AHCPR SMALL RESEARCH GRANT PROGRAM NIH GUIDE, Volume 23, Number 22, June 10, 1994 PA NUMBER: PAR-94-072 P.T. 34 Keywords: Health Services Delivery Agency for Health Care Policy and Research PURPOSE The Agency for Health Care Policy and Research (AHCPR) announces an update of its small grant program, whereby applications may be reviewed and considered for funding under an accelerated time frame. AHCPR conducts and supports research that will enhance the quality, appropriateness, effectiveness, and cost-effectiveness of health care services and access to such services. Support for small research grants is part of AHCPR's effort to build research capacity and stimulate the development of innovative and timely research on issues related to the delivery of health care services. Small grant applications are those with total direct costs of $50,000 or less over the project period. AHCPR's small grant program support is designed to: (1) aid the career development of new health services researchers, (2) encourage individuals from a variety of academic and professional disciplines and programs to study complex issues with respect to health care services, (3) encourage the conduct of clinical practice-oriented research, and (4) support preliminary studies when such are required before more definitive inquiry can proceed. Applicants who propose research that addresses priority areas that are highlighted in AHCPR program announcements will be notified of funding decisions approximately six months after receipt of applications. This announcement supersedes "Health Services Research Priority Areas for Accelerated Small Grant Application Review" PA-91-92, which was published in the NIH Guide in May 1991 and the Federal Register on July 15, 1991. AHCPR's program for accelerated review of small conference grant applications, as announced in "Health Services Research Conference Grants" (PA-91-61) in the NIH Guide for Grants and Contracts on May 31, 1991 and the Federal Register on July 15, 1991, remains unchanged at this time. HEALTHY PEOPLE 2000 The Public Health Service (PHS) is committed to achieving the health promotion and disease prevention objectives of "Healthy People 2000," a PHS-led national activity for setting priority areas. The AHCPR urges applicants to submit grant applications relevant to the specific health services research objectives of this initiative. Potential applicants may obtain a copy of "Healthy People 2000" (Full Report: Stock No. 017-001-00474-0 or Summary Report: Stock No. 017-001-00473-1) through the Superintendent of Documents, Government Printing Office, Washington, DC 20402-9325 (telephone 202-783-3238). ELIGIBILITY REQUIREMENTS Applications may be submitted by domestic and foreign, non-profit organizations, public and private, including universities, clinics, units of State and local governments, and foundations. Applications from minority and women investigators are encouraged. The aims of the proposed project must be distinctly different from those of any pending grant application or funded research project submitted by the principal investigator. The request may not be used to supplement currently supported projects, provide interim support for projects under review by the PHS, or obtain funding as a competing continuation of a small grant. MECHANISMS OF SUPPORT This Program Announcement (PA) will use the small research grant (R03) mechanism. Responsibility for the planning, direction, and execution of the proposed project will be solely that of the proposed principal investigator. The total direct costs must not exceed $50,000 for the entire project period. Projects should be accomplished in one to two years. RESEARCH OBJECTIVES Background AHCPR's authorizing legislation provides for the use of the small grant mechanism, and permits adjustments in the procedures otherwise established for the conduct of peer review, for the purpose of encouraging the entry of individuals into the field of research, for the purpose of encouraging clinical practice-oriented research, and for such other purposes as the Administrator may determine to be appropriate. AHCPR's use of accelerated procedures for consideration of small research grants is a response to the expressed interest of the research community in maintaining mechanisms that provide a transition: (1) to independent investigation by new researchers; or (2) for researchers accomplished in other fields who are moving into health services and health policy research. It is also intended to provide the potential for support of preliminary studies in areas for which the availability of other options is limited. This is not the only mechanism used by AHCPR to encourage entry of investigators into health services research. Applicants should inquire about other AHCPR programs for which they may be eligible, such as National Research Service Individual Postdoctoral Fellowship Awards and Dissertation Research Grants. Research Issues Applicants are encouraged to investigate priority issues that have been publicized in various program announcements of AHCPR. The following announcements, which were published in the NIH