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					    Working with and Developing Proposals for the
    Health Resources and Services Administration
        and the National Institutes of Health

Presentation for

Troy State University
                        February 24-25, 2005


                                        Grants Resource Center
                   American Association of State Colleges and Universities

                                           Mimi Tangum, Director
                                   Ariel Herman, Program Advisor
       Health Resources and Services
           Administration (HRSA)
• Supports education & training programs that promote a
  health care workforce with competencies & skills needed to
  deliver cost-effective quality care; education programs to meet
  the needs of vulnerable populations;
• Seeks to improve cultural diversity in the health professions,
  & to monitor relevant systems of health professions
  education in response to changing demands of the marketplace.
• Five Bureaus at HRSA (Health Professions (includes Division
  of Nursing); Maternal and Child Health; Primary Health Care;
  HIV/AIDS; and Special Programs)
• http://www.hrsa.gov/grants/preview/default.htm
       HRSA Bureaus Most Likely to Fund
                Universities
Bureau of Health Professions (BHP)
  – Mission: Improve the health status of the population by providing
    national leadership in the development, distribution and retention
    of a diverse, culturally competent health workforce that provides
    the highest quality care for all.
  – Improve access to a diverse and culturally competent and sensitive
    health professions workforce.

Maternal and Child Health Bureau MCH)
  – Supports programs to improve access to comprehensive, culturally
    sensitive, quality health care for all women, infants, children,
    adolescents and their families, including fathers and their children
    with special health care needs.
 BHP Funding Opportunities (Nursing)

Nurse Education, Practice and Retention Grants
   – Supports projects that strengthen & enhance the capacity for nurse
     education, practice & retention to address the nursing shortage.
     Preference given to projects that will substantially benefit rural or
     underserved populations, or help meet public health nursing needs
     in state or local health departments. In FY 05, up to $16.72 million is
     available to fund an estimated 66 awards. Last deadline: 12/3/04—
     usually same each year
Nursing Workforce Diversity Grants
   – Grants awarded to increase nursing education opportunities for
     individuals from disadvantaged backgrounds by providing student
     scholarships or stipends, pre-entry preparation, & retention
     activities. Eligiblity; schools of nursing, nursing centers, academic
     health centers, & other public or private non-profits. In FY 05, 33
     grants will be awarded, averaging $273,000. Last deadline: 12/3/04
• http://bhpr.hrsa.gov/nursing/
       BHP Funding Opportunities (cont’d)
Health Careers Opportunity Program (HCOP)
   – Supports public & private non-profit health professions
     schools & training programs that provide students from
     disadvantaged backgrounds with opportunities to develop
     the skills needed to become professionals.
   – Projects can include: identification, recruitment, &
     selection efforts; facilitation of entry into training; counseling,
     mentoring & other services; pre-entry training; financial aid
     outreach, scholarships & stipends; & work/study with
     community-based primary care providers (last deadline:
     2/21/05—usually same time each year).
   – http://bhpr.hrsa.gov/diversity/default.htm
      BHP Funding Opportunities, cont’d
Bioterrorism Training and Curriculum
  Development Program
  – Supports continuing education/training for practicing
    health care providers and enhancement of curricula in
    health professions schools to equip a healthcare
    workforce to deal with bioterrorism events. Special
    consideration given for using distance learning
    methodologies/telehealth. In FY 05, 35 awards
    expected.
  – Deadline: 4/5/05
  – For More Information: Lynn Wegman, 301-443-1648,
    lwegman@hrsa.gov
            BHP Funding Opportunities, cont’d
Allied Health Project Grants
   – Supports health professions schools, academic health centers, &
      other public or private non-profit entities to establish or expand
      allied health training programs.
   – Projects focus on disciplines in short supply or high demand for
      elderly people; rapid transition training for people with bachelor’s
      degrees in health sciences; career advancement for allied health
      professionals, and student training in community-based settings
      in rural or other underserved areas.
   – In FY 05, $2.3 million available to make about 18 awards
      averaging $125,000.
   – deadline: 1/25/05—deadline usually around same time each year
http://www.hrsa.gov/grants/preview/professions.htm#hrsa05083
          MCH Funding Opportunity

Maternal and Child Health Research Program
  – Supports maternal & child health research relating to services
    which show promise of contributing to new knowledge &
    will result in health status & service improvements in states
    & local communities. Funds applied research projects, not
    basic research, that are intended to improve health care
    delivery systems for mothers & children. In FY 05, $2.8
    million is available to make about 10 awards.
  – Contact:Hae Young Park, 301-443-2207,
    hpark@hrsa.gov
  – Two deadlines a year: 3/1/05 and 7/29/05
  National Institutes of Health




Most biomedical research in the United States is
supported by the Federal Government, and
primarily by the National Institutes of Health (NIH)
          National Institutes of Health (NIH)

• Comprised of 27 institutes/centers that fund basic biomedical and
  behavioral research in specific disease-related areas, such as
  cancer, heart disease, diabetes, arthritis, and infectious diseases.

