Opportunity Information: Apply for RFA HS 10 022
Apply for RFA HS 10 022
- The Agency for Health Care Research and Quality in the health sector is offering a public funding opportunity titled "Medical Liability Reform and Patient Safety Planning Grants (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 Oct 20, 2009 and posted on Oct 20, 2009.
- Applicants must submit their applications by Jan 20, 2010. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $4,000,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $300,000.00 in funding.
- Eligible applicants include: State governments.
- Other Eligible Applicants include the following Established health care systems. Roemer defines a health system as having capacities (e.g., hospitals, physicians), activities (e.g., health services), interconnections (e.g., financing, oversight, management), and purpose.30, 31 Its components might include multiple States, localities, Tribal governments, universities, colleges, hospitals, nonprofit organizations, faith based organization, community based organizations, and Federal agencies. Applicants to this FOA must share a long established, legal entity as sponsor and sufficient service volume to statistically power any proposed intervention. Organizations must also fit under AHRQs grant authorization under 42 USC 299c 5(c), which allows AHRQ to make grants to public and nonprofit entities. Other organizations may participate in projects only as third parties. Because the purpose of this program seeks to improve health care in the United States, foreign institutions may participate in projects only as subcontractors. Organizations described in section 501(c) 4 of the Internal Revenue Code that engage in lobbying may not participate.
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Opportunity Summary:
The Medical Liability Reform and Patient Safety Planning Grants (R21) opportunity (Funding Opportunity Number RFA HS 10 022) was a discretionary grant program run by the Agency for Healthcare Research and Quality (AHRQ) to support one year planning projects focused on improving patient safety while modernizing how medical injuries are addressed. The central idea behind the program was to back innovations that "put patient safety first" by reducing preventable harm, encouraging more open and effective communication between clinicians and patients, and creating approaches that compensate patients fairly and quickly when injuries occur. At the same time, the initiative aimed to reduce the frequency of frivolous lawsuits and help bring down liability premiums, indicating a dual emphasis on safety improvement and a more rational, less adversarial liability environment.
This announcement used the AHRQ Exploratory and Developmental Grants (R21) mechanism, which generally signals early stage, development oriented work rather than large scale implementation. In practical terms, these awards were meant to help states or established health care systems do the groundwork needed to design, organize, and prepare patient safety and medical liability reform interventions that could later be tested or scaled. The program fell under CFDA 93.226 (Research on Healthcare Costs, Quality and Outcomes), tying the work not only to clinical safety outcomes but also to the broader system impacts on cost, quality, and performance.
Funding levels were structured with a clear ceiling and timeline. Each award could be no more than $300,000 in total costs for the entire project, and the project period could not exceed one year. Applications exceeding either the budget cap or the one year duration limit were not eligible for review. While the overall estimated total funding for the announcement was listed at $4,000,000, AHRQ emphasized that both the number of awards and total dollars actually awarded would depend on the availability of funds and the quantity and quality of applications received. Because proposed projects could differ widely in scope and approach, AHRQ expected award sizes to vary, as long as they stayed within the $300,000 and one year limits.
Eligibility was relatively specific and geared toward entities positioned to influence real world care delivery. Eligible applicants included state governments and established health care systems. The FOA referenced Roemer's concept of a health system, meaning an organization or network with the capacity to deliver care (such as hospitals and physicians), the activities that constitute health services, and the interconnections that make coordinated action possible (such as financing, oversight, and management). These systems could include multiple types of partners (for example, multiple states or localities, Tribal governments, universities, hospitals, nonprofits, faith based or community based organizations, and even federal agencies), but the applicant itself needed to be anchored by a long established legal entity acting as the sponsor. The announcement also required sufficient service volume to statistically power any proposed intervention, underscoring that even though these were planning grants, the designs were expected to be credible and grounded in settings large enough to support meaningful evaluation.
The program also imposed statutory and policy constraints typical of AHRQ funding. Applicants had to fit within AHRQ's grant authority under 42 USC 299c-5(c), which limits awards to public and nonprofit entities. Other organizations could participate only as third parties, and foreign institutions were not eligible as prime applicants, though they could be involved as subcontractors if their participation supported improvements to health care in the United States. In addition, organizations classified under section 501(c)(4) that engage in lobbying were explicitly barred from participating.
Key administrative details reflect that this was a time-limited opportunity that has since closed and been archived. The FOA was posted and created on October 20, 2009, with an original and current closing date of January 20, 2010, and an archive date of February 20, 2010. No cost sharing or matching was required, which reduced barriers for states and nonprofit systems that might otherwise struggle to assemble matching funds on short timelines. For applicants needing the full official announcement, AHRQ pointed to the NIH grants guide listing (via the provided link), and offered NIH Office of Extramural Research (OER) webmaster contacts for technical access or linking issues.
