District Of Columbia 2023-2024 Regular Session

District Of Columbia Council Bill PR25-0292 Compare Versions

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2- ENROLLED ORIGINAL
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8-A RESOLUTION
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10-25-282
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12-IN THE COUNCIL OF THE DISTRICT OF COLUMBIA
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14-October 3, 2023
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17-To confirm the reappointment of Dr. Nicholas Caylor to the Board of Physical Therapy.
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19-RESOLVED, BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, That this
20-resolution may be cited as the “Board of Physical Therapy Nicholas Caylor Confirmation
21-Resolution of 2023”.
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23-Sec. 2. The Council of the District of Columbia confirms the reappointment of:
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1+June 20, 2023
2+Dear Chairman Mendelson:
3+£
4+for reappointment as a physical therapist licensed in the District member of the Board of Physical
5+Therapy, for a term to end April 16, 2025.
6+Enclosed you will find biographical information detailing the experience of the above-mentioned
7+nominee, together with a proposed resolution to assist the Council during the confirmation
8+process.
9+In accordance with section 2 of the Confirmation Act of 1978, effective March 3, 1979 (D.C. Law
10+2-142; D.C. Official Code § 1-523.01), and pursuant to section 209 of the District of Columbia
11+Health Occupations Revision Act of 1985, effective March 25, 1986 (D.C. Law 6-99; D.C. Official
12+Code § 3-1202.09), I am pleased to nominate the following person:
13+The Honorable Phil Mendelson
14+Chairman
15+Council of the District of Columbia
16+John A. Wilson Building
17+1350 Pennsylvania Avenue,NW, Suite 504
18+Washington, DC 20004
19+MURIEL BOWSER
20+MAYOR
2521 Dr. Nicholas Caylor
2622 Jefferson Street, NE
2723 Washington, DC 20011
2824 (Ward 5)
29-
25+Since ^ely,
26+I would appreciate the Council’s earliest consideration of this nomination for confirmation. Please
27+do not hesitate to contact me, or Steven Walker, Director, Mayor’s Office of Talent and
28+Appointments, should the Council require additional information.
29+Muri 1 Bow\er
30+Maye r \ A PROPOSED RESOLUTION
31+IN THE COUNCIL OF THE DISTRICT OF COLUMBIA
32+To confirm the reappointment of Dr. Nicholas Caylor to the Board of Physical Therapy.
33+RESOLVED, BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, That this
34+resolution may be cited as the “Board of Physical Therapy Nicholas Caylor Confirmation17
35+Resolution of 2023”.18
36+Sec. 2. The Council of the District of Columbia confirms the reappointment of:
3037 as a physical therapist licensed in the District member of the Board of Physical Therapy,
31-established by section 209 of the District of Columbia Health Occupations Revision Act of 1985,
32-effective March 25, 1986 (D.C. Law 6-99; D.C. Official Code § 3-1202.09), for a term to end
33-April 16, 2025.
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35-Sec. 3. The Council shall transmit a copy of this resolution, upon its adoption, to the
36-nominee and to the Mayor.
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38-Sec. 4. This resolution shall take effect immediately.
38+pursuant to section 209 of the District of Columbia Health Occupations Revision Act of 1985,28
39+effective March 25, 1986 (D.C. Law 6-99; D.C. Official Code § 3-1202.09), for a term to end29
40+April 16,2025.30
41+Sec. 3. The Council of the District of Columbia shall transmit a copy of this resolution,31
42+upon its adoption, to the nominee and to the Office of the Mayor.32
43+Sec. 4. This resolution shall take effect immediately.33
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69+Cnairman Phil Mendelson
70+at the request of the Mayor
71+Dr. Nicholas Caylor
72+Jefferson Street, NE
73+Washington, DC 20011
74+(Ward 5) NICHOLAS GAYTON CAYLOR, PT, DPT
75+Mission: To continuously improve patient outcomes by working collaboratively toward group success in achieving
76+departmental and hospital goals and by striving for and leading others towards excellence, effectiveness, and
77+efficiency in clinical care through servant leadership.
