Opportunity Information: Apply for RFA HS 11 002
Apply for RFA HS 11 002
- The Agency for Health Care Research and Quality in the health sector is offering a public funding opportunity titled "Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Support for Models of Multi sector, State level Excellence (U18)" 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 8, 2010 and posted on Nov 8, 2010.
- Applicants must submit their applications by Feb 15, 2011. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $500,000.00 in funding.
- Eligible applicants include: Private institutions of higher education Public and State controlled institutions of higher education Others (see text field entitled Additional Information on Eligibility for clarification) Native American tribal governments (Federally recognized) Native American tribal organizations (other than Federally recognized tribal governments) City or township governments County governments For profit organizations other than small businesses State governments.
- 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).
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Opportunity Summary:
The Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Support for Models of Multi sector, State level Excellence (U18) funding opportunity (RFA HS 11 002) was a discretionary grant program offered by the Agency for Healthcare Research and Quality (AHRQ) to strengthen and scale proven, state level primary care transformation support systems. The emphasis was not on starting new collaborations from scratch, but on expanding and refining efforts that were already working across multiple sectors within a state. In practical terms, AHRQ was looking for applicants that could show they already had a functioning coalition, real on-the-ground infrastructure, and a track record of helping small and medium sized primary care practices improve quality and transform how they deliver care.
The core purpose of the program was to fund Research Demonstration and Dissemination Projects that improve the ability of primary care practices to carry out transformation and continuous quality improvement in a sustainable way. This included building or reinforcing the types of statewide supports that help practices adopt new care models, redesign workflows, improve measurement and feedback, and maintain improvements over time. AHRQ framed these statewide efforts as potential models for what could eventually resemble a national primary care extension service, meaning a practical, field based support network that helps practices implement evidence based improvements much like agricultural extension services help farms adopt better methods.
Successful proposals had to do two main things with the grant support. First, they needed to enhance existing state initiatives and deliberately fill programmatic gaps that were limiting reach, effectiveness, or sustainability. Second, they needed to invest in evaluation and sustainability planning, treating the work as a demonstration that produces usable evidence about what works, for whom, under what conditions, and what it takes financially and operationally to keep the infrastructure going after federal funding ends. The FOA signals that AHRQ wanted not only improvement activity, but also credible learning and documentation that could guide replication elsewhere.
A major requirement was dissemination beyond the applicant state. At least 25 percent of the awarded funds had to be devoted to dissemination activities targeted to other states, reflecting AHRQ's intent to spread effective models rather than keep lessons localized. Every application had to include a plan for packaging the program's approach and outputs, including lessons learned, tools, and practical guidance, along with a plan for sharing experiences with at least three other state level coalitions. This packaging requirement is important because it suggests AHRQ wanted tangible, transferable products (for example, implementation playbooks, training materials, toolkits, evaluation methods, partnership structures, and sustainability strategies) that other states could realistically use.
The funding mechanism was a Cooperative Agreement under the U18 activity (AHRQ Cooperative Agreement Research Demonstration and Dissemination Projects). A cooperative agreement generally indicates more substantial federal program involvement than a standard grant, typically meaning AHRQ could have an active role in shaping, monitoring, or coordinating aspects of the work to ensure the demonstration and dissemination goals were met.
Financially, AHRQ planned to make three awards in 2011 totaling up to 1.5 million dollars, with an award ceiling of 500,000 dollars per award. The FOA stated that awards were contingent on the availability of funds and the receipt of a sufficient number of strong, meritorious applications. There was no cost sharing or matching requirement.
Eligibility was broad and included private institutions of higher education, public and state controlled institutions of higher education, state governments, county governments, and city or township governments, as well as for profit organizations other than small businesses. It also included federally recognized Native American tribal governments, other tribal organizations, and other eligible applicants listed in the announcement, such as eligible federal agencies and faith based or community based organizations. This wide eligibility aligns with the multi sector nature of the work, since statewide primary care transformation infrastructure often involves universities, state agencies, health systems, payers, professional associations, community organizations, and practice based support entities.
Key administrative details include a posted and created date of November 8, 2010, with an original and current closing date of February 15, 2011, and an archive date of March 18, 2011. The CFDA number associated with the program was 93.226 (Research on Healthcare Costs, Quality and Outcomes), matching AHRQ's focus on improving care quality, outcomes, and value through applied research and implementation.
Overall, IMPaCT (U18) was designed to invest in states that were already demonstrating effective, collaborative primary care support models, help them strengthen weak spots, rigorously evaluate and plan for long term sustainability, and then deliberately export their know-how to other states through structured dissemination and peer-to-peer sharing.
Frequently Asked Questions (FAQ) - IMPaCT Support for Models of Multi-sector, State-level Excellence (U18) (RFA HS 11-002)
What is the IMPaCT (U18) funding opportunity?
IMPaCT (Infrastructure for Maintaining Primary Care Transformation) Support for Models of Multi-sector, State-level Excellence (U18) was a discretionary grant program offered by the Agency for Healthcare Research and Quality (AHRQ). It funded state-level efforts to strengthen and scale proven primary care transformation support systems.
