Opportunity Information: Apply for RFA HS 14 008
Apply for RFA HS 14 008
- The Agency for Health Care Research and Quality in the health sector is offering a public funding opportunity titled "Accelerating the Dissemination and Implementation of PCOR Findings into Primary Care Practice (R18)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.226 Research on Healthcare Costs, Quality and Outcomes.
- This funding opportunity was created on Mar 11, 2014 and posted on Mar 11, 2014.
- Applicants must submit their applications by Jul 3, 2014. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Eligible applicants include: Native American tribal organizations (other than Federally recognized tribal governments) State governments Others (see text field entitled Additional Information on Eligibility for clarification) Native American tribal governments (Federally recognized) Public and State controlled institutions of higher education City or township governments County governments Private institutions of higher education.
- Other Eligible Applicants include the following Eligible Agencies of the Federal Government Faith based or Community based Organizations Indian/Native American Tribal Governments (Other than Federally Recognized) Non domestic (non U.S.) Entities (Foreign Institutions) are not eligible to apply.
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Opportunity Summary:
Accelerating the Dissemination and Implementation of PCOR Findings into Primary Care Practice (R18) is a discretionary grant opportunity from the Agency for Healthcare Research and Quality (AHRQ) focused on closing the gap between research evidence and everyday primary care. The core purpose is to move Patient-Centered Outcomes Research (PCOR) findings out of journals and into routine clinical workflows by helping primary care practices adopt, adapt, and sustain evidence-based clinical and organizational improvements. Rather than funding basic research, this announcement emphasizes practical dissemination and implementation work, meaning applicants are expected to take existing PCOR evidence and build real-world strategies that make it usable for frontline primary care teams.
A defining requirement of the program is that applicants propose a comprehensive, practice-facing approach grounded in evidence-based quality improvement methods. AHRQ explicitly points to strategies like practice facilitation, which typically involves trained facilitators working directly with clinics to redesign workflows, strengthen team-based care, improve measurement and feedback, and support iterative change (often using rapid-cycle improvement methods). The expectation is not simply to distribute educational materials, but to provide structured, hands-on implementation support that increases a practice's capacity to integrate PCOR findings into care delivery in a durable way.
The clinical improvement targets are aligned with major cardiovascular risk reduction priorities in primary care. Projects must work with participating practices to use PCOR findings to improve the percentage of patients who successfully manage blood pressure and high blood cholesterol. In addition, projects must improve the extent to which patients receive advice and support from health care professionals regarding aspirin use to prevent heart disease and smoking cessation. These aims signal that AHRQ wants measurable improvements in both clinical outcomes (or intermediate outcomes like control rates) and key preventive counseling/support processes that are known to reduce cardiovascular risk when implemented effectively and appropriately.
Another central feature of this opportunity is evaluation. Applicants are required to rigorously evaluate their dissemination and implementation initiatives, not only to show whether the intervention worked in their setting but also to generate lessons that others can use. Beyond local evaluation, awardees must contribute to an overarching evaluation, implying that AHRQ intends to assess results across funded projects in a coordinated way. In practice, that means applicants should be prepared to collect standardized measures, document implementation fidelity and adaptations, track practice engagement, and report outcomes in a manner that supports cross-project comparisons and broader learning about what works, for whom, and under what conditions.
In terms of administrative details, this funding opportunity is identified as RFA-HS-14-008 under CFDA 93.226 (Research on Healthcare Costs, Quality and Outcomes). It uses the R18 grant mechanism and does not require cost sharing or matching. The opportunity was posted March 11, 2014, with an original and current closing date of July 3, 2014, and an archive date of August 3, 2014, indicating it is a past (archived) solicitation rather than an open competition.
Eligibility is broad across public-sector and academic entities, and also includes several community and government-adjacent organization types. Eligible applicants include state governments; county and city or township governments; public and state-controlled institutions of higher education; private institutions of higher education; Native American tribal governments (federally recognized) and other Native American tribal organizations; and other applicants as clarified in the announcement. The eligibility language also notes that eligible agencies of the federal government and faith-based or community-based organizations may apply, but non-U.S. entities (foreign institutions) are not eligible. Overall, the applicant pool is designed to include organizations that can credibly partner with primary care practices at scale, bring quality improvement infrastructure, and manage robust evaluation requirements.
Taken together, the opportunity is essentially asking applicants to operate as an implementation partner for primary care: identify relevant PCOR findings, translate them into workable practice changes, support clinics through evidence-based quality improvement methods (including facilitation), and then produce rigorous evidence about implementation success and clinical/process outcomes related to cardiovascular risk management and prevention counseling. The full announcement and detailed requirements were provided through the NIH grants guide entry linked in the notice (RFA-HS-14-008).