78+Experience____________________________ __ _______
79+GEORGE WASHINGTON UNIVERSITY HOSPITAL Washington, DC
80+Lead Therapist to Medical-Surgical Rehabilitation Supervisor April 2018 to Present
81+- Lead team of 81 clinicians and support staff. Directly supervise 12 Senior Level Therapists and Clinical
82+Specialists who each supervise teams of approximately 4 to 10 full time and per diem employees. Provide
83+coaching and mentorship, and establish expectations with Senior level and staff level therapists.
84+■ Oversee the processes of healthcare delivery for four departments within a Level 1 Trauma Center. Evaluate
85+effectiveness of processes, identify opportunities for improvement towards departmental and hospital goals,
86+and make recommendations, implement changes, and evaluate changes to improve access to and delivery of
87+healthcare services.
88+* Collaborate with Division Directors, C-Suite Executives, Managers, and Supervisors to coordinate changes in
89+models and practices to improve the efficiency and effectiveness of healthcare delivery.
90+■ Assign work to Senior and Staff level therapists based on priorities, difficulty of assignments, and capabilities of
91+the individual
92+■ Utilize complex data to drive decision making related to the delivery of therapy services. Generate tailored
93+Powerinsight reports, pulling specific and complex data from the Electronic Medical Record as well as tasking
94+Seniors and support technicians to audit charts to provide data necessary for evaluating the effectiveness of
95+current practices: including measuring patients’ timely access to therapy care, identifying and removing therapy-
96+related barriers to discharge planning, and determining effectiveness of programmatic changes.
97+* Develop, update, and enforce departmental policies and procedures; set expectations for team and coach Senior
98+Therapists on interpretation and implementation.
99+• Responsible for staffing all of inpatient rehab, encompassing 7 separate departments with unique staffing needs,
100+averaging a total 60 FTEs/weekday.
101+■ Responsible for managing timecards of all inpatient rehab, ensuring accuracy, managing labor levels, and
102+productivity.
103+- Developed CO VID Functional Maintenance Program - a therapy driven program to evaluate and provide
104+interventions to all medically stable individuals with SARS-CoV-2 infections in effort to reduce the profound
105+functional loss accompanying hospitalized patients with COVID.
106+■ Developed and actively maintain an accurate and updated staff list: tracking 95 staff members’ compliance with
107+performance reviews, formal check-ins, professional licensure, CPR, vaccination status, and over 15 annual
108+competencies
109+■ Represented Rehab in Wake Up and Breath, a multidisciplinary critical care program designing and
110+implementing evidence-based protocols and policies towards early extubation and progressive mobility in the
111+intensive care units. Co-lead development of progressive mobility protocol with nursing leadership - designed a
112+nursing-driven, rehab-supported, practice of mobilizing patients in the intensive care unit, documenting mobility
113+according to the developed mobility scale, and arranged the training of day and night shift nursing staff on bed
114+mobility, transfer training, and ambulation. Developed and assisted in the design of dry erase communication
115+boards with mobility scale and guidelines, coordinated the printing and examination of proofs with a hospital
116+vendor which were permanently installed in all ICU rooms.
117+■ Sole rehab representative for Corporate-wide committee defining new protocols and policies for all Intensive
118+Care Units among all the Acute Hospitals in the Universal Health Services system. Was responsible for
119+obtaining input from internal and external stakeholders and drafting recommendations related to Early and
120+Progressive Mobility for ICU patients. Drafted evidence-based recommendations mirroring those developed
121+during Wake Up and Breathe. All recommendations were adopted as written.
122+• Interview and make recommendations for hire for staff level and senior level therapists. Support manager and
123+director in justifying increasing staff through data analysis and presentation; helping contribute to the growth of NICHOLAS GAYTON CAYLOR PT, DPT 2
124+September 2018 to Present
125+January 2016 to April 2018
126+BOARD OF PHYSICAL THERAPY Washington, DC
127+Board Member
128+■ Regulate the practice of physical therapy in the District of Columbia
129+• Provide advice to the mayor and administer and enforce the law
130+• Evaluate applicants’ qualifications, interpret guidance, and recommend standards and procedures.