• Institutes and centers also support research relating to a particular
  focus, such as aging, child health, mental health, nursing,
  environmental health, or drug abuse/alcohol abuse prevention.

• While all institutes/centers support research in the social and
  behavioral sciences, some do more than others, such as the
  Institutes on Aging, Child Health and Human Development,
  Mental Health, Drug Abuse and Alcoholism and Alcohol Abuse
  National Institute of Nursing Research

• Individuals encouraged to contact NINR
  extramural program staff to discuss
  proposed areas of investigation.
• Current Research Areas of interest:
  – Chronic Illness and Long Term Care
     • http://ninr.nih.gov/ninr/research/dea/science/chronic.html
  – Health Promotion and Risk Reduction
     • http://ninr.nih.gov/ninr/research/dea/science/health_promo.htm

  – Cardiopulmonary health and critical care
     • http://ninr.nih.gov/ninr/research/dea/science/cardio.htm
National Institute of Nursing Research, cont’d

• Current Research Areas of interest:
  – Neurofunction and Sensory Conditions
     • http://ninr.nih.gov/ninr/research/dea/science/neuro.htm

  – Immune Responses and Oncology
     • http://ninr.nih.gov/ninr/research/dea/science/immune.htm

  – Reproductive Health and Child Health
    Promotion
     • http://ninr.nih.gov/ninr/research/dea/science/reproductive.html

  – End of Life and Environmental Contexts
     • http://ninr.nih.gov/ninr/research/dea/science/endoflife.htm
 Important Fact #1: To Get Funded, You Must
 Know your Funding Source (NIH) Inside Out

• NIH says, ―To write a successful NIH
  grant application, you'll need to
  understand the NIH granting
  philosophy‖.
• NIH funding derives from Congress, so
  it is important to understand NIH’s
  current budget priorities
                    High Priorities
• Health Disparities
    – http://healthdisparities.nih.gov/welcome.html
• Obesity
    – http://www.obesityresearch.nih.gov/about/about.htm
•   Heart Disease
•   Diabetes
•   Aging
•   Child Health
Applications Submitted to NIH
 Approximately 50,000+ grant applications
  are submitted to NIH each year,
 25-30% are funded
 Competing grant applications are received
  for three review cycles per year
Typical Timeline for a New Individual
Research Project Grant Application (R01)

There are three overlapping cycles per year:

                    Cycle 1----   Cycle 2----   Cycle 3----
–Submit in          February      June,         October
 –Review in         June          October,      February
  –Council in       September     January,      May
    –Earliest award December      April,        July
    How Research Priorities are Set at NIH
•     Often explored through workshops at NIH.
•      If the consensus is to further explore an existing area of
      science, then a program announcement (PA) for research
      applications is developed. It will be published in the NIH
      Guide, stay open for three years, and usually will have
      the standard NIH deadlines (Feb 1, June 1 and Oct 1)
•     Alternatively, funds may be set aside for ―hot topic‖
      research areas. A request for one-time only applications
      (RFA) will be published in the NIH Guide with specific
      deadlines.
•     However, most research applications submitted to NIH
      are investigator initiated, and do not reference any PA or
      RFA.
       Important Fact #2: NIH Says It Will Fund Any Area of
       Biomedical/Behavioral Science, But…

• Since NIH is open to new ideas in all areas of biomedical and
  behavioral science, a good idea is always worth talking to NIH
  about
   • Can be submitted for funding as an ―unsolicited‖ application.

• However, NIH institutes and centers identify priority research
  areas as either:
   •   Program Announcements
        • ―suggests‖ applications in ongoing research interest for next 3 years, or
   • Requests for Applications
        • ―solicits‖ applications for one-time only ―hot‖ topics, has specific
          deadlines, which are then published in the NIH Guide to Grants and
          Contracts
• http://grants.nih.gov/grants/guide/index.html
             Before You Contact NIH…
•   Check out what NIH has already funded in your area(s) of
    interest:

    •   CRISP (Computer Retrieval of Information on Scientific
        Projects), a searchable database of abstracts of all research
        funded by NIH (http://crisp.cit.nih.gov/ ).

•   Talk to recent awardees.
    •   Usually generous with their time and ideas;
    •   Can share their respective funded proposals.

•   GRC can facilitate those connections.
                   Important Fact #3:
                  Always Contact NIH

• Check NIH institute or center web pages
  (http://www.nih.gov/icd/ ) for the full range of program areas
  and program contacts.