Guide for Grants and Contracts, provide information on selected areas of interest: o "Primary Care and Health Care Reform" (PA-93-063), Vol. 22, No. 10, March 12, 1993; o "Cost and Financing Issues in Health Care Reform" (PA-93-45), Vol. 22, No. 4, January 29, 1993; o "Health Care Quality Improvement and Quality Assurance Research" (PA-93-084), Vol. 22, No. 19, May 21, 1993; o "Health Services for Persons with HIV Infection" (PA-93-110), Vol. 22, No. 33, September 17, 1993; o "Medical Malpractice and Liability Research" (PA-94-016), Vol. 22, No. 44, December 10, 1993; o "Health Services Research on Rural Health" (PA-92-71), Vol. 21, No. 16, May 1, 1992; o "Effective Dissemination of Health and Clinical Information and Research Findings" (PA-92-51), Vol 21, No. 10, March 13, 1992; and o "Medical Treatment Effectiveness Research -- Summary" (PA-94-074), Vol. 23, No. 22, June 10, 1994. Applications addressing areas of interest to AHCPR covered by program announcements released subsequent to this small grant announcement also will be eligible for consideration for funding under an accelerated timeframe. Applicants may direct inquiries regarding programmatic issues to appropriate staff. Specific individuals for each area are: Primary care and health care reform: Center for General Health Services Extramural Research Carolyn Clancy, M.D. Telephone: (301) 594-1357, ext. 133 Cost and financing issues in health care reform: Center for General Health Services Extramural Research Michael Hagan Telephone: (301) 594-1354, ext. 120 Health care quality improvement and quality assurance: Center for General Health Services Extramural Research Bertha D. Atelsek Telephone: (301) 594-1352, ext. 111 Health care services for persons with HIV infection: Center for General Health Services Extramural Research Melford J. Henderson, M.P.H, M.A. Telephone: (301) 594-1354, extension 122 Medical malpractice and liability research: Center for General Health Services Extramural Research David C. Hsia, J.D., M.D., M.P.H. Telephone: (301) 594-1354, ext. 118 Health services research on rural health: Center for General Health Services Extramural Research Jean G. Carmody, M.S.W. Telephone: (301) 594-1357, ext. 130 Dissemination of health and clinical information and research findings: Center for Research Dissemination and Liaison Jane E. Linkletter Telephone: (301) 594-1362 Medical effectiveness and outcomes research: Center for General Health Services Extramural Research James Cooper, M.D. Telephone: (301) 594-1357, ext. 141 STUDY POPULATIONS INCLUSION OF WOMEN AND MINORITIES IN RESEARCH INVOLVING HUMAN SUBJECTS It is the policy of AHCPR that women and members of minority groups and their subpopulations must be included in all AHCPR-supported health services research projects involving human subjects, unless clear and compelling rationale and justification are provided that inclusion is inappropriate with respect to the health of the subjects or the purpose of the research. A new NIH policy resulting from the NIH Revitalization Act of 1993 (Section 492B of Public Law 103-43) supersedes and strengthens NIH's previous policies (Concerning the Inclusion of Women in Study Populations, and Concerning the Inclusion of Minorities in Study Populations), which were in effect since 1990 and which AHCPR had adopted. The new NIH policy contains some provisions that are substantially different from the 1990 policies. AHCPR plans to publish guidelines specific to AHCPR. In the interim, AHCPR will follow the NIH guidelines, as applicable. All investigators proposing research involving human subjects should read the "NIH Guidelines For Inclusion of Women and Minorities as Subjects in Clinical Research," which have been published in the Federal Register of March 9, 1994 (FR 59 11146-11151) and reprinted in the NIH Guide for Grants and Contracts, Volume 23, Number 11, March 18, 1994. Investigators also may obtain copies of the NIH policy from the program staff listed under INQUIRIES. AHCPR program staff may also provide additional relevant information concerning this policy. APPLICATION PROCEDURES Applications are to be submitted on the grant application form PHS 398 (rev. 09/91) and will be accepted on or before the application receipt dates as indicated in the application kit. (State and local governments may use form PHS 5161 and follow those requirements for copy submission.) Application kits are available at most institutional offices of sponsored research; from the Office of Grants Information, Division of Research Grants, National Institutes of Health, Westwood Building, Room 449, Bethesda, MD 20892, telephone (301) 710-0267; and from Global Exchange Inc., 7910 Woodmont Avenue, Suite 400, Bethesda, MD 20814-3015, telephone (301) 656-3100, (FAX (301) 652-5264). To be eligible for expedited processing and funding consideration, item 2a of page 1 of the application must be checked "YES;" and the PA number and the title "AHCPR Small Grants Program" must be entered. The completed original application and five legible copies must be sent or delivered to: Division of Research Grants National Institutes of Health Westwood