Health Information Technology (IT) Health Information Technology (IT) FOAsFOAs

Technical Assistance Conference CallTechnical Assistance Conference CallJanuary 13, 2009January 13, 2009

Conference Call AgendaConference Call Agenda Objective of TA Call (2 Objective of TA Call (2 minutes)) Overview of three AHRQ-sponsored Health IT FOAs (dates, of three AHRQ-sponsored Health IT FOAs (dates,

funding levels, page limits) (10 minutes)funding levels, page limits) (10 minutes) Special Emphasis Notice (SEN) for Health IT Focused K-awards Special Emphasis Notice (SEN) for Health IT Focused K-awards

and R36and R36 Common requirements across three Health IT FOAs (20 Common requirements across three Health IT FOAs (20

minutes)minutes) FOA-specific Issues FOA-specific Issues

– R03 (15 minutes)R03 (15 minutes)– R21 (5 minutes)R21 (5 minutes)– R18 (10 minutes)R18 (10 minutes)

Frequently asked questions (10 minutes)Frequently asked questions (10 minutes) Open forum (50 minutes)Open forum (50 minutes)

Objective of TA CallObjective of TA Call

Highlight information in the FOAs and Highlight information in the FOAs and provide clarification, if necessaryprovide clarification, if necessary

Transcript of TA call will be posted by Transcript of TA call will be posted by January 23 at January 23 at http://www.ahrq.gov/fund/grantix.htmhttp://www.ahrq.gov/fund/grantix.htm

AHRQ Health IT FOAsAHRQ Health IT FOAs Small Research Grant to Improve Healthcare Quality through Small Research Grant to Improve Healthcare Quality through

Health IT (R03) FOA (Health IT (R03) FOA (http://grants.nih.gov/grants/guide/pa-files/PAR-08-268.htmlhttp://grants.nih.gov/grants/guide/pa-files/PAR-08-268.html ) )

Exploratory and Developmental Grant to Improve Health Care Exploratory and Developmental Grant to Improve Health Care Quality through Health IT (R21) FOA (Quality through Health IT (R21) FOA (http://grants.nih.gov/grants/guide/pa-files/PAR-08-269.htmlhttp://grants.nih.gov/grants/guide/pa-files/PAR-08-269.html))

Utilizing Health IT to Improve Health Care Quality Grant (R18) FOA Utilizing Health IT to Improve Health Care Quality Grant (R18) FOA ((http://grants.nih.gov/grants/guide/pa-files/PAR-08-270.htmlhttp://grants.nih.gov/grants/guide/pa-files/PAR-08-270.html))

Overview of AHRQ-Sponsored Health IT FOAsOverview of AHRQ-Sponsored Health IT FOAshttp://healthit.ahrq.gov/healthitfoashttp://healthit.ahrq.gov/healthitfoas Small Research Grant to Improve Health Care Quality through Health IT (R03) PAR-08-268

Exploratory and Developmental Grant to Improve Health Care Quality through Health IT (R21) PAR-08-269

Utilizing Health IT to Improve Health Care Quality (R18) PAR-08-270

Authorized Duration 9/25/2008 – 11/17/2011 9/25/2008 – 11/17/2011 9/25/2008 – 11/17/2011

Earliest submission date to Grants.gov *

Jan 16, 2009 Jan 16, 2009 Dec 26, 2008

Recurring Due Dates (new applications)

Feb 16, June 16, Oct 16 Feb 16, June 16, Oct 16 Jan 25, May 25, Sept 25

Maximum Project Period 2 years 2 years 3 years

Total Costs (TC) over grant lifetime

$100,000 $300,000 $1.2 million

Max TC in a given year $100,000/yr $200,000/yr $500,000/yr

Part D. Research Plan 15-page limitation 20-page limitation 25-page limitation

No. of Resubmissions 1 2 2

Page limit for Intro in resubmission

1 2 3

Recurring Due Dates for resubmissions

March 16, July 16, Nov 16 March 16, July 16, Nov 16 Jan 25, May 25, Sept 25

•Electronic submission of Adobe application package is required; FOAs revised December 2008 to include new form links see FOAs and NOT-OD-08-117.