131+• Issue licenses, receive and review complaints, request investigations, conduct hearings, issue subpoenas, examine
132+witnesses, and administer oaths.
133+■ Review for approval requests for continuing education courses
134+■ Successfully advocated for the adjustment of requirements for the practice of Physical Therapist Assistants to
135+practice under general supervision rather than direct supervision, allowing these licensed and trained
136+professionals to operate with a higher degree of autonomy within their scope of practice. Direct Supervision
137+requires line of site supervision which is not in line with national standards and whose restrictive requirements
138+prevents the employment of PTAs in many healthcare settings.
139+■ Draft updated language for the District of Columbia Municipal Regulations as well as the Health Occupations
140+Revision Act governing the practice of physical therapy
141+■ Represent the Board of the District of Columbia as a delegate to the national assembly of the Federation of State
142+Boards of Physical Therapy.
143+our department by a 59.7% increase in FTEs since taking the position. (33.5 to 53.5)
144+* Co-led development of PT in the ED, a joint effort among inpatient, outpatient, and ED leadership to embed
145+physical therapists in the emergency department in effort to reduce unnecessary admissions, reduce readmissions,
146+decrease wait times, reduce need for imaging, and improve access to needed therapy for patients.
147+* Oversaw and assisted in the development of a training program to efficiently train 15 outpatient physical and
148+occupational therapists to provide care in inpatient during pandemic when outpatient census dropped and
149+inpatient needs rose.
150+* Member of Capacity Management Taskforce - assisted in development of protocol for interdisciplinary rounding
151+procedures and instituting rounding on all hospital floors which previously had been limited to select units.
152+Participated in Length of Stay taskforce identifying barriers to discharge, reviewing quality metrics, and
153+exploring opportunities within rehab department. Provided training and education to rehab team re: complex
154+discharge planning: looking at specific communication strategies, development of plans of care, and
155+documenting appropriately.
156+* Develop and share numerous Microsoft Office Suite macros for Excel, Word, and Outlook to automate tasks.
157+* Selected by Division Director to be Rehab representative on Patient Experience Steering Committee:
158+Collaborating with hospital leadership at Director level and C-suite level to identify opportunities and strategies
159+for addressing HCAHPS scores across all domains. Co-lead subcommittee addressing Discharge and Transitions
160+of Care domain focusing on lowest scoring unit at the time. Collaborated with nursing leadership and provided
161+education and resources to incorporate best-practice strategies, with reversal of scores to achieve hospital
162+benchmarks.
163+* Successfully advocated with local and corporate Information Technologies to include all inpatient rehab in the
164+hospital’s deployment of new smartphones intended for nursing staff. Rehab represented the largest single unit
165+deployment of CareConnnect Phones in the hospital. Oversaw the rapid deployment and training for all staff.
166+■ Assisted in the rollout of multiple unit-wide interdisciplinary team rounds
167+■ Partnered with Outpatient Therapy to develop and implement a pre-op and post-op standardization plan of care
168+for elective orthopedic surgical patients (joint replacement, spine fusion)
169+■ Collaborate with Remedy, GW’s partner for managing BPCI-A, in addressing opportunities related to quality
170+care indicators for BPCI-A patients.
171+GEORGE WASHINGTON UNIVERSITY HOSPITAL Washington, DC
172+Senior Physical Therapist
173+• Provide formal oversight to multiple staff therapists: offer clinical support and mentorship; identify areas for
174+growth and provide guidance; celebrate their successes; ensure mentees’ compliance with departmental
175+competencies, productivity requirements, hospital/department policies and initiatives, and state/federal regulatory
176+requirements; complete their annual performance reviews and periodic stay interviews; and hold monthly
177+meetings discussing goals, progress, and issues. Maintain secure digital records logging productivity, meetings, NICHOLAS GAYTON CAYLOR PT, DPT 3
178+as
179+Spring 2017 to Spring 2019GEORGE WASHINGTON UNIVERSITY Washington, DC
180+Adjunct Instructor of Physical Therapy and Health Care Sciences
181+■ Served as lab instructor for Management of Cardiopulmonary Dysfunction for 2nd year Doctor of Physical
182+Therapy students. Provided feedback, instruction, and guidance to students learning a variety of cardiopulmonary
183+assessments and interventions. Answered student questions. Administered and graded their practical
184+examinations and provided post-assessment feedback.
