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Financing Research in VERA. 2009 ORD Local Accountability for Research Meeting January 14, 2009 Baltimore, MD. Overview. Special Work Group created to: Perform a comprehensive review of financial issues Review current practices in the field Clarify areas of ambiguity in current guidance

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financing research in vera

Financing Research in VERA

2009 ORD Local Accountability for Research Meeting

January 14, 2009

Baltimore, MD

overview
Overview
  • Special Work Group created to:
    • Perform a comprehensive review of financial issues
    • Review current practices in the field
    • Clarify areas of ambiguity in current guidance
    • Catalog issues & questions needing resolution
    • Identify areas for improvement & simplification
  • Key concern is need for field input & suggestions
    • Break-out sessions provide a forum for more feedback
    • We need understand the practical operational issues

2

sources of funding
Sources of Funding
  • VHA appropriations
  • Other Federal / State / Local governments
  • Non-Profit Corporations / charitable organizations / corporations
  • Gifts & donations
  • Reimbursements
sources of vha funding
Sources of VHA Funding
  • Direct Research 101 funds
    • Medical & Prosthetic Research appropriation
  • VERA Research Support funds
    • 3 Medical Care appropriations
  • Specific Purpose / QUERI funds
    • 3 Medical Care appropriations
  • IT Systems appropriation funds
    • All information technology & telecommunications equipment & software
challenges 1
Challenges - 1
  • What funds must / may be used for certain items
    • The “clear-cut” decisions (little, to no flexibility)
    • The “grey area” decisions (a lot of flexibility)
  • The historical approach versus the need to simplify, rationalize, & streamline
    • Problem of “one-size” fits all
    • Large Research programs / Medium ones / Small ones
  • Law of “Unintended Consequences”
    • Try to make the situation better, not worse
challenges 2
Challenges - 2
  • 101 Research funds versus VERA Research Support
    • 101 based on 3-year average of VA funded projects (intra-mural)
    • VERA based on most recent year projects (intra & extra-mural)
      • 100% VA administered, 75% peer reviewed not VA administered, 25% non-peer reviewed not VA administered
  • Disproportionate impact of “fixed overhead” costs
    • 101 funds for Large programs / Medium ones / Small ones
  • Impact of Research Program dynamics
    • Growing programs, level programs, & declining programs
challenges 3
Challenges - 3
  • VERA Research Support amounts
    • Are a guide, not a mandate
  • Accurate DSS reporting of Research Support funding
    • Dependent on accurate station level input
  • Direct versus Indirect Costs
    • What funds are responsible / appropriate
  • Full-time Research Staff reporting to ACOS for Research
    • Full-time / Part-time oversight staff reporting to VAMC Director
conclusion
Conclusion
  • Need input to create a better future
  • Need to minimize “unintended consequences”
  • Need to ensure future viability of Research
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