaboration on use of commercial spaceflight data. While the results of this are still preliminary, there may be opportunities in the future for such collaboration. 16