185+■ Served as lab instructor for pilot course for 2nd year DPT students simulating the acute care environment. Wrote
186+and tracking compliance with competencies. Have overseen 3 full-time and 6 per-diem therapists concurrently
187+while maintaining full case-load and meeting senior productivity requirements.
188+* Oversee day-to-day PT and OT schedules and triage lists based on daily census, new consults, staff availability,
189+and staff skill levels. Consistently receive positive feedback from staff regarding patient assignments.
190+■ Independently developed multiple process efficiencies to reduce time required to complete the schedule by
191+much as half, and trained other schedulers in these techniques.
192+* Screen, examine, evaluate, and treat critically ill patients in the neuroscience/trauma ICU, cardiothoracic ICU,
193+and medical ICU as well as floor patients with primary neurosurgical, oncological, traumatic, neurologic,
194+orthopedic, psychiatric, cardiopulmonary, and medical diagnoses.
195+* Evaluate, treat, and educate outpatients diagnosed with ALS as part of a multidisciplinary team.
196+* Recognized by C-Suite members for my care and attention to a patient and his family from his ICU course to our
197+acute rehab unit.
198+* Recognized by peers who selected me as employee of the month. Have received numerous letters and cards of
199+thanks from patients.
200+■ Work collaboratively with leadership to develop and implement departmental initiatives as part of senior team.
201+■ Screen applications, interview, recommend for hire, and orient new employees. Independently initiated and
202+developed a standardized format for PT and OT documentation to address inconsistencies across notes among
203+clinicians. New format adopted by the department. Completed chart audits over two quarters to ensure
204+compliance with formatting changes.
205+■ Independently initiated and completed update of departmental orientation binder to removed outdated policies
206+and practices and updated instructional guidelines that reflect current practice. Redesigned electronic file
207+structure, format, and table of contents to easily accommodate future changes. Updated all policies and
208+procedures. Created new documents to reflect departmental practices related to weekend therapy
209+(documentation, prioritization, and billing). Created new instructional guides for completing PT/OT evaluations,
210+treatments, and contact notes. Received positive feedback from staff regarding ease of use and utility of the new
211+guides.
212+- Independently initiated development of a departmental competency for providing therapy in the ICU: outlining
213+eligibility, identifying formal training schedule with specific skills checks and performance requirements, and
214+developed oral and written examinations testing knowledge gained during training and of the required reading.
215+■ Routinely identified by the manager and former rehab director to perform service recovery for challenging
216+patient, family, physician, or staff conflicts as they relate to the rehab department, utilizing effective
217+communication and interpersonal skills to successfully and consistently reverse negative outcomes.
218+■ Clinical instructor for 3 full-time DPT students; established clinical goals, provided instruction and training
219+toward curricular benchmarks, completed formal weekly feedback and planning, developed planned learning
220+experiences, and encouraged their professional development.
221+■ Selected by Lead Therapist to be rehab representative on Shared Governance Council on Informatics - alerting
222+staff
223+ to clinical software changes and practices and collaborating with IT to introduce changes to our
224+documentation and processes at a corporate level.
225+■ Collaborated with Quality Improvement and interdepartmental group designed to improve the patient experience
226+for elective orthopedic surgery patients. Provided feedback and guidance on marketing videos including scripting
227+and content. Identified and initiated implementation of 2 action items within the purview of the rehab department
228+to address primary and secondary drivers impacting length of stay for elective surgical patients.
229+■ Independently sought additional training on staff management techniques, ultimately resulting in the entire senior
230+team taking part in UHS’ internally-developed management training “M3” classes.
