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American Recovery and Reinvestment Act of 2009 (ARRA)

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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  1. American Recovery and Reinvestment Act of 2009(ARRA) A Briefing for the HSC Faculty March, 2009

  2. 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)

  3. 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

  4. 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.

  5. 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

  6. 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

  7. 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)

  8. 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

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

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