SEN for Health IT Focused SEN for Health IT Focused K-Awards and R36K-Awards and R36

Special Emphasis Notice (SEN) NOT-HS-08-Special Emphasis Notice (SEN) NOT-HS-08-014 014 ((http://grants.nih.gov/grants/guide/notice-files/NOT-HS-08-014.hthttp://grants.nih.gov/grants/guide/notice-files/NOT-HS-08-014.htmlml)) – Career-Awards (K-awards): Career-Awards (K-awards):

Mentored Clinical Scientist (K08)Mentored Clinical Scientist (K08) http://grants.nih.gov/grants/guide/pa-files/PAR-07-443.htmlhttp://grants.nih.gov/grants/guide/pa-files/PAR-07-443.html

Mentored Research Scientist (K01) Mentored Research Scientist (K01) http://grants.nih.gov/grants/guide/pa-files/PAR-08-022.htmlhttp://grants.nih.gov/grants/guide/pa-files/PAR-08-022.html

Independent Scientist (K02) Independent Scientist (K02) http://grants.nih.gov/grants/guide/pa-files/PAR-07-444.htmlhttp://grants.nih.gov/grants/guide/pa-files/PAR-07-444.html

Grants for HSR Dissertation (R36) Grants for HSR Dissertation (R36) http://grants.nih.gov/grants/guide/pa-files/PAR-06-118.htmlhttp://grants.nih.gov/grants/guide/pa-files/PAR-06-118.html

Common Requirements Common Requirements Across Health IT FOAsAcross Health IT FOAs

Examples of Health IT Examples of Health IT Research AreasResearch Areas Research SettingsResearch Settings Health IT InterventionHealth IT Intervention Software, Hardware, and/or Equipment Software, Hardware, and/or Equipment

Purchases Purchases Plan for Privacy and SecurityPlan for Privacy and Security SF424 (R&R) Electronic SubmissionSF424 (R&R) Electronic Submission Eligible InstitutionsEligible Institutions Principal InvestigatorPrincipal Investigator

Examples of Health ITExamples of Health IT

Electronic medical records (EMR) Electronic medical records (EMR) Electronic health records (EHR) Electronic health records (EHR) Personal health records (PHR) Personal health records (PHR) Clinical alerts and reminders Clinical alerts and reminders Computerized provider order entry (CPOE) Computerized provider order entry (CPOE) Computerized clinical-decision support (CDS) Computerized clinical-decision support (CDS) Consumer health informatics (CHI) Consumer health informatics (CHI)

applicationsapplications Electronic exchange of health information Electronic exchange of health information

(HIE)(HIE)

Research AreasResearch Areas Grant must focus on Health IT’s Grant must focus on Health IT’s

implementation and use to improve implementation and use to improve healthcare by addressing at least one of healthcare by addressing at least one of these areas:these areas:– Medication managementMedication management– Patient-centered care, including Patient-centered care, including

coordination of care and use of electronic coordination of care and use of electronic exchange of informationexchange of information

– Health care decisionmaking through use Health care decisionmaking through use of integrated data and knowledge of integrated data and knowledge managementmanagement

Appropriate Research Settings:Appropriate Research Settings:

For purposes of the new FOAs, ambulatory careFor purposes of the new FOAs, ambulatory caresettings include:settings include:

