AHRQs Career and Infrastructure Development Programs

1
AHRQs Career and Infrastructure Development
Programs

• Kay Anderson, Ph.D.
• Office of Research Review, Education, and
  Priority Populations
• Creighton University
• November 15, 2007

2
AHRQs Training Goal

• Foster the growth, dissemination, and
  translation of the field and science of HSR to
  achieve AHRQs mission and address HHS priorities
  geared toward the transformation of health care.

3
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

4
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)

5
Training Opportunities (cont.)

• Research Infrastructure Programs
• Minority Research Infrastructure Support Program
  (MRISP)
• Building Research Infrastructure and Capacity
  (BRIC)
• Intramural Opportunities
• Summer Intern Program
• Visiting Scholars

6
2007 AHRQ Research Education Budget
Totals 17.3 million
7
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
  -443.html

8
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
  -022.html

9
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

10
Application Forms and Submission

• Predoctoral and postdoctoral fellowship
  application -- Individual Fellowship Form (PHS
  416-1, rev. 06/02) which is available at
  http//grants.nih.gov/grants/funding/416/phs416.ht
  m  
• Large and Small Conference grants- Applications
  must be submitted electronically through
  Grants.gov (http//www.grants.gov) using the
  SF424 Research and Related (RR) forms and SF424
  (RR) Application Guide.
• Dissertation Grants- A direct link to the SF 424
  RR application instructions can be found at
  http//grants.nih.gov/grants/funding/424/index.htm
  .
• Career Development Grants- Application for Public
  Health Service Grant (PHS 398updated August 1,
  2003)http//grants.nih.gov/grants/funding/phs398/
  phs398.html

11
BRICs Birth and Intent

• Merit-based, peer-reviewed program in response to
  Congressional mandate to geographically broaden
  HSR funding
• First cohort - Received lt1M over last 5 years
• Second cohort Received lt3M over last 5 years

12
BRIC I

• Original RFA 2001 2 years
• 17 eligible states, 24 applications received, 6
  funded
• Limited Competition 2003 3 years
• 6 original grantees funded

13
First BRIC Cohort

• Rutgers University
• University of Utah
• Louisiana State University
• National Association of Health Data Organizations
• University of Kentucky
• Mississippi State University

14
Current BRIC

• RFA published in 2004
• 2 year grant period
• 15 eligible states
• 43 applications received, 5 funded

15
Eligible States

• Montana
• Nebraska
• Nevada
• North Dakota
• Oklahoma
• South Dakota
• West Virginia
• Wyoming

• Alaska
• Arkansas
• Delaware
• Hawaii
• Idaho
• Louisiana
• Maine
• new state

16
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 areas

17
Current BRICs (cont)

• 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

18
Curent BRICs (cont)

• 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

19
BRIC and MRISP Funding
Maine
North Dakota
Montana
West Virginia
Idaho
Wyoming
Nebraska
New Jersey
Nevada
Utah
Maryland DC
California
North Carolina
Tennessee
New Mexico
Hawaii
Georgia
Mississippi
Louisiana
Texas
Arkansas
Puerto Rico
BRIC are in red MRISP are in yellow Joint
funding is in orange
20
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 states)
• Similarly, the proportion of AHRQ grant and
  contract funding to BRIC and BRIC eligible states
  more than tripled in the post-award period. 

21
BRIC Evaluation

• Development of compendium of Best Practices for
  Developing Research Infrastructure
• 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?

22
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

23
HSR Core Competencies (cont.d)

• 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

24
AHRQ Training --Looking to the Future

• Fostering the next generation of researchers
  who
• actively engage in workforce and knowledge
  production
• emphasize the importance of research and the
  translation of research to make a difference