Opportunity Information: Apply for RFA HS 13 003

  • The Agency for Health Care Research and Quality in the health sector is offering a public funding opportunity titled "Estimating the Costs of Supporting Primary Care Practice Transformation (R03)" 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 Dec 18, 2012 and posted on Dec 18, 2012.
  • Applicants must submit their applications by Feb 28, 2013. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The funding agency has allocated a total of $1,200,000.00 to eligible and selected applicants.
  • Each selected applicant is eligible to receive up to $100,000.00 in funding.
  • The number of recipients for this funding is limited to 12 candidate(s).
  • Eligible applicants include: Public and State controlled institutions of higher education City or township governments Native American tribal organizations (other than Federally recognized tribal governments) Native American tribal governments (Federally recognized) State governments County governments Private institutions of higher education Others (see text field entitled Additional Information on Eligibility for clarification).
  • Other Eligible Applicants include the following 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.
Apply for RFA HS 13 003

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Opportunity Summary:

The grant opportunity titled "Estimating the Costs of Supporting Primary Care Practice Transformation (R03)" (Funding Opportunity Number RFA-HS-13-003) is a discretionary grant program offered by the Agency for Health Care Research and Quality (AHRQ). It uses the Small Research Grant (R03) mechanism and is focused on health services research, specifically on understanding what it actually costs to successfully transform primary care practices. In practical terms, the FOA is looking for studies that analyze and clearly describe the different types of costs tied to real-world primary care transformation efforts, such as redesigning workflows, adopting new care models, improving care coordination, and implementing quality improvement strategies. The core emphasis is not just whether transformation works, but what resources and investments are required to make it work.

This FOA is designed for organizations that can produce careful cost analyses connected to successful transformation initiatives. The expectation is that applicants will break down and document the costs involved in supporting and sustaining primary care change, which might include staffing and training time, technical assistance, health IT investments, data reporting and analytics, practice facilitation, administrative burden, and other direct and indirect expenditures. AHRQ is essentially signaling that policy makers, payers, health systems, and practices need clearer cost information to plan, budget, and scale transformation efforts responsibly. By funding small research projects, the agency is encouraging focused, well-defined analyses that can add practical cost evidence to the broader conversation about primary care redesign.

Funding is relatively modest and intended to support smaller, targeted projects rather than large multi-year trials. The estimated total program funding is $1,200,000, with an anticipated 12 awards, implying competitive selection and a set of awards meant to build a portfolio of cost-focused studies across different settings. The award ceiling is $100,000 per project, and there is no cost sharing or matching requirement, which lowers the barrier for applicants that may not have access to institutional matching funds. Because this is an R03, applicants would be expected to propose a tightly scoped project with achievable aims, clear methods, and a realistic plan for producing publishable, decision-relevant cost findings within the constraints of a small grant.

In terms of who can apply, eligibility is broad across the public sector and higher education, and it also includes several types of community and tribal organizations. Eligible applicants include public and state-controlled institutions of higher education, private institutions of higher education, state governments, county governments, city or township governments, and Native American tribal governments (both federally recognized and other than federally recognized), as well as Native American tribal organizations. The FOA also clarifies that faith-based or community-based organizations are eligible under the "other eligible applicants" category, which suggests AHRQ is open to applicants that are closely connected to primary care delivery and transformation work on the ground. At the same time, non-U.S. entities (foreign institutions) are explicitly not eligible to apply, keeping the focus on U.S.-based systems and transformation initiatives.

Key administrative details place this FOA in a specific historical window. It was posted on December 18, 2012, with an original and current closing date of February 28, 2013, and it was archived on March 31, 2013. The CFDA number associated with the program is 93.226, categorized under "Research on Healthcare Costs, Quality and Outcomes," which aligns with the FOA's emphasis on cost evidence tied to quality and delivery system improvement. For applicants or researchers trying to locate the full archived announcement, AHRQ provided an NIH Grants Guide link (http://grants.nih.gov/grants/guide/rfa-files/RFA-HS-13-003.html) and directed technical access questions to the NIH Office of Extramural Research (OER) webmaster contacts listed in the notice.