– Health care clinician officesHealth care clinician offices– Outpatient clinics and outpatient mental health Outpatient clinics and outpatient mental health

centers centers – Outpatient substance abuse centersOutpatient substance abuse centers– Urgent care centersUrgent care centers– Ambulatory surgery centersAmbulatory surgery centers– Community-based school or occupational health Community-based school or occupational health

centerscenters– Safety-net clinics, pharmacies, or homesSafety-net clinics, pharmacies, or homes– Independent living centers and long-term Independent living centers and long-term

residential care facilitiesresidential care facilities

Nonresponsive Research Nonresponsive Research SettingsSettings

Applications that feature health IT Applications that feature health IT implementation in a nonambulatory setting, implementation in a nonambulatory setting, such as:such as:– A hospital [Emergency Department], A hospital [Emergency Department], – Skilled nursing facility, or Skilled nursing facility, or – Inpatient mental health facility Inpatient mental health facility

for purposes other than facilitating transitions for purposes other than facilitating transitions in care to and from an ambulatory setting will in care to and from an ambulatory setting will be considered nonresponsive to these FOAs be considered nonresponsive to these FOAs and will not be reviewed. and will not be reviewed.

Health IT InterventionHealth IT Intervention

Detailed descriptionDetailed description Describe interface with preexisting Describe interface with preexisting

health IT, if anyhealth IT, if any If possible, health IT intervention should If possible, health IT intervention should

conform to Federal and other conform to Federal and other interoperability standards and use interoperability standards and use certified products (see certified products (see http://www.cchit.org). If not feasible, http://www.cchit.org). If not feasible, provide an explanation. This is not provide an explanation. This is not reflected in priority score.reflected in priority score.

Software, Hardware, and/or Software, Hardware, and/or Equipment PurchasesEquipment Purchases

In combination, such purchases are In combination, such purchases are expected to be less than 20% of total expected to be less than 20% of total costs of project over its duration.costs of project over its duration.

May include modest incremental May include modest incremental software development for new settings software development for new settings or improved functionality.or improved functionality.

If such funds are in excess of 20%, If such funds are in excess of 20%, explicit justification is required.explicit justification is required.

At End of Section D. Research Methods: Identify if Privacy &

Security (P & S) Plan is Necessary Yes:Yes:

– Public or nonprofit private institution Public or nonprofit private institution – Provide a concise summary of the planned resources and Provide a concise summary of the planned resources and

processes to be used to address P and S issues in the processes to be used to address P and S issues in the development and implementation, and/or use of the health IT development and implementation, and/or use of the health IT interventionintervention

– Provide full description of P & S Plan in Appendix A. Provide full description of P & S Plan in Appendix A.

No:No: – Provide justification. Provide justification.

#P & S Plans are anticipated for all Health IT R18 proposals P & S Plans are anticipated for all Health IT R18 proposals and most Health IT R21 proposals. and most Health IT R21 proposals.

#P & S Plans may not be necessary for some Health IT R03 P & S Plans may not be necessary for some Health IT R03 proposals, e.g., secondary data analyses and retrospective proposals, e.g., secondary data analyses and retrospective economic analyses.economic analyses.

– P & S Plan would not be expected in Appendix A.P & S Plan would not be expected in Appendix A.

SF424(R&R): SF424(R&R): Electronic SubmissionElectronic Submission

All applications must be submitted electronically.All applications must be submitted electronically.

Please see FOA for instructions on how to obtain Please see FOA for instructions on how to obtain electronic forms and register your institution and PI.electronic forms and register your institution and PI.

December 8, 2008, SF424 Guide updated:December 8, 2008, SF424 Guide updated:– http://grants.nih.gov/grants/funding/424/http://grants.nih.gov/grants/funding/424/

SF424_RR_Guide_General_Adobe_VerA.pdfSF424_RR_Guide_General_Adobe_VerA.pdf

New Form Requirements: Adobe Reader 8.1.3, or 9.0 New Form Requirements: Adobe Reader 8.1.3, or 9.0 required to open forms (See eGOV slides in Reference required to open forms (See eGOV slides in Reference section)section)

AHRQ Does Not Accept AHRQ Does Not Accept Modular BudgetsModular Budgets

AHRQ accepts only the detailed Research & Related AHRQ accepts only the detailed Research & Related Budget.  Budget.  

Do not use the PHS 398 Modular Budget.  Do not use the PHS 398 Modular Budget. 

