Grant Funding Opportunities Michael Hagan Economist Extramural Program Officer Economist, Saturday, June 26, 2010, 5:30 PMPM-6:30 PM Hynes H V Vet’ns t’ M Mem’l’l C Conv’n ’ C Cntr t #208 AHRQ’s Q Mission Improve the quality, quality safety safety, efficiency and effectiveness of health care for all Americans How does AHRQ accomplish its mission? i i ? Make, buy, assist Make M k it – intramural i t l research h Buy it – contracts, task-orders Assist those who can help AHRQ achieve mission – grants g Most activities are a combination AHRQ Authorization Healthcare Research and Quality Act of 1999 amended Title IX of the Public Health Service Act and authorized AHRQ "to promote health care quality p . . . by y ". . . supporting pp g ((1)) research . improvement" . . including (2) synthesis and dissemination of . . . evidence and (3) initiatives to advance private and public efforts." AHRQ Authorization AHRQ can . . . "support research, evaluations and training evaluations, training, demonstration projects, research networks, and multidisciplinary centers centers, “. . . provide technical assistance, and disseminate information on health care and on systems for the delivery of such care . . ." HCUP and grants As main data source in grantgrant-supported research projects For metrics used in such research As part of data infrastructure E g making linkages with other databases for use E.g., in a research project AHRQ booth, AHRQ website for info AHRQ – As a Science Partner Fund and conduct research on issues important to decisionmakers – Clinical – Health System – Policy Close the gap between evidence and practice/policy Nurture the next g generation of health services researchers Implications of Mission Emphasis on production and use of evidence Increased emphasis on ‘value‘value-added’ approach to grant making Enhanced emphasis on problemproblem-solving, user input, relevance relevance to practice and policy Mike’s Points Points--of of--view 20 years, 200+ funded grants 1000+ 1000 grantt applications li ti 3000+ reviews Applicant, Grantee (DOL) Researcher (UI (UI, NCHSR) Reviewer Data D t Development D l t – MEPS, MEPS HCUP AHRQ Grant Application Submission, Review, and Award Process Development, Receipt, and Assignment of Applications Applicant Investigator develops and submits grant application to NIH/CSR CSR assigns application to NIH Institute or AHRQ CSR Assignment Office Study Section Review for Scientific Merit CSR sends computerized notice of assignment to applicant DSR Referral Officer assigns to appropriate AHRQ Program IRG reviews and assigns i priority i it scores or designates noncompetitive IRG members review and evaluate AHRQ assigns application to Initial Review Group CSR computes percentile ratings SRAs prepare Summary Statements Site visit made if necessary CSR sends computerized notice of review results to applicant DSR informs program that summary statement is available Site visit report PO mails summary statements to investigators NIH Councils ( (Duals) ) Public Affairs notified AHRQ Review for Program Relevance and Funding Determinations Award Negotiation g and Issuance PO reviews and prepares/sends recommendation memo to DSR/GMS DSR schedules funding meeting Applications selected for funding Signed “paylists” received by GMO Final review and negotiations Congressional liaison notified (30 ddays)) Award issued Award received by institution Investigator begins work PI and PO: Confluence of Agenda g The goal: good – i.e. fundable -- applications A model d l off grants processes – Pre Pre--application – FOA, RFA, PA, Tech Assist, Guidance – Application – assignments, assignments review review, summary statements – Funding Recommendations – addressing issues raised in review,, decisions on funding, g, initial awards – Grant – progress reports, problems – Post Post--closeclose-out – publications, visibility Current Initiatives at AHRQ Program Announcements – AHRQ.gov PA--09PA 09-070 (R01), PAPA-0909-071 (R18), and Small Grant program – – M i recentt opportunities Main t iti ffor economics i and d social i l science i Main recent opportunities for nonnon-government directed research Research Opportunities R01: research grants – Feb, June, Oct application receipt dates – up to t $500K/yr $500K/ R18: demonstration and dissemination projects – Jan, May, Sept application receipt dates – up to $500K/yr Some stats to provide context 533 AHRQ grants funded with FY2009 money 700+ applicants competing for grants 215 ‘competing’ projects awarded – ‘new starts’ 59 new R01s R01s, 26 new R18s 36 new R01s, 10 new R18s – from PA 070, 071 Mike’ss world: 74 competing applicants,19 new Mike starts, 30 ‘active’ projects Recent Funding at AHRQ IT, CER, ARRA -- money AHRQ, NIH, OS – more money, more opportunities for social science Study Sections Four AHRQ study sections Health System Research is my main study section – Meet 3 times per year y AHRQ thinking about reconfiguration, adding – Broad? Specialized? Rosters on web, caveats on currency Processes under discussion, recentt changes h Review criteria changes Use U off a 9-point 9 i t scoring i scale l NO --New, Early Stage Investigators with separate procedures, YES,, Revised application pp forms NO -- Revised application page limits Limit application resubmission to one application, no limit timeframe Application Preparation Suggestions Read instructions carefully and follow Know the grant mechanism, know the application pp form,, know the submission procedures Be clear and organized Keep abreast of Agency mission and research priorities – AHRQ.gov, AHRQ Funding F di Opportunities O t iti Communicate with Agency staff early – Program Contact listed in every initiative – First stop – after reading Announcement Agency Award Criteria Scientific and technical merit Fits AHRQ research priorities Fills a gap in AHRQ’s AHRQ s research portfolio Impact or implementation opportunities Good value Co--funding and/or strategic partnership Co opportunities pp Recent Budget Requests For ‘other’ other category 2008 $3 $3.7M 7M requested requested, $5 $5.7M 7M appropriated (>2% of total appropriation of $335M). 2009 $3 $3.5M 5M requested, t d $16 $16.1M 1M appropriated i t d (4% of total appropriation of $372M). 2010 $8.4M requested, $23.6M appropriated (6% of total appropriation of $397M). 2011 $0 requested. FY2011 Request Total AHRQ request is for $611M -- 50% increase over FY2010 appropriation. $340M -- i.e., 55% -- is for contracts. $75M --12% --12%--- is for continued funding for grants already funded. [About half of $75M ---53% 53%--- is in the 'everything everything else' else crosscross-cutting category category.]] $123M -- i.e., only 20% -- is for new and competing grants. Most (86%) of the $123M for new grants is for PatientPatient-Centered Health Research,* the new name for Comparative Effective Research. Balance for (1) Patient S Safety f and (2) Health Information f Technology. $0 is requested by the Agency for new grants in the 'everything else' crosscrosscutting grants. This is the category that funds research grants looking at health system y issues,, including g economics. THIS PROBABLY DOESN’T MATTER FOR DECIDING ON SUBMISSION OF GRANTS. FY2011 Request Why this probably doesn doesn’tt matter for decisions on developing and submitting applications: – Most grants are not funded in the year of submission – resubmission, timing – More than half of funded applications are resubmissions – Federal government may end up with a C ti i Resolution Continuing R l ti – which hi h would ld mean funding for cross-cutting category Tips for economists submitting to study sections HSR study sections are interdisciplinary Deep expertise may be needed in clinical, institutional, data dimensions Reviewed by at least 1 economist, but other reviewers are not likely to be economists Everyone votes Application must speak to everyone Cl Clear, compelling, lli complete l t It’s OK to ask program officers about this process For potential applicants: 1. Go to AHRQ Q WEBSITE www.ahrq.gov 2 Look for and read FOA (Funding Opportunity Announcements) 2. 3. Make appropriate program contact [E.g., Contact C on Research Priorities Value Portfolio g Michael Hagan