AHRQ’s Career and Infrastructure Development Programs by theregoesthatman


									AHRQ’s Career and Infrastructure
   Development Programs
            Kay Anderson, Ph.D.
Office of Research Review, Education, and
            Priority Populations
            Creighton University
            November 15, 2007
       AHRQ’s Training Goal

Foster the growth, dissemination, and
translation of the field and science of HSR to
achieve AHRQ’s mission and address HHS
priorities geared toward the transformation
of health care.
             Training Objectives
 Individuals: Foster the growth of the next
  generation of researchers and knowledgeable
   users of research

 Diversity: Foster the institutional and individual
  diversity in the field of health services research

 Science: Foster the development of an integrated
  science of HSR and refine its foundation
             Training Opportunities

 Pre and Postdoctoral Training
   –   NRSA Institutional Training Programs (T32)
   –   NRSA Predoctoral Fellowships for Underrepresented Minority
       Students (F31)
   –   NRSA Postdoctoral Fellowships (F32)
   –   Dissertation Grants (R36)
 Career Development Awards
   –   Mentored Clinical Scientist Awards (K08)
   –   Mentored Research Scientist Development Award (K01)
   –   Independent Scientist Awards (K02)
      Training Opportunities (cont.)

 Research Infrastructure Programs
   – Minority Research Infrastructure Support Program
   – Building Research Infrastructure and Capacity (BRIC)

 Intramural Opportunities
   – Summer Intern Program
   – Visiting Scholars
                2007 AHRQ Research
                  Education Budget

$7.00          NRSA
$4.00                                 Career
$3.00                              Development
$2.00                                 $4.67    M-RISP
                       Dissertations,                        $1.24
$1.00                      $0.52                $2.70
                           New and Continuing Grants

        NRSA   Dissertations   Career Development   M-RISP    BRIC

  *Totals $17.3 million
          Mentored Clinical Scientist (K08)
 Support for clinically-trained doctorates who are
   committed to a career in HSR

 Provisions
   – Three to five years of support
   – Salary support up to $90,000 annually
   – Up to $25,000 per year for research development support

 Two resubmissions allowed

 Commit 75% of time to K grant

 http://grants.nih.gov/grants/guide/pa-files/PAR-07-
         Mentored Research Scientist (K01)
 Support for research-trained doctorates who are
   committed to a career in HSR

 Provisions
   – Three to five years of support
   – Salary support up to $90,000 annually
   – Up to $25,000 per year for research development support

 Two resubmissions allowed

 Commit 75% of time to K grant

 http://grants.nih.gov/grants/guide/pa-files/PAR-08-
                Independent Scientist (K02)
 Support for the development of newly independent
    scientists who demonstrate a need for a period of
    protected research times

 Clinically- or research-trained doctorates

 Provisions
    – Three to five years of support
    – Salary support up to $90,000 annually
    – Up to $25,000 per year for research development support

 Up to two resubmissions allowed

 Commit 75% of time to K grant

   http://grants.nih.gov/grants/guide/pa-files/PAR-07-444.html
         Application Forms and Submission

   Predoctoral and postdoctoral fellowship application -- Individual
    Fellowship Form (PHS 416-1, rev. 06/02) which is available at:

   Large and Small Conference grants- Applications must be
    submitted electronically through Grants.gov
    (http://www.grants.gov) using the SF424 Research and Related
    (R&R) forms and SF424 (R&R) Application Guide.

   Dissertation Grants- A direct link to the SF 424 R&R application
    instructions can be found at:

   Career Development Grants- Application for Public Health
    Service Grant (PHS 398—updated August 1, 2003)
         BRIC’s Birth and Intent
 Merit-based, peer-reviewed program in response to
   Congressional mandate to geographically broaden
   HSR funding

 First cohort - Received <$1M over last 5 years

 Second cohort – Received <$3M over last 5 years
                   BRIC I

 Original RFA 2001 – 2 years
 17 eligible states, 24 applications
  received, 6 funded
 Limited Competition 2003 – 3 years
 6 original grantees funded
           First BRIC Cohort

 Rutgers University

 University of Utah

 Louisiana State University

 National Association of Health Data

 University of Kentucky
              Current BRIC

 RFA published in 2004

 2 year grant period

 15 eligible states

 43 applications received, 5 funded
              Eligible States

                      Montana
 Alaska
                      Nebraska*
 Arkansas*
                      Nevada
 Delaware
                      North Dakota
 Hawaii
                      Oklahoma
 Idaho
                      South Dakota
 Louisiana
                      West Virginia*
 Maine*
                      Wyoming

*new state
            Current BRICs

 West Virginia University – Create a
  data repository, develop collaborative
  HSR relationships, and establish a
  mentoring program for junior faculty

 University of North Dakota – Build a
  viable rural and frontier HSR program to
  improve the quality, safety, efficiency,
  and effectiveness of healthcare in these
        Current BRICs (con’t)

 University of Arkansas Medical Sciences –
  Develop and maintain research databases
  from several under-utilized state data sources
  and develop multidisciplinary research
  mentorship opportunities

 University of Southern Maine – Create a
  Practice Improvement Research Center to
  develop tools and protocols to conduct
  practice-based HSR on quality improvement
         Curent BRICs (con’t)

 Creighton University – Develop faculty
  and infrastructure to maintain
  sustainable HSR

   – Develop competitive application for funding
     during grant
   – Develop support process for HSR teams
   – Develop processes for dissemination
   – Develop mentoring system
   – PDA project
                      BRIC and MRISP Funding
                                           North Dakota                                               Maine

                          Montana                                           West Virginia

             Nevada                                                                              New Jersey

                                                                                              Maryland & DC

                                                                                                North Carolina

             New Mexico
                                                                      Mississippi           Georgia

                                       Texas         Arkansas                                         Puerto Rico

BRIC are in red; MRISP are in yellow; Joint funding is in orange
      Outcome Success – BRIC
 Funding success rates for states receiving BRIC
   grants have improved in the post-award period.

 Improvement occurred in spite of an overall decline in
   AHRQ funding success rates (from 26.3% to 19.9%).

 The gap in success rates relative to non-BRIC states
   was reduced for BRIC states by 8.1 percentage
   points (and by 2.0 percentage points for BRIC-eligible

 Similarly, the proportion of AHRQ grant and contract
   funding to BRIC and BRIC eligible states more than
   tripled in the post-award period.
               BRIC Evaluation

 Development of compendium of Best
  Practices for Developing Research

 Answering Questions for Future Program
  Planning and Outcome Measurement:
   – What is success?
   – When are programs ready to ―graduate?‖
   – How to best design programs to meet needs of the
     Agency and the field?
             Core Competencies for
              Predoctoral Training

•   Breadth of HSR theoretical and conceptual knowledge
•   In-depth disciplinary knowledge and skills
•   Application of HSR foundational knowledge to health
    policy problems
•   Pose innovative HSR questions
•   Interventional and Observational Study Designs
•   Primary data collection methods
•   Secondary data acquisition methods
           HSR Core Competencies

•   Conceptual models and operational measures
•   Implementation of research protocols
•   Responsible conduct of research
•   Multi-disciplinary teamwork
•   Data analysis
•   Scientific communication
•   Stakeholder collaboration and knowledge translation
             AHRQ Training --
           Looking to the Future
Fostering the “next generation of researchers”

 actively engage in workforce and knowledge

 emphasize the importance of research and the
  translation of research to make a difference

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