Opportunity Information: Apply for PAR 11 025

  • The Agency for Health Care Research and Quality in the health sector is offering a public funding opportunity titled "Patient Safety and Medical Liability Reform Demonstration Projects (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 6, 2012 and posted on Nov 9, 2010.
  • Applicants must submit their applications by Mar 6, 2012. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Eligible applicants include: County governments Private institutions of higher education 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 Native American tribal organizations (other than Federally recognized tribal governments) State governments.
  • Other Eligible Applicants include the following Eligible Agencies of the Federal Government Indian/Native American Tribal Governments (Other than Federally Recognized).
Apply for PAR 11 025

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Opportunity Summary:

Patient Safety and Medical Liability Reform Demonstration Projects (R18) is a discretionary grant opportunity from the Agency for Health Care Research and Quality (AHRQ) that funds real-world demonstration projects aimed at reshaping how health care organizations prevent harm and handle medical injury claims. The central idea is to put patient safety first while also improving the way medical liability issues are addressed, with the expectation that better safety and better claims processes can reinforce each other. Rather than focusing only on legal or insurance changes, the program emphasizes practical models that health systems can implement, test, and evaluate in everyday care settings.

The purpose of the funding is to support the development, implementation, and evaluation of approaches that reduce preventable injuries, strengthen communication between clinicians and patients, and ensure patients receive fair and timely compensation when medical injuries occur. At the same time, the models are expected to discourage or reduce frivolous lawsuits and help bring down liability premiums. A defining feature of this FOA is that projects must explicitly address the linkage between patient safety and medical liability claims, meaning applicants should be able to show how safety improvements influence claims patterns (or vice versa) and how liability reform activities can be structured to drive safer care.

Projects funded under this announcement are expected to optimize and test promising practices that improve patient safety and reduce health care costs. In practice, that means proposals should not just describe a policy idea, but demonstrate how the model will be put into operation, what workflows or tools will change, how clinicians and patients will be engaged, and how success will be measured. Evaluation is a core requirement, so applicants are expected to build in methods to assess outcomes such as reductions in adverse events, better disclosure and communication processes, timeliness and fairness of compensation, changes in claim frequency or severity, and potential impacts on overall costs, including litigation and insurance-related expenses.

The opportunity is listed under Funding Opportunity Number PAR 11 025 and uses the R18 research demonstration grant mechanism. It falls under CFDA 93.226 (Research on Healthcare Costs, Quality and Outcomes) and is categorized as a health funding activity. There is no cost sharing or matching requirement, which means applicants are not required to contribute non-federal funds as a condition of receiving the award.

Eligibility is broad and includes state governments, county governments, city or township governments, federally recognized Native American tribal governments, other Native American tribal organizations, public and state-controlled institutions of higher education, private institutions of higher education, and certain federal government agencies, along with other entities as clarified in the full announcement. This wide eligibility reflects the program’s intent to support collaboration across health systems, universities, and governmental or tribal entities that can implement and study operational changes at scale.

Key dates in the source listing include a posted date of November 9, 2010, with administrative dates showing creation on March 6, 2012, an original closing date of January 7, 2014, and an archive date of April 6, 2012. The listing also includes a current closing date of March 6, 2012, indicating the opportunity has been archived in this record. For full details, the announcement points to the NIH Grants Guide posting at http://grants.nih.gov/grants/guide/pa-files/PAR-11-025.html, and provides NIH Office of Extramural Research contact information for technical issues accessing or linking to the announcement (FBOWebmaster@OD.NIH.GOV).

Frequently Asked Questions (FAQs)

What is the "Patient Safety and Medical Liability Reform Demonstration Projects (R18)" opportunity?

It is a discretionary grant opportunity from the Agency for Health Care Research and Quality (AHRQ) that funds real-world demonstration projects. The focus is on reshaping how health care organizations prevent patient harm and how they handle medical injury claims, with an emphasis on practical, operational models that can be implemented, tested, and evaluated in everyday care settings.

What is the main goal of this funding opportunity?

