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AHRQ’s Career and Infrastructure Development Programs Kay Anderson, Ph.D. Office of Research Review, Education, and Priority Populations Creighton University November 15, 2007 AHRQ’s Training Goal

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ahrq s career and infrastructure development programs

AHRQ’s Career and Infrastructure Development Programs

Kay Anderson, Ph.D.

Office of Research Review, Education, and Priority Populations

Creighton University

November 15, 2007

ahrq s training goal
AHRQ’s Training Goal

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

training objectives
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
training opportunities
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)
training opportunities cont
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
mentored clinical scientist k08
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
mentored research scientist k01
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
independent scientist k02
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
application forms and submission
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.htm

Large and Small Conference grants- Applications must be submitted electronically through Grants.gov (http://www.grants.gov) using the SF424 Research and Related (R&R) forms and SF424 (R&R) Application Guide.

Dissertation Grants- A direct link to the SF 424 R&R 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 398—updated August 1, 2003)http://grants.nih.gov/grants/funding/phs398/phs398.html

bric s birth and intent
BRIC’s Birth and Intent
  • Merit-based, peer-reviewed program in response to Congressional mandate to geographically broaden HSR funding
  • First cohort - Received <$1M over last 5 years
  • Second cohort – Received <$3M over last 5 years
bric i
BRIC I
  • Original RFA 2001 – 2 years
  • 17 eligible states, 24 applications received, 6 funded
  • Limited Competition 2003 – 3 years
  • 6 original grantees funded
first bric cohort
First BRIC Cohort
  • Rutgers University
  • University of Utah
  • Louisiana State University
  • National Association of Health Data Organizations
  • University of Kentucky
  • Mississippi State University
current bric
Current BRIC
  • RFA published in 2004
  • 2 year grant period
  • 15 eligible states
  • 43 applications received, 5 funded
eligible states
Alaska

Arkansas*

Delaware

Hawaii

Idaho

Louisiana

Maine*

*new state

Montana

Nebraska*

Nevada

North Dakota

Oklahoma

South Dakota

West Virginia*

Wyoming

Eligible States
current brics
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
current brics con t
Current BRICs (con’t)
  • 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
curent brics con t
Curent BRICs (con’t)
  • 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
slide19

BRIC and MRISP Funding

North Dakota

Maine

Montana

West Virginia

Idaho

Wyoming

Nebraska

New Jersey

Nevada

Utah

Maryland & DC

California

North Carolina

Tennessee

New Mexico

Hawaii

Mississippi

Georgia

Louisiana

Texas

Arkansas

Puerto Rico

BRIC are in red; MRISP are in yellow; Joint funding is in orange

outcome success bric
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. 
bric evaluation
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?
core competencies for predoctoral training
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
hsr core competencies cont d
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
ahrq training looking to the future
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