Frequently Asked Questions (FAQs)
What is the Medical Liability Reform and Patient Safety Planning Grants (R21) opportunity?
It was a discretionary grant program run by the Agency for Healthcare Research and Quality (AHRQ) called "Medical Liability Reform and Patient Safety Planning Grants (R21)" under Funding Opportunity Number RFA HS 10 022. The program supported one-year planning projects aimed at improving patient safety while modernizing how medical injuries are addressed.
What were the main goals of this grant program?
The program aimed to "put patient safety first" by reducing preventable harm, encouraging more open and effective communication between clinicians and patients, and developing approaches that compensate patients fairly and quickly when injuries occur. It also sought to reduce frivolous lawsuits and help lower liability premiums, reflecting a combined focus on safety improvement and a less adversarial liability environment.
What grant mechanism did AHRQ use for this opportunity?
This funding opportunity used the AHRQ Exploratory and Developmental Grants (R21) mechanism, which generally indicates early-stage, development-oriented work rather than large-scale implementation.
What kinds of projects were these awards intended to support?
The awards were intended to help states or established health care systems do the groundwork needed to design, organize, and prepare patient safety and medical liability reform interventions that could later be tested or scaled.
What was the CFDA number associated with this program, and what does it imply?
The program fell under CFDA 93.226 (Research on Healthcare Costs, Quality and Outcomes). This ties the work to patient safety outcomes as well as broader impacts on cost, quality, and health system performance.
How much funding could an individual award receive?
Each award could be no more than $300,000 in total costs for the entire project.
How long could the project period last?
The project period could not exceed one year.
What happened if an application exceeded the budget cap or the one-year limit?
Applications that exceeded either the $300,000 total cost cap or the one-year project period limit were not eligible for review.
What was the estimated total funding available under this announcement?
The estimated total funding was listed as $4,000,000, but AHRQ noted that the number of awards and total dollars actually awarded depended on the availability of funds and the quantity and quality of applications received.
Were all awards expected to be the same size?
No. AHRQ expected award sizes to vary because proposed projects could differ in scope and approach, as long as each award stayed within the $300,000 and one-year limits.
Who was eligible to apply as the prime applicant?
Eligible applicants included state governments and established health care systems. The applicant needed to be anchored by a long-established legal entity acting as the sponsor.
How did the FOA describe an eligible "health care system"?
The FOA referenced Roemer's concept of a health system, meaning an organization or network with the capacity to deliver care (such as hospitals and physicians), the activities that constitute health services, and the interconnections that enable coordinated action (such as financing, oversight, and management).
Could partnerships or multi-organization collaborations be included?
Yes. Systems could include multiple types of partners (for example, multiple states or localities, Tribal governments, universities, hospitals, nonprofits, faith-based or community-based organizations, and federal agencies). However, the prime applicant still needed to meet the eligibility requirements described in the announcement.
Was there any requirement related to service volume or the ability to evaluate an intervention?
Yes. The announcement required sufficient service volume to statistically power any proposed intervention, indicating that even planning grants were expected to be grounded in settings large enough to support meaningful evaluation.
Were for-profit entities eligible to receive an award from AHRQ under this FOA?
No. Applicants had to fit within AHRQ's grant authority under 42 USC 299c-5(c), which limits awards to public and nonprofit entities.
Could other organizations participate even if they were not eligible as the prime applicant?
Yes. Other organizations could participate as third parties, consistent with the FOA's constraints on who could be the direct recipient under AHRQ's grant authority.
Were foreign institutions eligible to apply?
Foreign institutions were not eligible as prime applicants. They could be involved as subcontractors if their participation supported improvements to health care in the United States.
Were any organizations explicitly barred from participating?
Yes. Organizations classified under section 501(c)(4) that engage in lobbying were explicitly barred from participating.
Was cost sharing or matching required?
No. The FOA stated that no cost sharing or matching was required.
When was this funding opportunity posted and when did it close?
The FOA was posted and created on October 20, 2009. The original and current closing date was January 20, 2010.
Is this opportunity still open?
No. It has been closed and archived. The archive date was February 20, 2010.
Where could applicants find the full official announcement?
AHRQ directed users to the NIH grants guide listing via the provided link for the full official announcement.
Who was listed as a contact for technical access or linking issues?
The announcement referenced NIH Office of Extramural Research (OER) webmaster contacts for technical access or linking issues.
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