Building, Room 240 Bethesda, MD 20892** The Division of Research Grants (DRG) will not accept any application in response to this announcement that is essentially the same as a component of one pending initial review, unless the applicant withdraws the pending application. The DRG will not accept any application that is essentially the same as one already reviewed. This does not preclude the submission of substantial revisions of applications already reviewed, but such applications must include an introduction addressing the previous critique. REVIEW CONSIDERATIONS Upon receipt, applications will be reviewed for completeness by the referral office, DRG. Incomplete applications will be returned to the applicant without further consideration. Review criteria for AHCPR grant applications are: significance and originality from a scientific and technical viewpoint; adequacy of the method to carry out the project; availability of data or the proposed plan to collect data required for the project; qualifications and experience of the principal investigator and proposed staff; adequacy of the plan for organizing and carrying out the project; reasonableness of the proposed budget; and adequacy of the facilities and resources available to the applicant. AHCPR is particularly interested in supporting new investigators and will give special consideration to proposed principal investigators (PI) who have not been designated previously as PI on any PHS-supported research project (including both R01 and R03), other than an Academic Research Enhancement Award (R15) or certain career development awards (K series) directed principally to physicians, dentists, or other clinicians with limited research experience. The size and scope of proposed projects should be appropriate to the capabilities of the researcher and the area addressed. Applications that propose a budget that is grossly inadequate to accomplish the aims of the project will not receive favorable consideration. Applications usually will be reviewed for scientific and technical merit by an AHCPR initial review group (IRG) composed primarily of non-Federal scientific experts. Summaries of IRG recommendations will be sent to applicants as soon as possible following IRG review. Sec. 922 (d)(2) of the Public Health Service Act allows the Administrator to make appropriate adjustment in AHCPR's usual peer review procedures for applications whose direct costs do not exceed $50,000. Although it is anticipated that most such applications will be reviewed by AHCPR-chartered review groups, AHCPR reserves the right to modify procedures used by these groups or to make the determination that an application warrants immediate review by Federal or non-Federal experts serving as field readers. The final determination of the method of review is made by AHCPR, and will be based upon program relevance, time constraints, uniqueness, or special opportunity associated with the application. AWARD CRITERIA Applications will compete for available funds with all other applications. The following will be considered in making funding decisions: quality of the proposed project as determined by peer review, availability of funds, and program balance. The earliest possible dates of award for applications are seven months from the application receipt date. In most cases, funding decisions will be made within six months of the application receipt date. INQUIRIES Copies of the program announcements referenced in the Research Objectives section above, as well as others released subsequent to this announcement, are available from Global Exchange Inc., 7910 Woodmont Avenue, Suite 400, Bethesda, MD 20814-3015, telephone (301) 656-3100, (FAX (301) 652-5264). Those considering applying in response to this PA are strongly encouraged to discuss their project with AHCPR program administrators before formal submission. AHCPR welcomes the opportunity to clarify any issues or questions from potential applicants. Direct inquiries regarding programmatic issues, including information on the policy of inclusion of women and minorities in study populations, to: Norman W. Weissman, Ph.D. Center for General Health Services Extramural Research Agency for Health Care Policy and Research 2101 E. Jefferson Street, Suite 502 Rockville, MD 20852 Telephone: (301) 594-1349, ext. 106 Direct inquiries regarding fiscal/administrative matters to: Ralph Sloat Agency for Health Care Policy and Research 2101 E. Jefferson Street, Suite 601 Rockville, MD 20852 Telephone: (301) 594-1447 AUTHORITY AND REGULATIONS This program is described in the Catalog of Federal Domestic Assistance No. 93.180 and 93.226. Awards are authorized under the Public Health Service Act, Title IX, as amended, (42 U.S.C. 299-299c-6), and Section 1142 of the Social Security Act (42 U.S.C. 1320b-12). Awards are administered under the PHS Grants Policy Statement and Federal Regulations 42 CFR Part 67, Subpart A and 45 CFR Part 74 (Part 92 for State and local governments). This program is not subject to the intergovernmental review requirements of Executive Order 12372. .
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