• Pay attention to National Advisory Council information--future
  research agenda often discussed.

• Establish a dialogue with NIH program staff—
   • They want to talk with you.
      BEFORE You Contact NIH:

• What is an NIH grant mechanism?
  – F-Fellowships; K-Career Development; N-
    Research Contracts; P-Program Project &
    Research Center Grants;R-Research Project
    Grants (good proportion of NIH’s budget); S-
    Research-Related Programs; T-Training Grants;
    U-Cooperative Agreements; and Y-Interagency
    Agreements.
• Good descriptions of these mechanisms:
  – http://www.niaid.nih.gov/ncn/grants/mechan.htm
  – http://grants1.nih.gov/grants/funding/funding_program.
    htm
           New Investigators at NIH
• Encouraged to submit traditional research project grant (R01) applications,
  identifying themselves on the application face page as a new
  investigator—and also in biosketch.

• Reviewers will specifically be asked to consider:
    – Approach: reviewers will place more emphasis on how applicant demonstrates
      that techniques/approaches are feasible

    – Investigator: reviewers will place more emphasis on applicant’s training and
      research potential, rather than track record and number of publications

    – Environment: reviewers will look for evidence of institutional commitment
      (space and time) to perform the research
AREA: Academic Research Enhancement
          Program (R15)
• For institutions receiving less than $3 million per
  year (over last 7 years) from NIH

• Recognizes role of teaching institutions in education
  of future researchers and practitioners

• Seeks to strengthen undergraduate experience

• Supports meritorious research for new knowledge
  and teaching vitality

• Small award--$150,000 total for up to three years
• Applications due 1/25; 5/25; and 9/25
• http://grants1.nih.gov/grants/funding/area.htm
            AREA Review Criteria
• AREA uses same review criteria and two-stage peer
  review process as other NIH programs.
• Special considerations regarding the investigator and
  environment are unique to AREA.
• PI’s experience must be appropriate for supervising
  students who are conducting research.
• Applicant’s school or academic component must be
  suitable for an award in terms of likelihood for
  strengthening the research environment and
  exposing more students to research.
• Collaboration acceptable if majority of research is
  conducted at an AREA eligible institution
      AREA Review Criteria (cont.)

• Reviewers will consider two factors to
  determine if a fitting research environment
  is evident:
• Documentation of the availability of well-
  qualified students to assist with the proposed
  research project.
• Evidence that students have pursued, or are
  likely to pursue, meaningful careers in the
  biomedical and behavioral sciences.
         NIH Small Grant Program (R03)
• Faculty from all types of institutions are eligible to apply.

• Call before submitting: some NIH institutes/centers do NOT
  accept R03 applications.

• Provides limited funding (usually not more than $50,000) for a
  short period of time.
• Examples of the types of projects:
• Pilot or feasibility studies
    –   Secondary analysis of existing data
    –   Small, self-contained research projects
    –   Development of research methodology
    –   Development of new research technology
• http://grants1.nih.gov/grants/funding/r03.htm
Exploratory/Developmental Research
         Grant Award (R21)
• Intended to encourage new, exploratory and
  developmental research projects by providing support
  for the early stages of development:

    – Such as projects to assess the feasibility of a novel area of
      investigation
    – Or an experimental system with potential to enhance
      health-related research.

• Combined budget for direct costs for 2-year project:
  $275,000 max.


• http://grants1.nih.gov/grants/funding/r21.htm
              Career Development Awards
                      (K Awards)
• Research training grants for:
   • Scientists with a research doctorate, or
   • Those with a health profession doctorate

• Opportunities from postdoctoral to independent scientist

•   http://grants.nih.gov/training/careerdevelopmentawards.htm

• Career Award Wizard is designed to help identify an
  Individual NIH Career Award that might be right for the
  applicant
    http://grants.nih.gov/training/kwizard/index.htm
           What is a Modular Budget?
•       The Modular Grant format replaces the regular research
        application format for requests up to $250,000 direct costs
        per year.
    –      NOT a grant program. It is a revised application and award
           process for R01, R15 and other kinds of awards.
    –      Applicants request total direct costs in modules of $25,000,
           reflecting appropriate support for projects
•       Typical modular grant application will request the same
        number of modules in each year.
•       Categorical dollar information should NOT be provided in
        the application; however, the responsibilities for the Principal
        Investigator and all key personnel must be specifically
        described.
•       Use PHS-398 (modular budget instructions on p. 13)
•       http://grants.nih.gov/grants/funding/modular/modular.htm
                         PHS-398
• NIH’s application form used for all research project
  grants and career awards (K awards)
• If responding to a specific request for applications
  (RFA) or program announcement (PA), contact NIH
  for additional instructions.
• The instructions in the RFA or PA may differ from
  the general instructions in PHS-398; if so, they will
  supersede the general.
• http://grants.nih.gov/grants/funding/phs398/phs398.html
• Additional Questions?
    E-mail: GrantsInfo@nih.gov or 301/435-0174
          What Happens to Your Application?
Important to understand the two-step peer review process at
  NIH—very different from other federal agencies
  http://grants1.nih.gov/grants/peer/peer.htm
• Step One: Peer review study sections are managed by Institute or Center
  administrators--list of 140 standing study sections appears at
  http://www.csr.nih.gov/committees/rosterindex.asp
• Each study section has between 12-24 members who are primarily from
  academia
• 60-100 applications reviewed at each study section meeting