Overall, this opportunity is best understood as an effort by AHRQ to fill a common gap in transformation research: detailed, credible cost information that stakeholders can use to assess feasibility and scalability. Many transformation initiatives describe outcomes and process changes, but fewer provide standardized, transparent cost breakdowns. By soliciting R03 projects, AHRQ aimed to generate multiple focused studies that collectively improve the field's understanding of what it costs to support and achieve meaningful primary care practice transformation in real-world settings.

Frequently Asked Questions (FAQs)

What is the title of this grant opportunity?

The opportunity is titled "Estimating the Costs of Supporting Primary Care Practice Transformation (R03)."

What is the Funding Opportunity Number (FON)?

The Funding Opportunity Number is RFA-HS-13-003.

Which federal agency is offering this grant?

This is a discretionary grant program offered by the Agency for Health Care Research and Quality (AHRQ).

What type of grant mechanism does this opportunity use?

The funding mechanism is the Small Research Grant (R03).

What is the main purpose of this FOA?

The main purpose is to support studies that estimate, analyze, and clearly describe the costs of successfully transforming primary care practices in real-world settings.

What does AHRQ mean by "primary care practice transformation" in this FOA?

Based on the description provided, transformation includes activities such as redesigning workflows, adopting new care models, improving care coordination, and implementing quality improvement strategies within primary care practices.

Is this FOA about proving whether transformation works?

The core emphasis is not simply whether transformation works, but what resources, investments, and costs are required to make successful transformation efforts work and be sustained.

What kinds of costs is AHRQ looking for applicants to document?

The FOA expects applicants to break down and document costs tied to supporting and sustaining change. Examples mentioned include staffing and training time, technical assistance, health IT investments, data reporting and analytics, practice facilitation, administrative burden, and other direct and indirect expenditures.

What types of projects are most appropriate for an R03 under this FOA?

The opportunity is intended for smaller, targeted projects with tightly scoped, achievable aims, clear methods, and a realistic plan to produce publishable, decision-relevant cost findings within the constraints of a small grant.

How much total funding is estimated for the overall program?

The estimated total program funding is $1,200,000.

How many awards did AHRQ anticipate making?

AHRQ anticipated 12 awards.

What is the maximum award amount per project?

The award ceiling is $100,000 per project.

Is cost sharing or matching required?

No. The FOA states there is no cost sharing or matching requirement.

Who is eligible to apply?

Eligibility is broad and includes: public and state-controlled institutions of higher education; private institutions of higher education; state governments; county governments; city or township governments; Native American tribal governments (both federally recognized and other than federally recognized); and Native American tribal organizations.

Are faith-based or community-based organizations eligible?

Yes. The FOA clarifies that faith-based or community-based organizations are eligible under the "other eligible applicants" category.

Are foreign (non-U.S.) institutions eligible to apply?

No. Non-U.S. entities (foreign institutions) are explicitly not eligible.

Why is AHRQ funding this kind of research?

The FOA is positioned as an effort to fill a common gap in transformation research: detailed and credible cost information that policymakers, payers, health systems, and practices can use to plan, budget, and scale primary care transformation responsibly.

When was this funding opportunity posted?

It was posted on December 18, 2012.

What was the closing date for applications?

The original and current closing date listed is February 28, 2013.

Is this opportunity still open?

No. It was archived on March 31, 2013.

What is the CFDA number associated with this program?

The CFDA number is 93.226.

How is the CFDA program category described?

It is categorized under "Research on Healthcare Costs, Quality and Outcomes."

Where can someone find the archived announcement?

The archived announcement is referenced via the NIH Grants Guide link: http://grants.nih.gov/grants/guide/rfa-files/RFA-HS-13-003.html

Who was listed for technical access questions about the notice?

For technical access questions, the FOA directed users to the NIH Office of Extramural Research (OER) webmaster contacts listed in the notice.

What is the practical value of the studies funded under this FOA?

The intended value is to generate transparent, decision-relevant cost breakdowns so stakeholders can better assess feasibility and scalability of primary care redesign and transformation efforts across different settings.

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