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American Recovery and Reinvestment Act of 2009 (ARRA) A Briefing for the HSC Faculty March, 2009 Health-Related Research NIH (S10.4B) Research Projects ($8.2B) Facilities and Equipment ($1.4B) Comparative Effectiveness Research (CER) ($400M) Comparative Effectiveness Research (CER) ($1.1B)

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American Recovery and Reinvestment Act of 2009 (ARRA)

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American Recovery and Reinvestment Act of 2009(ARRA)

A Briefing for the HSC Faculty

March, 2009


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Health-Related Research

  • NIH (S10.4B)

    • Research Projects ($8.2B)

    • Facilities and Equipment ($1.4B)

    • Comparative Effectiveness Research (CER) ($400M)

    • Comparative Effectiveness Research (CER) ($1.1B)

    • Health IT ($18B) – EMR program

      • National Coordinator’s office ($2B)

    • Prevention and Wellness Programs and Research (Secty HHS) ($1B)


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NIH Supplementary Funding

  • Purpose of funding – Obligated by Sept 2010

    • $7.4B to Institutes and Centers, $800M to Office of Director

    • No addition to base, no “out-year” commitments

    • Create or retain jobs

    • Economic stimulus – reporting requirements

    • Urgency versus quality

      Research Projects

      New Grant awards

    • Roster of “near-miss” grants

    • Program officers responsibility

      • Identify 2-year sub-projects

      • Solicit revised proposal, renegotiate

        Grant Supplements

    • Active grants > 1 year to termination

    • Supplements for 2 year projects

    • Program officer responsibilities

      • Administrative approval –modifications, personnel, equipment etc

      • Study section – change in scope of work


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NIH Supplementary Funding

CHALLENGE GRANTS

  • $100M – $200M, may ultimately be more (CER)

  • 2-year new grants, up to $1M Total ($500K/yr) – one time solicitation

  • Institutes and Centers have identified 15 “Challenge Areas”

    • each area includes many “Challenge Topics”

    • Goal is to “jumpstart” areas of research with 2-year projects

      • (01) Behavior, Behavioral Change, and Prevention

      • (02) Bioethics

      • (03) Biomarker Discovery and Validation

      • (04) Clinical Research

      • (05) Comparative Effectiveness Research (CER)

      • (06) Enabling Technologies

      • (07) Enhancing Clinical Trials

      • (08) Genomics

      • (09) Health Disparities

      • (10) Information Technology for Processing Health

        Care Data

      • (11) Regenerative Medicine

      • (12) Stem Cells

      • (13) Smart Biomaterials – Theranostics

      • (14) STEM Education

      • (15) Translational Science

    • 12 page Application, Multiple PI’s allowed

    • New Investigator preference

    • Deadline for submission April 27

  • HSC SPECIAL RESOURCES

  • Center for Clinical and Translational Research (CCTS)

    • Translational Data Warehouse (I2B2)

    • Biostatistics, Epidemiology and Research Design (BERD)

    • Core Labs (Biomarkers)

    • Community Engagement (Health Disparities)

    • Tissue Bank (TexGen)

  • School of Public Health

    • Coordinating Center for Clinical Trials

    • Health Policy / Health Economics Program

    • Health Promotion and Disease Prevention Programs

  • School of Health Information Sciences (SHIS)

    • Health Informatics (I2B2, iMed Consent etc)

    • Bioinformatics / Systems Biology

  • Medical School / Nursing School / Dental Branch

    • Clinical Research Programs – Aging, Trauma, Neonatology, Patient Safety etc. etc.


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NIH Facilities and Equipment Funding

NCRR G20 (Cores) & C06 (Facilities) ($1B) and S10 ($300 M)

  • Research Facilities ($1 Billion)

  • Facilities – Core facilities renovation (G20)

    • RFA-RR-09-007

    • Renovation, restoration and alterations to existing facilities plus equipment

    • $1M - $10M

    • No match.

    • Geographic factor

    • Opens August 17, deadline September 17

    • Part of $1 Billion available for this program

  • Facilities – Research Facilities Improvement (C06)

    • RFA-RR-09-008

    • Major renovation, restoration and alterations to existing research facilities plus equipment

    • $2M - $15M

    • No match.

    • Geographic factor

    • Opens April 6, deadline May 6, June 17, July 17

    • Part of $1 Billion available for this program

  • Research Equipment ($300 Million)

    • Shared Instrumentation Grants (S10)

      • PAR-09-028

      • $100K - $500K

      • PI and 3 NIH-funded projects / investigators – can be others

      • No match required

      • RFA open right now (March 23)

      • Original $60 million, now additional ARRA funding

    • High-End Instrumentation – (S10)

      • PAR-09-118

      • $500K - $8 Million. Major equipment

      • PI and 3 NIH-funded projects / investigators – can be others

      • No match required

      • RFA opens April 6, deadline May 6

      • $160 million, approx 40 awards


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    Comparative Effectiveness Research

    • $1.1B allocated to AHRQ with flow through to NIH ($400M), Office of Secretary ($400M) and AHRQ remaining $300M. Integrated Projects across NIH / AHRQ

      • NIH RFAs included in Challenge Grant Announcement

      • AHRQ RFAs anticipated in June 2009

    • Compare outcomes, effectiveness and appropriateness of items, services and procedures for prevention, diagnosis and treatment of diseases and health conditions

    • Development and use of clinical registries, data networks and

      electronic health data for outcomes research

    • CBO white paper

      • Meta-analyses

      • Actuarial data

      • Research Databases

      • Clinical trials

    • http://www.cbo.gov/ftpdocs/88xx/doc8891/12-18-ComparativeEffectiveness.pdf


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    Prevention and Wellness Programs

    • Administered by Office of Secty HHS ($1B)

      • Community-based and clinical prevention and wellness strategies for chronic diseases ($650M)

      • CDC Immunization program ($300M)

      • Healthcare-associated infections (States - $50M)


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    Health Informatics

    • Office of the National Coordinator for Health Technology ($2B)

      • Robert Kolodner MD - to develop “nationwide health information technology infrastructure that allows for electronic use and exchange of information…” 

      • NIST, NSF and other Federal agencies to establish a program to develop multi-disciplinary Centers for Health Care Information Enterprise Integration, with grants to institutions

      • Grants, to support regional health information exchanges ($300M)

      • Resources to develop health information technology workforce sufficient to support HIT Programs

        • Education programs in medical informatics and health information management” 

        • Provides assistance to educational institutions “to establish or expand medical health informatics educations programs, including certification, undergrad and masters degree programs for both health care and information technology students…”,

          • Priority for existing education and training programs and programs designed to be completed in less than six months.  

          • Provides for a demonstration program to integrate information technology into clinical education


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    http://www.uth.tmc.edu/research/ARRA/ARRA.html


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