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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

American Recovery and Reinvestment Act of 2009(ARRA)

A Briefing for the HSC Faculty

March, 2009

health related research
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)
nih supplementary funding
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
nih supplementary funding4
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.
slide5

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
comparative effectiveness research
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
prevention and wellness programs
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)
health informatics
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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