Applications submitted in modular budget format will Applications submitted in modular budget format will notnot be reviewed. be reviewed.

Eligible InstitutionsEligible Institutions You may submit an application if your organization is a:You may submit an application if your organization is a:

– Public or nonprofit private institution Public or nonprofit private institution including nonprofit health care organizations, universities, including nonprofit health care organizations, universities,

colleges, and faith-based or community-based colleges, and faith-based or community-based organizations organizations

– Unit of local or State government or eligible Agency of the Unit of local or State government or eligible Agency of the Federal Government Federal Government

– Indian/Native American Tribal Government or Tribally Indian/Native American Tribal Government or Tribally Designated Organization Designated Organization

For-profit organizations are not eligible to lead applicationsFor-profit organizations are not eligible to lead applications

Foreign institutions are not eligible to apply Foreign institutions are not eligible to apply

Principal Investigator (PI)Principal Investigator (PI)

PI may come from a variety of background areas.PI may come from a variety of background areas.

PI should devote a considerable portion of time PI should devote a considerable portion of time to the project. to the project. – If less than 20% time will be devoted, the If less than 20% time will be devoted, the

application must include an explicit application must include an explicit justification.justification.

Applications should describe PI responsibilities Applications should describe PI responsibilities and background. and background.

  

FOA-Specific IssuesFOA-Specific Issues

Small Research Grant to Improve Small Research Grant to Improve Healthcare Quality through Health IT Healthcare Quality through Health IT (R03) FOA (R03) FOA

Exploratory and Developmental Grant to Exploratory and Developmental Grant to Improve Health Care Quality through Improve Health Care Quality through Health IT (R21) FOAHealth IT (R21) FOA

Utilizing Health IT to Improve Health Utilizing Health IT to Improve Health Care Quality Grant (R18) FOACare Quality Grant (R18) FOA

Health IT R03 FOAHealth IT R03 FOA

Wide variety of research designs in order to improve the quality, safety, effectiveness, and efficiency of health care through implementation and use:

1. Small pilot and feasibility or self-contained health IT research projects

2. Secondary data analysis of health IT research

3. Economic (prospective or retrospective) analyses of health IT implementation.

1. Small pilot and feasibility or self-1. Small pilot and feasibility or self-contained health IT projectcontained health IT project

Inform future development of health IT, Inform future development of health IT, strategies for health IT research, or strategies for health IT research, or implementation activitiesimplementation activities

Preparatory workPreparatory work– Proof of concept studiesProof of concept studies– Needs assessmentsNeeds assessments– Development of new health IT applicationsDevelopment of new health IT applications– Development or validation of research Development or validation of research

methodologymethodology

PI not expected to be extensively published or PI not expected to be extensively published or have prior leadership in research projecthave prior leadership in research project

2. Secondary data analysis of health 2. Secondary data analysis of health IT researchIT research

Designed to generate insight regarding Designed to generate insight regarding facilitators and barriers to health IT facilitators and barriers to health IT implementation through evaluation of factors implementation through evaluation of factors impacting utilization and implementation impacting utilization and implementation – (e.g., setting characteristics, workflow, and (e.g., setting characteristics, workflow, and

integration with preexisting health IT).integration with preexisting health IT).

May test new hypotheses or synthesize May test new hypotheses or synthesize existing data derived elsewhereexisting data derived elsewhere

2. Secondary data analysis of 2. Secondary data analysis of health IT Research (continued)health IT Research (continued)

Additional Requirements: Additional Requirements:

– Identify source of data and discuss completeness, Identify source of data and discuss completeness, reliability, and accuracy of the datareliability, and accuracy of the data

– Analyses may be related to but must be distinct Analyses may be related to but must be distinct from the specific aims of the original data from the specific aims of the original data collection and analytical plancollection and analytical plan

– Describe the data and conditions (e.g., availability, Describe the data and conditions (e.g., availability, costs) for data usecosts) for data use