Frequently Asked Questions (FAQs)
What is the purpose of the "Accelerating the Dissemination and Implementation of PCOR Findings into Primary Care Practice (R18)" grant?
This AHRQ discretionary grant opportunity is designed to close the gap between research evidence and everyday primary care. Its core purpose is to move Patient-Centered Outcomes Research (PCOR) findings out of journals and into routine clinical workflows by helping primary care practices adopt, adapt, and sustain evidence-based clinical and organizational improvements.
Is this grant intended to fund basic research?
No. The announcement emphasizes practical dissemination and implementation work rather than basic research. Applicants are expected to take existing PCOR evidence and develop real-world strategies that make it usable for frontline primary care teams.
What type of work does AHRQ expect applicants to propose?
AHRQ expects a comprehensive, practice-facing approach grounded in evidence-based quality improvement methods. The focus is on helping practices integrate PCOR findings into care delivery in a durable way through structured implementation support, not simply distributing educational materials.
Does the program require hands-on support for primary care practices?
Yes. A defining requirement is that applicants propose a comprehensive approach that supports participating practices with practical, structured implementation assistance. AHRQ explicitly highlights strategies such as practice facilitation, where trained facilitators work directly with clinics to redesign workflows, strengthen team-based care, improve measurement and feedback, and support iterative change.
Is distributing toolkits or educational materials by itself sufficient?
No. The expectation is not simply to distribute educational materials. Applicants should provide structured, hands-on implementation support that builds a practice's capacity to integrate PCOR findings into routine care and sustain improvements over time.
What clinical areas must projects focus on?
Projects must use PCOR findings to improve major cardiovascular risk reduction priorities in primary care. Specifically, projects must work with participating practices to improve the percentage of patients who successfully manage blood pressure and high blood cholesterol.
Are there required prevention counseling or support targets?
Yes. In addition to blood pressure and cholesterol management, projects must improve the extent to which patients receive advice and support from health care professionals regarding aspirin use to prevent heart disease and smoking cessation.
What kinds of outcomes is AHRQ looking for?
The opportunity signals a focus on measurable improvements in both clinical outcomes (or intermediate outcomes such as control rates for blood pressure and cholesterol) and preventive counseling/support processes (including advice and support related to aspirin use and smoking cessation).
Are applicants required to evaluate their dissemination and implementation strategy?
Yes. Applicants must rigorously evaluate their dissemination and implementation initiatives to show whether the intervention worked in their setting and to generate lessons that others can use.
Do awardees need to participate in a broader evaluation beyond their own project?
Yes. Awardees must contribute to an overarching evaluation, indicating that AHRQ intends to assess results across funded projects in a coordinated way.
What does contributing to an overarching evaluation imply for project reporting?
It implies applicants should be prepared to collect standardized measures, document implementation fidelity and adaptations, track practice engagement, and report outcomes in ways that support cross-project comparisons and broader learning about what works, for whom, and under what conditions.
What is the funding opportunity number and CFDA listing?
This funding opportunity is identified as RFA-HS-14-008 and is listed under CFDA 93.226 (Research on Healthcare Costs, Quality and Outcomes).
What grant mechanism does this opportunity use?
The opportunity uses the R18 grant mechanism.
Is cost sharing or matching required?
No. The announcement states that cost sharing or matching is not required.
Is this funding opportunity currently open?
No. The solicitation is archived. It was posted March 11, 2014, with an original and current closing date of July 3, 2014, and an archive date of August 3, 2014, indicating it is a past opportunity rather than an open competition.
Who is eligible to apply?
Eligibility is broad and includes state governments; county and city or township governments; public and state-controlled institutions of higher education; private institutions of higher education; Native American tribal governments (federally recognized) and other Native American tribal organizations; and other applicants as clarified in the announcement.
Can federal government agencies apply?
Yes. The eligibility language notes that eligible agencies of the federal government may apply.
Can faith-based or community-based organizations apply?
Yes. The eligibility language notes that faith-based or community-based organizations may apply.
Are non-U.S. (foreign) entities eligible?
No. The opportunity states that non-U.S. entities (foreign institutions) are not eligible.
What kind of applicant organization is this program designed to support?
The applicant pool is designed to include organizations that can credibly partner with primary care practices at scale, bring quality improvement infrastructure, and manage robust evaluation requirements.
Where were the full details of the announcement provided?
The notice states that the full announcement and detailed requirements were provided through the NIH grants guide entry linked in the notice (RFA-HS-14-008).
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