Opportunity Information: Apply for RFA HS 14 007

  • The Agency for Health Care Research and Quality in the health sector is offering a public funding opportunity titled "Deliberative Approaches Patient and Consumer Input for Implementing Evidence Based Health Care (R21)" 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 Nov 27, 2013 and posted on Nov 27, 2013.
  • Applicants must submit their applications by Feb 7, 2014. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $1,000,000.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $200,000.00 in funding.
  • Eligible applicants include: City or township governments Native American tribal organizations (other than Federally recognized tribal governments) Native American tribal governments (Federally recognized) Others (see text field entitled Additional Information on Eligibility for clarification) Public and State controlled institutions of higher education Private institutions of higher education County governments State governments.
  • Other Eligible Applicants include the following Eligible Agencies of the Federal Government Indian/Native American Tribal Governments (Other than Federally Recognized) Non domestic (non U.S.) Entities (Foreign Institutions) are not eligible to apply.
Apply for RFA HS 14 007

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Opportunity Summary:

The Deliberative Approaches Patient and Consumer Input for Implementing Evidence Based Health Care (R21) funding opportunity (RFA-HS-14-007) was a discretionary research grant program from the Agency for Healthcare Research and Quality (AHRQ) designed to support studies that use deliberative methods to bring patient, consumer, and public values directly into health care decision-making. The core idea behind the announcement is that many implementation challenges are not only technical or clinical, but also value-driven: people may weigh benefits and risks differently, have different priorities about cost, access, convenience, fairness, privacy, or autonomy, and may interpret evidence through the lens of lived experience. By using structured deliberation, researchers can move beyond simple surveys or one-time focus groups and instead create settings where participants receive balanced information, discuss tradeoffs, ask questions, and form more considered judgments. The results are meant to clarify what matters most to patients and the public when health systems, clinicians, or policymakers try to put evidence-based interventions, programs, or policies into practice.

This FOA focused on using deliberative approaches specifically to understand and clarify important public or patient values and concerns that affect implementation. In practical terms, the projects supported under this announcement would be expected to examine how deliberation can inform decisions such as whether and how to roll out a particular clinical intervention, how to design a program so it is acceptable and usable to real patients, or how to shape policy choices that depend on public trust and perceived legitimacy. The opportunity emphasizes implementation, meaning the work is aimed at bridging the gap between evidence and real-world uptake, where adoption can stall due to misunderstandings, competing priorities, ethical concerns, or lack of alignment with community needs. Deliberative methods are positioned as tools to surface these issues early and to generate insights that decision-makers can use to improve design, communication, and overall feasibility.

Administratively, this was an R21 mechanism, which typically supports exploratory or developmental research. The total estimated funding for the announcement was about $1,000,000, with an award ceiling of $200,000 per project. There was no cost-sharing or matching requirement. The funding activity category was Health, and it was listed under CFDA 93.226, Research on Healthcare Costs, Quality and Outcomes, reflecting AHRQ's focus on improving the value and performance of the health care system. The opportunity was posted on November 27, 2013, and the application closing date was February 7, 2014. It was later archived on March 10, 2014, meaning it is no longer open for applications, but it remains a useful reference for understanding what AHRQ sought to fund in this area.

Eligibility was broad across government and academic institutions, including state governments, county governments, and city or township governments, as well as public and state-controlled institutions of higher education and private institutions of higher education. Federally recognized tribal governments were eligible, as were tribal organizations other than federally recognized tribal governments, and other eligible federal government agencies were also included. Foreign institutions and other non-U.S. entities were explicitly not eligible to apply, which signals that AHRQ intended the funded work to be led by U.S.-based organizations and to be closely tied to U.S. health care delivery, policy contexts, and implementation needs.

For reference and full details, the announcement was accessible through the NIH Grants Guide (AHRQ uses NIH systems for postings) at http://grants.nih.gov/grants/guide/rfa-files/RFA-HS-14-007.html. The provided support contacts were the NIH Office of Extramural Research web team, with email addresses for help accessing or linking to the announcement (FBOWebmaster@OD.NIH.GOV).