– Additional information may be collected to Additional information may be collected to supplement data set; data collection must be well supplement data set; data collection must be well described and justifieddescribed and justified

3. Economic analyses of health IT 3. Economic analyses of health IT implementationimplementation

Must focus on specific health IT implementation project– Sponsored by AHRQ or others– Concurrent (prospective) economic analysis: identify

concurrent health IT R18 implementation project– Retrospective economic analysis: identify predecessor health

IT implementation project– Describe data and conditions for use

Designed to conduct sound economic evaluations of health IT implementation and use

Consider to whom benefits accrue

Include evaluation of financial and nonfinancial costs and benefits of a companion health IT implementation project

R03 Submission RequirementsR03 Submission Requirements

Submission requirements (Section IV.6) Submission requirements (Section IV.6) and review criteria (Section V) vary and review criteria (Section V) vary depending on the type of small research depending on the type of small research being proposed.being proposed.

R03 Submission R03 Submission Requirements Requirements

Specific AimsSpecific Aims Background and SignificanceBackground and Significance Theoretical FrameworkTheoretical Framework Research Design and MethodsResearch Design and Methods Health IT Intervention Software, Hardware, and/or

Equipment Purchases Personnel Personnel Project AdministrationProject Administration DisseminationDissemination

Additional requirements for Additional requirements for secondary data analysis of health IT secondary data analysis of health IT research research

Additional requirements for economic Additional requirements for economic analysis of health IT implementationanalysis of health IT implementation

Budget Privacy and Security Protections Plan for Protection of Human

Subjects Priority Populations Resubmission Resubmission

– OnceOnce– One-page IntroductionOne-page Introduction

Note: Italicized text indicates FOA-specific requirementsNote: Italicized text indicates FOA-specific requirements

RO3 Review CriteriaRO3 Review Criteria

SignificanceSignificance Approach (special Approach (special

requirements by type requirements by type of R03 study)of R03 study)

InnovationInnovation InvestigatorsInvestigators EnvironmentEnvironment

Privacy and Security Privacy and Security ProtectionsProtections

InclusionInclusion Protection of Human Protection of Human

SubjectsSubjects BudgetBudget ResubmissionResubmission

Note: Italicized text indicates FOA-specific review criteria

FOA-specific IssuesFOA-specific Issues

Exploratory and Developmental Grant Exploratory and Developmental Grant to Improve Health Care Quality to Improve Health Care Quality through Health IT (R21) FOAthrough Health IT (R21) FOA

Exploratory and Developmental Grant to Improve Exploratory and Developmental Grant to Improve Health Care Quality through Health IT (R21) Health Care Quality through Health IT (R21)

This R21 mechanism (PAR-08-269) supports the conduct of This R21 mechanism (PAR-08-269) supports the conduct of short-term preparatory, pilot, or feasibility studies that are short-term preparatory, pilot, or feasibility studies that are needed to inform future health IT implementation which may needed to inform future health IT implementation which may include but is not limited to the conduct of a health IT include but is not limited to the conduct of a health IT research demonstration grant. research demonstration grant.

The R21 grants are more comprehensive and broader in The R21 grants are more comprehensive and broader in scope than the small, self-contained health IT research scope than the small, self-contained health IT research projects supported by the health IT R03 FOA. projects supported by the health IT R03 FOA.

Health IT R21 Requirements Health IT R21 Requirements

Specific AimsSpecific Aims Background and SignificanceBackground and Significance Theoretical FrameworkTheoretical Framework Research Design and Methods Research Design and Methods Health IT Intervention Software, Hardware, and/or Equipment

Purchases PersonnelPersonnel

– PI is not expected or required to PI is not expected or required to be extensively published or have be extensively published or have extensive experience in extensive experience in leadership capacity as expected leadership capacity as expected for R18 or R01for R18 or R01

Project AdministrationProject Administration DisseminationDissemination BudgetBudget Privacy and Security ProtectionsPrivacy and Security Protections Plan for Protection of Human Plan for Protection of Human