231+■ Independently provide technical support to rehab staff at all levels, including clinical application assistance, new
232+account setup and training, software/hardware troubleshooting, and Microsoft Office expertise. NICHOLAS GAYTON CAYLOR PT, DPT 4
233+August 2009 to August 2013
234+Costello E, Goodman K, Caylor N, Pinkus R. (2020 November) Making it Stick: Embedding Simulation in Your
235+Course. Poster presented at the 2020 at the Bridge the Gap: Using Simulation to Advance Acute
236+Care Physical Therapy Virtual Conference.
237+BOSTON MEDICAL CENTER Boston, MA
238+Inpatient Physical Therapy at University-Affiliated Level 1 Trauma Center
239+• Primary therapist for surgical, medical, pediatric, and cardiac ICUs; stroke, neurosurgical, and cardiothoracic
240+intermediate care units; and orthopedics, trauma, geriatrics, surgery, medicine, oncology, and pediatric floors.
241+• Actively coordinated with multidisciplinary team members to address highly complex discharge issues, such as
242+patients without insurance or citizenship whose mobility impairments precluded discharge. Regularly provided
243+family training to allow for caregivers to safely take patients home.
244+* Provided clinical application assistance and expertise as superuser for our electronic medical record software.
245+* Clinical instructor for 3 full-time students: established clinical goals; provided instruction, training, and feedback
246+to meet their curricular goals and encourage professional growth.
247+Publications ___________________________________________________________________________
248+Costello E, Caylor N, Dunyak M, Cordrey R. (2017 June) Simulating the Acute Care Environment in the Academic
249+Setting: Impact on Student Knowledge. Skills and Behaviors. Poster presented at the 2018 American Physical
250+Therapy Association Combined Sections Meeting. New Orleans, LA
251+GEORGE WASHINGTON UNIVERSITY HOSPITAL Washington, DC November 2013 to December 2015
252+Staff Physical Therapist
253+■ Screened, examined, evaluated, and treated critically ill patients in the neuroscience/trauma ICU, cardiothoracic
254+ICU, and medical ICU as well as floor patients with neurosurgical, oncological, traumatic, neurologic,
255+orthopedic, psychiatric, cardiopulmonary, and medical diagnoses.
256+■ Evaluated, treated, and educated outpatients diagnosed with ALS as part of a multidisciplinary team.
257+■ Recognized by peers who selected me as employee of the month.
258+* Received personal thanks from the former CEO and recognition and kudos from a patient and his family for
259+identification of an unrecognized stroke and for service recovery and professionalism in dealing with the matter
260+• Clinical instructor for 2 full-time students: established clinical goals; provided instruction, training, and feedback
261+to meet their curricular goals and encourage professional growth.
262+■ Co-founded Journal Club with a former occupational therapist and reviewed relevant research literature on a
263+monthly basis.
264+• Identified gap in policy and practice with regards to patient safety regarding use of personal protective equipment
265+outside patients’ rooms. Discussed with Department of Infection Control who issued guidelines.
266+* Volunteered to teach “Spine Class” - a pre-operative class for patients undergoing elective spine surgery.
267+• Independently identified and implemented a method for tracking inappropriate consults.
268+* Volunteered to participate in “Slay the Dragon” - meetings designed to identify barriers to meeting productivity,
269+determine solutions, and implement changes.
270+■ Independently identified an ethical and legal compromise inadvertently being committed on a nursing unit.
271+Discussed with the nurse manager who discussed with Risk Management who agreed with my assessment,
272+correcting the situation.
273+the cases for the course and provided feedback, guidance, and instruction to students learning how to
274+simultaneously manage multiple lines, perform safe patient handling and interventions, monitor vitals, and adjust
275+treatment on the fly in a simulated cardiothoracic ICU environment. Second-authored and presented a poster
276+regarding the above course at the largest national conference for physical therapy, the APTA Combined Sections
277+Meeting, in February 2018.