What is the primary goal of this program?
The goal was to support Research Demonstration and Dissemination Projects that improve the ability of primary care practices to carry out transformation and continuous quality improvement in a sustainable way. The focus was on statewide supports that help practices adopt new care models, redesign workflows, improve measurement and feedback, and maintain improvements over time.
Was the program intended to start brand-new collaborations?
No. The emphasis was not on creating new collaborations from scratch. AHRQ was looking for applicants that already had a functioning multi-sector coalition, real on-the-ground infrastructure, and a track record of helping small and medium-sized primary care practices improve quality and transform care delivery.
What kinds of activities were expected to be funded?
Projects were expected to build or reinforce statewide infrastructure that supports practice transformation and continuous quality improvement. This included practical supports for implementing evidence-based improvements, redesigning workflows, improving measurement and feedback systems, and sustaining gains over time.
What did AHRQ expect applicants to demonstrate at the time of application?
Applicants were expected to show they already had a working, multi-sector state coalition and existing infrastructure that was actively supporting primary care practices. AHRQ also expected evidence of past performance or a track record indicating the approach was already producing real improvements for small and medium-sized practices.
What were the two main things successful proposals needed to do with grant support?
Successful proposals needed to (1) enhance existing state initiatives and fill programmatic gaps limiting reach, effectiveness, or sustainability, and (2) invest in evaluation and sustainability planning so the work functioned as a demonstration producing credible, usable evidence and a path to continue after federal funding ended.
How important was evaluation in this funding opportunity?
Evaluation was a core expectation. AHRQ wanted credible learning and documentation about what works, for whom, under what conditions, and what it takes financially and operationally to keep the infrastructure functioning after federal funding ends.
What does "sustainability planning" mean in the context of this program?
Sustainability planning referred to treating the work as more than a short-term improvement project. Applicants were expected to plan for how the statewide transformation support infrastructure would continue operationally and financially once the federal award period ended.
Was dissemination to other states required?
Yes. Dissemination beyond the applicant state was a major requirement. At least 25 percent of awarded funds had to be devoted to dissemination activities targeted to other states.
What did the dissemination requirement include?
Every application needed a plan for packaging the program approach and outputs, including lessons learned, tools, and practical guidance. Applicants also needed a plan for sharing experiences with at least three other state-level coalitions.
What kinds of dissemination products did AHRQ appear to be looking for?
The announcement suggested AHRQ wanted tangible, transferable products that other states could realistically use, such as implementation playbooks, training materials, toolkits, evaluation methods, partnership structures, and sustainability strategies.
How many awards did AHRQ plan to make, and when?
AHRQ planned to make three awards in 2011, totaling up to $1.5 million.
What was the maximum award amount per project?
The award ceiling was $500,000 per award.
Were awards guaranteed?
No. The announcement stated awards were contingent on the availability of funds and on receiving a sufficient number of strong, meritorious applications.
Was cost sharing or matching required?
No. The funding opportunity stated there was no cost sharing or matching requirement.
What funding mechanism was used for this opportunity?
The mechanism was a Cooperative Agreement under the U18 activity (AHRQ Cooperative Agreement Research Demonstration and Dissemination Projects).
What does it mean that this was a cooperative agreement?
A cooperative agreement typically indicates substantial federal program involvement compared to a standard grant. In this context, it meant AHRQ could have an active role in shaping, monitoring, or coordinating parts of the work to ensure the demonstration and dissemination goals were achieved.
Who was eligible to apply?
Eligibility was broad and included private institutions of higher education, public and state-controlled institutions of higher education, state governments, county governments, city or township governments, and for-profit organizations other than small businesses. It also included federally recognized Native American tribal governments, other tribal organizations, eligible federal agencies, and faith-based or community-based organizations (as listed in the announcement).
Why was eligibility so broad?
The program targeted multi-sector, statewide primary care transformation infrastructure, which often involves partnerships among universities, state agencies, health systems, payers, professional associations, community organizations, and practice-based support entities.
What was the program’s stance on small and medium-sized practices?
AHRQ’s emphasis included applicants with a track record of helping small and medium-sized primary care practices improve quality and transform how they deliver care.
How did AHRQ frame the larger vision for this work?
AHRQ framed state-level efforts as potential models for what could eventually resemble a national primary care extension service: a practical, field-based support network that helps practices implement evidence-based improvements, similar to how agricultural extension services help farms adopt better methods.
What were the key dates for this funding opportunity?
The opportunity was posted and created on November 8, 2010. The original and current closing date was February 15, 2011. The archive date was March 18, 2011.
What was the CFDA number associated with this program?
The CFDA number was 93.226 (Research on Healthcare Costs, Quality and Outcomes).
What is the official reference number for the announcement?
The opportunity was identified as RFA HS 11-002.
What made a proposal a strong fit for this FOA based on the description?
A strong fit aligned with AHRQ’s priorities by building on an existing, effective statewide coalition and infrastructure; identifying and filling specific gaps that limited reach or sustainability; producing credible evaluation findings; developing a realistic sustainability plan; and creating a structured, well-funded dissemination approach that supported replication in other states.
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