SubjectsSubjects Priority PopulationsPriority Populations Resubmission Resubmission

– TwiceTwice– Two-page IntroductionTwo-page Introduction

Note: Italicized text indicates FOA-specific requirements

Health IT R21 Review CriteriaHealth IT R21 Review Criteria

SignificanceSignificance Approach Approach InnovationInnovation InvestigatorsInvestigators EnvironmentEnvironment

Privacy & Security Protections

Inclusion Protection of Human

Subjects Budget Resubmission

Note: Italicized text indicates FOA-specific review criteria

FOA-specific IssuesFOA-specific Issues

Utilizing Health IT to Improve Utilizing Health IT to Improve Health Care Quality Grant (R18) Health Care Quality Grant (R18) FOAFOA

Utilizing Health IT to Improve Health Care Utilizing Health IT to Improve Health Care Quality Grant (R18)Quality Grant (R18)

This R18 mechanism (PAR-08-270) supports This R18 mechanism (PAR-08-270) supports demonstration research grants that rigorously demonstration research grants that rigorously study health IT implementation and use to study health IT implementation and use to improve the quality, safety, effectiveness, and improve the quality, safety, effectiveness, and efficiency of health care in ambulatory settings efficiency of health care in ambulatory settings and in the transitions between care settings. and in the transitions between care settings.

Health IT R18 Requirements Health IT R18 Requirements

Specific AimsSpecific Aims Background and Background and

SignificanceSignificance Theoretical FrameworkTheoretical Framework Research Design and Research Design and

MethodsMethods Health IT InterventionHealth IT Intervention Software, Hardware, and/or Software, Hardware, and/or

Equipment PurchasesEquipment Purchases

PersonnelPersonnel Project AdministrationProject Administration DisseminationDissemination Budget Budget Privacy and Security ProtectionsPrivacy and Security Protections Plan for Protection of Human Plan for Protection of Human

SubjectsSubjects Priority PopulationsPriority Populations Resubmission Resubmission

– TwiceTwice– Three-page IntroductionThree-page Introduction

Note: Italicized text indicates FOA-specific requirements

Health IT R18 Review CriteriaHealth IT R18 Review Criteria

SignificanceSignificance Approach Approach InnovationInnovation InvestigatorsInvestigators EnvironmentEnvironment

Privacy and Security Protections

Inclusion Protection of Human Subjects Budget Resubmission

Note: Italicized text indicates FOA-specific review criteria

Frequently Asked QuestionsFrequently Asked Questions

Can there be Co-PIs?Can there be Co-PIs?

No.No.– AHRQ requires that the lead institution AHRQ requires that the lead institution

designate one and only one individual as designate one and only one individual as the project’s principal investigator. the project’s principal investigator.

Will AHRQ accept unsolicited additional Will AHRQ accept unsolicited additional materials during initial peer review phase?materials during initial peer review phase?

AHRQ’s policy is to review applications as AHRQ’s policy is to review applications as received by the application receipt date. received by the application receipt date. 

– http://grants.nih.gov/grants/guide/notice-http://grants.nih.gov/grants/guide/notice-

files/NOT-HS-08-012.htmlfiles/NOT-HS-08-012.html

Who will review the Health IT Who will review the Health IT applications?applications?

The Office of Extramural Research, Education and Priority The Office of Extramural Research, Education and Priority Populations (OEREP) is in charge of assigning applications to initial Populations (OEREP) is in charge of assigning applications to initial peer review groups. peer review groups.

As appropriate, OEREP will assign an application to an AHRQ As appropriate, OEREP will assign an application to an AHRQ Standing Review Group (SRG) or Special Emphasis Panel.Standing Review Group (SRG) or Special Emphasis Panel.– We anticipate that many of the health IT applications will be We anticipate that many of the health IT applications will be

reviewed by the Healthcare Technology and Dissemination reviewed by the Healthcare Technology and Dissemination Sciences (HCTDS) SRG.Sciences (HCTDS) SRG.

