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93.225 National Research Service Awards_Health Services Research Training
AGENCY FOR HEALTHCARE RESEARCH AND QUALITY, DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service Act, as amended, Public Law 99-158, 42 U.S.C. 288.
To provide predoctoral and postdoctoral training opportunities in health services research. Individual fellowships will be awarded directly to applicants for postdoctoral research training and to under represented minorities for predoctoral training. Domestic institutions will also be awarded grants to enhance predoctoral and post doctoral training programs and provide support to trainees selected by them. The purpose of these awards is to provide fellows and trainees with both academic training and actual experience in the application of research methods to the systematic analysis and evaluation of the organization, financing, utilization, and delivery of health care services.
TYPES OF ASSISTANCE:
USES AND USE RESTRICTIONS:
Individual fellowships are awarded both to applicants seeking postdoctoral support and to under represented minority applicants seeking predoctoral support for full-time health services research training. An institutional allowance is provided, upon request, to the sponsoring institution for each fellow. Also, research training grants are awarded to institutions to provide support to trainees selected by the training program director at the grantee institution. This support is available for predoctoral and postdoctoral trainees. Tuition and fees are allowable for trainees, and an amount for institutional expenses will be provided. Facilities and administrative costs may be requested at 8 percent of allowable direct costs, or the negotiated facilities and administrative cost rate, whichever is less. Postdoctoral fellows and trainees in the first 12 months of postdoctoral NRSA support incur one month of payback obligation for each month of support. The thirteenth and subsequent months of postdoctoral NRSA support are considered payback service for prior postdoctoral support. Predoctoral fellows and trainees do not incur a service payback obligation. Discretionary funds are available.
Applicant Eligibility: Domestic public or private nonprofit organizations or institutions may apply for training grants. The applicant institutions must have or expand training programs designed to develop competent investigators in the methods and techniques of conducting health services research. State or local governments and U.S. Territories are eligible. Profit-making organizations are not eligible. Individual applicants for postdoctoral fellowships must have received a doctoral degree. Individual applicants for predoctoral fellowships must be from ethnic/racial groups that have been determined to be underrepresented in biomedical or behavioral research. All persons supported as fellows or trainees must be citizens or noncitizen nationals of the United States, or have been lawfully admitted for permanent residence.
Pre-application Coordination: While there is no program requirement for preapplication, informal preapplication consultation to prospective applicants is available upon request to the Agency for Healthcare Research and Quality (AHRQ) and is recommended. This program is excluded from coverage under E.O. 12372.
Formula and Matching Requirements: This program has no statutory formula or matching requirements.
POST ASSISTANCE REQUIREMENTS:
Reports: Annual and final progress reports are required. For Institutional Training Grants, a final progress report is due at the close of the project period. Annual Financial Status Reports are also required for Institutional National Research Service Awards. These Financial Status Reports must be submitted within 90 days after the close of each budget period. Annual reports of activities for tracking payback provisions are required of all fellows and trainees upon termination of support.
Account Identification: 75-1700-0-1-552.
In fiscal year 2001, 5 new and 4 continuing individual fellowships were funded and 24 continuing institutional training grants were funded. It is estimated that 10 individual fellowships and 24 institutional training grants will be awarded in fiscal year 2002. In fiscal year 2003, it is estimated that the same number of fellowships and training grants will be awarded in fiscal year 2003.
REGULATIONS, GUIDELINES, AND LITERATURE:
Title 42 CFR Part 66; PHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000, (Rev.) April 1, 1994.
Regional or Local Office: Not applicable.
EXAMPLES OF FUNDED PROJECTS:
Support is provided for training in the following areas: health services research, research methods (including qualitative research), epidemiology, biostatistics, geriatrics, health administration and public health, medical information sciences, health policy and management, organizational behavior, clinical outcomes and effectiveness, primary care, health care quality, health economics and financing, child health, and vulnerable populations.
CRITERIA FOR SELECTING PROPOSALS:
For Individual fellowship applications, the following review criteria will be used: (1) The applicant's past academic and research accomplishments; (2) research goals; (3) research training proposed; (4) qualifications of the sponsor; (5) appropriateness of training environment; and (6) reference reports. For Institutional training grant applications, the following review criteria will be used: (1) goals of the proposed training and probability of achievement; (2) substantive content, including courses offered; (3) qualifications and responsibilities of program director and faculty; (4) ability to recruit trainees; (5) extent of institutional participation through provision of necessary space, curriculum time, financial support, and appropriate facilities; (6) documented cooperation of related agencies in providing research experience; (7) proposed number of students; (8) methods for monitoring and evaluating trainees; and (9) reasonableness of budget. In all cases, AHRQ will consider the recommendations of the review committee, the Council program interests, and availability of funds in making the final selection of grantees.