The central goal is to put patient safety first while improving how medical liability issues are addressed. The program is built on the expectation that better safety practices and better claims processes can reinforce each other, rather than relying only on legal or insurance policy changes.

What kinds of projects does AHRQ want to fund under this FOA?

The program supports the development, implementation, and evaluation of approaches that reduce preventable injuries, strengthen communication between clinicians and patients, and help ensure patients receive fair and timely compensation when medical injuries occur. Projects are also expected to discourage or reduce frivolous lawsuits and help lower liability premiums.

What makes this funding opportunity different from a purely legal or insurance reform program?

Rather than focusing only on legal rules or insurance structures, this opportunity emphasizes practical models that health systems can implement and test in operational settings. Applicants are expected to describe how the model will work in practice (workflows, tools, engagement) and how it will be evaluated, not just propose a policy concept.

How must a proposed project connect patient safety and medical liability?

A defining feature is that projects must explicitly address the linkage between patient safety and medical liability claims. Applicants should be able to show how safety improvements influence claims patterns (or vice versa), and how liability reform activities can be structured in a way that drives safer care.

Is evaluation required as part of the project?

Yes. Evaluation is a core requirement. Applicants are expected to build methods into the project to assess outcomes and demonstrate what changed as a result of the intervention.

What outcomes or measures are applicants expected to evaluate?

The opportunity highlights evaluation of outcomes such as reductions in adverse events, improvements in disclosure and communication processes, timeliness and fairness of compensation, changes in claim frequency or severity, and potential impacts on overall costs including litigation and insurance-related expenses.

Does the program focus only on reducing lawsuits?

No. While discouraging or reducing frivolous lawsuits and lowering liability premiums are goals, the program’s central emphasis is patient safety and better handling of medical injury claims, including communication and fair, timely compensation when injuries occur.

What does "demonstration project" mean in this context?

In this FOA, a demonstration project is a real-world test of a model in everyday care settings. Proposals are expected to explain how the approach will be implemented operationally, what changes will be made, how clinicians and patients will be engaged, and how results will be measured.

What grant mechanism is used for this opportunity?

The opportunity uses the R18 research demonstration grant mechanism.

What is the Funding Opportunity Number for this announcement?

The Funding Opportunity Number is PAR 11 025.

What CFDA number is associated with this grant?

It is listed under CFDA 93.226, described as Research on Healthcare Costs, Quality and Outcomes.

What type of funding activity category is this opportunity listed under?

It is categorized as a health funding activity.

Is cost sharing or matching required?

No. The listing states there is no cost sharing or matching requirement, meaning applicants are not required to contribute non-federal funds as a condition of receiving an award.

Who is eligible to apply?

Eligibility is broad and includes state governments, county governments, city or township governments, federally recognized Native American tribal governments, other Native American tribal organizations, public and state-controlled institutions of higher education, private institutions of higher education, certain federal government agencies, and other entities as clarified in the full announcement.

Why is eligibility so broad for this program?

The wide eligibility reflects the program’s intent to support collaboration across health systems, universities, and governmental or tribal entities that can implement and study operational changes at scale.

What are the key dates shown in the listing?

The listing includes a posted date of November 9, 2010; an administrative creation date of March 6, 2012; an original closing date of January 7, 2014; and an archive date of April 6, 2012. It also shows a current closing date of March 6, 2012, indicating the opportunity has been archived in this record.

Is this opportunity still open?

Based on the provided listing, the record indicates the opportunity has been archived and shows a current closing date of March 6, 2012, along with an archive date of April 6, 2012. For confirmation and the most authoritative status, the full announcement page should be reviewed.

Where can applicants find the full announcement details?

The listing points to the NIH Grants Guide posting at http://grants.nih.gov/grants/guide/pa-files/PAR-11-025.html.

Who should be contacted for technical issues accessing or linking to the announcement?

The NIH Office of Extramural Research contact for technical issues is FBOWebmaster@OD.NIH.GOV.

What is the overall expectation for how projects will reduce costs?

Funded projects are expected to optimize and test promising practices that improve patient safety and reduce health care costs. The evaluation focus includes potential impacts on overall costs, including litigation and insurance-related expenses.

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