– Descriptions of the SRGs’ research foci are available at: Descriptions of the SRGs’ research foci are available at: http://www.ahrq.gov/fund/peerrev/peerdesc.htm. http://www.ahrq.gov/fund/peerrev/peerdesc.htm.

– Rosters of the SRGs are available at: Rosters of the SRGs are available at: http://www.ahrq.gov/fund/peerrev/hctdsrst.htmhttp://www.ahrq.gov/fund/peerrev/hctdsrst.htm

OEREP’s Division of Scientific Review will invite additional experts OEREP’s Division of Scientific Review will invite additional experts to serve as ad hoc reviewers, as needed.to serve as ad hoc reviewers, as needed.

Are nonprofit entities eligible to apply if they do not have a 501(c)3 status?

Nonprofit organizations are eligible. Nonprofit organizations are eligible. You do not have to be 501(c)3 status, but you You do not have to be 501(c)3 status, but you

cannot be 501(c)4 status. Organizations cannot be 501(c)4 status. Organizations described in section 501(c)4 of the Internal described in section 501(c)4 of the Internal Revenue Code that engage in lobbying are Revenue Code that engage in lobbying are not eligible for federal funding. not eligible for federal funding.

Allowable Health Care Allowable Health Care SettingsSettings

Mobile Van:Mobile Van: – A health IT study for which ambulatory care is being A health IT study for which ambulatory care is being

provided in a mobile van would be considered responsive to provided in a mobile van would be considered responsive to these FOAs.these FOAs.

Ambulance:Ambulance:– Yes: A health IT study for which the patient is being

transported between ambulatory settings or from a hospital to an ambulatory setting would be considered responsive to these FOAs, because the level of care provided is commensurate with the level of care provided in ambulatory settings, as specified in these FOAs.

– No: A health IT study for which the patient is being transported to the Emergency Department to receive acute care would not be considered responsive to these FOAs, because the ambulance is in essence an extension of the acute care provided in the hospital.

Allowable Overnight Care SettingsAllowable Overnight Care Settings

Describe the type of care provided to patients so that it is clear that it is commensurate with Describe the type of care provided to patients so that it is clear that it is commensurate with the level of care that would be provided in the the level of care that would be provided in the ambulatory settingsambulatory settings specified for these FOAs. specified for these FOAs.

– Assisted living settings:Assisted living settings: In general, an assisted living setting where there is low level or In general, an assisted living setting where there is low level or intermittent care provided COULD be responsive to the FOAs, if the low level of care is intermittent care provided COULD be responsive to the FOAs, if the low level of care is clearly demonstrated. clearly demonstrated.

– Nonskilled nursing beds within a skilled nursing home:Nonskilled nursing beds within a skilled nursing home: We had not intended for the care We had not intended for the care setting to be a subsection of nonskilled nursing beds within a skilled nursing facility. setting to be a subsection of nonskilled nursing beds within a skilled nursing facility.  Such a care setting would NOT be considered responsive to these health IT FOAs  Such a care setting would NOT be considered responsive to these health IT FOAs because it is not seeking to understand health IT implementation and use in an because it is not seeking to understand health IT implementation and use in an ambulatory setting.ambulatory setting.

Allowable Overnight Care SettingsAllowable Overnight Care Settings

Would a study that focuses on health IT implementation in Would a study that focuses on health IT implementation in dementia care facilities be allowable?dementia care facilities be allowable? Given the continuum of types of care (and facilities) Given the continuum of types of care (and facilities) that could be provided for a patient with dementia, it that could be provided for a patient with dementia, it is possible that an overnight facility treating dementia is possible that an overnight facility treating dementia patients might meet the spirit of the “ambulatory patients might meet the spirit of the “ambulatory setting.”  For example, an assisted living facility setting.”  For example, an assisted living facility providing patients with low level or intermittent care providing patients with low level or intermittent care would be considered responsive to the FOAs. would be considered responsive to the FOAs.  However, an overnight facility providing a high level  However, an overnight facility providing a high level of care (such as a skilled nursing facility) for the of care (such as a skilled nursing facility) for the monitoring or treatment of patients with dementia monitoring or treatment of patients with dementia would not be considered responsive.would not be considered responsive.    