Important: Always submit a cover letter with your application:
   • Suggest the Integrated Review Group (IRG) study section(s) best able to
      assess your proposal’s merit,
   • State Institute or Center most likely to fund it;
   • Cite whom at NIH you have been talking to.
             PEER REVIEW AT NIH
• Peer review is the ―essence‖ of what NIH is all about
  http://www.csr.nih.gov/review/policy.asp
• New video on peer review at NIH
   http://www.csr.nih.gov/Video/Video.asp

• After initial review, a second level of peer review is
  done by NIH Institute or Center (National Advisory
  Councils)

• Final decisions depend on Institute’s or Center’s total
  research portfolio, type of grant, grant size, and
  grantee (newer investigator, minority, woman, etc.).
                NIH Review Criteria
• Significance: Does the study address an important problem?
  How will scientific knowledge or clinical practice be advanced?
  What will be the effect of these studies on the concepts,
  methods, technologies, treatments, services, or preventative
  interventions that drive this field?

• Approach: Are the conceptual or clinical framework, design,
   methods, and analyses adequately developed, well integrated, well
   reasoned, and appropriate to the aims of the project? Does the applicant
   acknowledge potential problem areas and consider alternative tactics?

• Innovation: Is the project original and innovative? For
  example: Does the project challenge existing paradigms or
  clinical practice; address an innovative hypothesis or critical
  barrier to progress in the field? Does the project develop or
  employ novel concepts, approaches, methodologies, tools, or
  technologies for this area?
        NIH Review Criteria (ctd)
• Investigators: Are the investigators appropriately
  trained and well suited to carry out this work? Is the
  proposed work appropriate to the experience level of
  the principal investigator and other researchers? Does
  the investigative team bring complementary and
  integrated expertise to the project (if applicable)?

• Environment: Does the scientific environment in
  which the work will be done contribute to the
  probability of success? Do the proposed studies
  benefit from unique features of the scientific
  environment, or subject populations, or employ
  useful collaborative arrangements? Is there evidence
  of institutional support?
Scientific Review Group or
Study Section Actions
 Scored, Scientific Merit Rating
 Priority scores:
     1 (best) to 5 (poorest) and percentiles
 Unscored (lower half)
 Deferral
STUDY SECTIONS JUDGE
Scientific and Technical Merit
Institute staff use the evaluations as part of
the process of considering the relevance of
applications to the Institute’s mission,
research priorities and portfolio of existing
research

    STUDY SECTIONS DO NOT FUND !

            INSTITUTES FUND!
             SOURCES FOR TIPS
        http://grants1.nih.gov/grants/grant_tips.htm

                 http://www.niaid.nih.gov/ncn/grants/

  http://www.nnlm.nlm.nih.gov/scr/edn/grants-resources.htm

          http://grants2.nih.gov/grants/grant_tips.htm

          http://www.nigms.nih.gov/funding/tips.html

    http://www.nigms.nih.gov/funding/moregrant_tips.html
http://deainfo.nci.nih.gov/EXTRA/EXTDOCS/gntapp.htm
http://chroma.med.miami.edu/research/Ellens_how_to.html
http://www.cfda.gov/public/cat-writing.htm

http://cpmcnet.columbia.edu/research/writing.htm
        Other Helpful NIH Web sites

• NIH Grants Policy Statement
 http://www.grants.nih.gov/grants/policy/nihgps_2003/
• Success Rates by Institute and Award
 http://grants2.nih.gov/grants/award/success.htm
• Forms and Applications
 http://grants1.nih.gov/grants/forms.htm
• Electronic Applications (not quite there yet!)
 http://grants1.nih.gov/grants/era/era.htm
Contact Us:
Grants Resource Center
of the American Association of State Colleges and Universities
1307 New York Avenue, NW, Fifth Floor
Washington, DC 20005-4701
202 293 7070



Through:
Judy Enfinger
Assistant Director
Office of Sponsored Programs
enfinger@troyst.edu

				
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