Frequently Asked Questions (FAQs)

What is the Deliberative Approaches Patient and Consumer Input for Implementing Evidence Based Health Care (R21) opportunity?

This was a discretionary research grant funding opportunity from the Agency for Healthcare Research and Quality (AHRQ). It supported studies using deliberative methods to bring patient, consumer, and public values directly into health care decision-making related to implementing evidence-based health care.

What is the FOA number for this grant opportunity?

The funding opportunity is identified as RFA-HS-14-007.

Which agency offered this funding opportunity?

The opportunity was offered by the Agency for Healthcare Research and Quality (AHRQ).

What type of grant mechanism was used?

This opportunity used the R21 mechanism, which typically supports exploratory or developmental research.

What was the main purpose of the funding opportunity?

The purpose was to fund research that uses structured deliberation to clarify patient, consumer, and public values and concerns that can affect whether and how evidence-based interventions, programs, or policies are implemented in real-world health care settings.

Why did AHRQ emphasize deliberative approaches rather than simple surveys or one-time focus groups?

Deliberative methods are intended to move beyond quick, surface-level feedback by creating structured settings where participants receive balanced information, discuss tradeoffs, ask questions, and develop more considered judgments. This can help decision-makers understand what matters most to patients and the public during implementation.

What kinds of implementation challenges was this FOA trying to address?

The FOA highlights that implementation challenges are often not only technical or clinical, but also value-driven. People may weigh benefits and risks differently, prioritize cost or access differently, and have concerns about fairness, privacy, convenience, autonomy, or trust. These factors can affect adoption of evidence-based practices.

What types of decisions could deliberation help inform under this FOA?

Projects were expected to examine how deliberation could inform decisions such as whether and how to roll out a clinical intervention, how to design a program so it is acceptable and usable to real patients, and how to shape policy choices that depend on public trust and legitimacy.

What does "implementation" mean in the context of this funding opportunity?

Implementation refers to bridging the gap between evidence and real-world uptake. Even when evidence supports an intervention, adoption can stall due to misunderstandings, competing priorities, ethical concerns, or lack of alignment with community needs. The FOA positioned deliberative approaches as tools to surface these issues early.

How were the results of funded studies expected to be used?

The results were meant to clarify what patients and the public value most, and to generate insights that health systems, clinicians, or policymakers could use to improve program design, communication, acceptability, feasibility, and overall implementation success.

What was the total estimated funding available for the announcement?

The total estimated funding for the announcement was approximately $1,000,000.

What was the maximum award amount per project?

The award ceiling was $200,000 per project.

Was cost sharing or matching required?

No. There was no cost-sharing or matching requirement described for this opportunity.

What was the funding activity category?

The funding activity category was Health.

What CFDA number was associated with this opportunity?

This opportunity was listed under CFDA 93.226, Research on Healthcare Costs, Quality and Outcomes.

When was the opportunity posted?

The opportunity was posted on November 27, 2013.

What was the application closing date?

The application closing date was February 7, 2014.

Is this funding opportunity still open?

No. The opportunity was archived on March 10, 2014, which means it is no longer open for applications. It remains available as a reference for what AHRQ sought to fund in this area.

Who was eligible to apply?

Eligibility was broad and included state governments, county governments, and city or township governments, as well as public and state-controlled institutions of higher education and private institutions of higher education. Federally recognized tribal governments were eligible, as were tribal organizations other than federally recognized tribal governments. Other eligible federal government agencies were also included.

Were foreign institutions or non-U.S. entities eligible?

No. Foreign institutions and other non-U.S. entities were explicitly not eligible to apply.

What does the non-U.S. eligibility restriction imply about the intended focus?

It suggests AHRQ intended the funded work to be led by U.S.-based organizations and to be closely connected to U.S. health care delivery, policy contexts, and implementation needs.

Where could applicants find the full announcement details?

The announcement was accessible through the NIH Grants Guide at: http://grants.nih.gov/grants/guide/rfa-files/RFA-HS-14-007.html.

Who was listed as a support contact for accessing or linking to the announcement?

The provided support contact was the NIH Office of Extramural Research web team, via the email address FBOWebmaster@OD.NIH.GOV.

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