AHRQ National Resource AHRQ National Resource Center for Health ITCenter for Health IT

http://healthit.ahrq.govhttp://healthit.ahrq.gov– EventsEvents– AHRQ-funded ProjectsAHRQ-funded Projects– Health IT ToolsHealth IT Tools– Knowledge LibraryKnowledge Library– Funding OpportunitiesFunding Opportunities– Frequently Asked QuestionsFrequently Asked Questions

Additional Questions and Additional Questions and AnswersAnswers

Ground Rules for Ground Rules for Open ForumOpen Forum

The conference call operator will put you in a queue based on call order.

Please keep your questions brief.

We will try to keep responses brief.

Questions that are very specific to a particular institution or situation will not be addressed; these can be discussed individually with a Project Officer from AHRQ at a later time.

If you do not get an opportunity to ask a question, please e-mail your question to HealthITGrants@ahrq.hhs.gov

Transcript of TA CallTranscript of TA Call

A Transcript of the TA call will be posted A Transcript of the TA call will be posted by January 23 at by January 23 at http://www.ahrq.gov/fund/grantix.htmhttp://www.ahrq.gov/fund/grantix.htm

ReferencesReferences

AHRQ contactsAHRQ contacts For additional technical assistance, please contact an AHRQ staff person

who will be glad to provide technical assistance:

– Health IT Scientific/Research Issues: Angela Lavanderos: HealthITGrants@ahrq.hhs.gov

– Career Awards: Kay Anderson: Kay.Anderson@ahrq.hhs.gov

– Dissertation Grants: Brenda Harding: Brenda.Harding@ahrq.hhs.gov

– Peer Review Issues: Kish Wadhwani: Kishena.Wadhwani@ahrq.hhs.gov

– Financial/Grant Management Issues: Sherry Cochran: Sherry.Cochran@ahrq.hhs.gov

AHRQ Web sitesAHRQ Web sites

Grants Process (http://www.ahrq.gov/fund/grconix.htm)Grants Process (http://www.ahrq.gov/fund/grconix.htm)

– Peer Review Peer Review (http://www.ahrq.gov/fund/peerrev/peerproc.htm)(http://www.ahrq.gov/fund/peerrev/peerproc.htm)

– Grants ManagementGrants Management See http://info.ahrq.gov/See http://info.ahrq.gov/ The HHS Grants Policy Statement (HHS GPS) The HHS Grants Policy Statement (HHS GPS)

(http://www.ahrq.gov/fund/hhspolicy.htm)(http://www.ahrq.gov/fund/hhspolicy.htm)

eGOV Transition ResourceseGOV Transition Resources

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Tips to ensure eGOV Tips to ensure eGOV submission successsubmission success

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More information at: More information at: http://grants.nih.gov/grants/forms.htmhttp://grants.nih.gov/grants/forms.htm

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Contact Grants.gov Contact Center for Contact Grants.gov Contact Center for questions on form functionality or submission questions on form functionality or submission of the forms to Grants.govof the forms to Grants.gov– E-mail: E-mail: support@grants.govsupport@grants.gov– Phone: 1-800-518-4726Phone: 1-800-518-4726

eRA Help Desk at NIH for post submission eRA Help Desk at NIH for post submission questions or technical issues that threaten questions or technical issues that threaten receipt of your applicationreceipt of your application– Document technical issues and provide NIH with Document technical issues and provide NIH with

the contact center tracking numberthe contact center tracking number– Web support: Web support: http://ithelpdesk.nih.gov/eRA/http://ithelpdesk.nih.gov/eRA/– Phone: 1-866-504-9552 or 301-402-7469Phone: 1-866-504-9552 or 301-402-7469