278+■ Selected by the Program Director to co-teach Clinical Conference III - a case-based seminar teaching clinical
279+decision making to 2nd year DPT students. NICHOLAS GAYTON CAYLOR PT, DPT 5
280+202]
281+2009
282+Honors: Institutional Merit Scholarship
283+2006
284+Honors: University Honors Program
285+University Scholars Recipient
286+Dean’s List: all years
287+* M3: Effective Performance Evaluations
288+* M3: Managing Conflict
289+* M3: Change Management
290+* M3: Coaching for Performance Improvement
291+* M3: Culture of Accountability
292+■ M3: Achieving Communication Effectiveness
293+* M3: Motivating and Recognizing
294+* HR Essentials: Behavior Based Interviewing
295+- HR Essentials: Wage and Flour Basics
296+■ HR Essentials: Navigating through the Americans
297+with Disabilities Act
298+* Roadmap to the Development of a Critical Care
299+Rehab Team
300+* Innovating Engagement and Professional Growth
301+in Acute Care.
302+* Exploring Continuing Competence and
303+Professional Issues with the APTA
304+* Overcoming Roadblocks to PT Compact
305+Implementation-The State Perspective
306+* Deciphering State Disciplinary and ELDD Data
307+■ Digital Physical Therapy: Our Future is Now
308+■ Excellence in Regulation: Boards That Have
309+Made A Difference
310+* The Pew Commission 25 Years Later
311+* Productivity and Burnout in Physical Therapy:
312+Implications for Clinicians, Managers, and
313+Employers
314+* Current Happenings and Future Directions of the
315+PT Compact
316+UNIVERSITY OF IDAHO, Moscow, ID
317+Bachelor of Science in General Studies
318+Minor in .Art; Minor in Music
319+Professional Development and Continuing Education_______
320+• Member APTA, Acute Care Section
321+• APTA Credentialed Clinical Instructor
322+■ Chief Resident Immersion Training for the Geriatric Patient
323+■ Cardiac Amyloidosis
324+• Cancer Rehabilitation for Physical Therapy Professionals
325+• Therapeutic Approaches to Dementia
326+■ John’s Hopkins Critical Care Rehabilitation Conference
327+• Mechanical Ventilation and Physical Therapy
328+■ Promotion of Recovery Post-Stroke
329+• Treating the Stroke Patient in the Neuro ICU with
330+Confidence
331+■ Improving Wheeled Mobility
332+• An Overview of Trauma's Impact on Boundary Violation
333+Investigations
334+- Stay Ahead of the Curve: Don't Become a Liability Case
335+Study
336+■ Challenges for Healthcare Professions: Management of
337+Substance Use Disorders
338+■ Regulators as “Proprioceptors” for Health Workforce
339+Policy
340+• Artificial Intelligence in Medicine and Physical Therapy
341+■ Burnout in Healthcare: Risks for Patients? What Do
342+Regulators Need to Know and Do to Help Their Licensees?
343+• Mining Your Data: Exploring Trends in Licensure
344+■ Powerinsight Basic Training
345+• Powerinsight Intermediate Training
346+■ Powerinsight Advance Training
347+MGH INSTITUTE OF HEALTH PROFESSIONS, Boston, MA
348+Doctor of Physical Therapy
349+Education_____________________ ________________
350+THE GEORGE WASHINGTON UNIVERSITY, Washington, DC
351+Healthcare MBA Candidate -Postponed Honors: GW Signature Scholarship Recipient Elizabeth A. (Betsy) Cavendish
352+To:
353+From:
354+Date:
355+Subject:
356+Office of the General Counsel to the Mayor
357+GOVERNMENT OF THE DISTRICT OF COLUMBIA
358+Executive Office of Mayor Muriel Bowser
359+★ ★ ★
360+WE ARE
361+WASHINGTON
362+Tommy Wells, Steve Walker
363+Betsy Cavendish
364+March 7, 2023
365+Legal sufficiency review of Resolutions nominating Dr. Nicholas Caylor and Ana
366+Quinones as members of the Board of Physical Therapy_______________
367+This is to Certify that this office has reviewed the above-referenced resolutions and
368+found them to be legally unobjectionable. If you have any questions in this regard, please do not
369+hesitate to call Vanessa Careiro, Deputy General Counsel, Executive Office of the Mayor, at
370+202-724-1303, or me at 202-724-7681.
371+The John A. Wilson Building • 1350 Pennsylvania Avenue. NW ■ Suite 300 ■ Washington, D.C. 20004 • Office (202) 724-7681