Opportunity Information: Apply for PAR 08 136
Apply for PAR 08 136
- The Agency for Health Care Research and Quality in the health sector is offering a public funding opportunity titled "Researching Implementation and Change while Improving Quality (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 Nov 3, 2010 and posted on Dec 9, 2008.
- Applicants must submit their applications by May 7, 2012. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $300,000.00 to eligible and selected applicants.
- Eligible applicants include: Public and State controlled institutions of higher education Others (see text field entitled Additional Information on Eligibility for clarification) City or township governments County governments Public housing authorities/Indian housing authorities Native American tribal governments (Federally recognized) Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education State governments Special district governments Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education Native American tribal organizations (other than Federally recognized tribal governments) Independent school districts.
- Other Eligible Applicants include the following Eligible Agencies of the Federal Government Indian/Native American Tribal Governments (Other than Federally Recognized).
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Opportunity Summary:
The Researching Implementation and Change while Improving Quality (R18) funding opportunity (PAR 08-136) is a discretionary grant program from the Agency for Healthcare Research and Quality (AHRQ) focused on building solid, generalizable evidence about how quality improvement efforts actually get put into practice in real health care settings. The central idea is that a quality improvement strategy is only part of the story; whether it succeeds often depends just as much on the implementation process, the organizational environment, and the context in which the strategy is rolled out. AHRQ is looking for rigorous research that does more than report whether an intervention worked. Projects are expected to dig into what happened during implementation, what changed inside the organization as a result, and how those changes influenced outcomes. The goal is to produce findings that are useful beyond a single site or program, giving health care providers, patients, payers, policymakers, and the public a clearer, evidence-backed picture of what works, what does not, and under what conditions quality improvement approaches lead to better care in the United States.
The program supports studies of implementation tied to a quality improvement strategy that is anticipated to produce major improvements in health care delivery and meaningful enhancement of patient outcomes. Importantly, the research does not have to be conducted by the same group that is designing or implementing the quality improvement strategy; it can be carried out by an independent research team studying an implementation effort led by others. That flexibility allows applications ranging from embedded research partnerships to external evaluations, as long as the design and execution are rigorous and capable of producing high-confidence conclusions. In practical terms, AHRQ is encouraging applicants to capture the real-world details that often determine success or failure: organizational readiness, leadership engagement, workflow changes, staffing and training issues, adaptations made along the way, barriers and facilitators, and how these factors relate to measurable improvements in quality and outcomes.
This opportunity uses the AHRQ Research Demonstration and Dissemination Projects (R18) mechanism, which is typically intended for applied research that tests or evaluates health care improvements in operational settings and produces knowledge that can be disseminated and used broadly. Funding levels and project duration are not fixed because AHRQ expects proposals to vary widely in scope and design; the number and size of awards depend on peer review, available funds, and alignment with AHRQ priorities. The estimated total funding listed for the opportunity is $300,000, and cost sharing or matching is not required.
Eligibility is broad and includes many types of public and nonprofit entities that might be positioned to study health care quality improvement in real systems. Eligible applicants include public and state-controlled institutions of higher education, state and local governments (including city/township and county governments), independent school districts, special district governments, public housing authorities/Indian housing authorities, federally recognized Native American tribal governments, and Native American tribal organizations that are not federally recognized. Nonprofit organizations are eligible both with and without 501(c)(3) status (with the clarification that institutions of higher education are treated separately), and eligible federal government agencies are also included. The funding activity category is Health, and the CFDA number associated with the program is 93.226 (Research on Healthcare Costs, Quality and Outcomes).
Key administrative details reflect that this was a time-limited opportunity during the 2008 to 2012 period. The posting date was December 9, 2008, with an original closing date of May 7, 2011, a current closing date listed as May 7, 2012, and an archive date of June 7, 2012. The full announcement was hosted through the NIH grants guide site (as AHRQ funding opportunities commonly are), and the contact information provided is the NIH Office of Extramural Research (OER) webmaster for access or linking issues.
Frequently Asked Questions (FAQs)
What is the Researching Implementation and Change while Improving Quality (R18) funding opportunity (PAR 08-136)?
PAR 08-136 is a discretionary grant opportunity from the Agency for Healthcare Research and Quality (AHRQ) that supports rigorous, real-world research on how quality improvement (QI) efforts are implemented in health care settings, what changes occur inside organizations during implementation, and how those changes influence outcomes.
What is AHRQ trying to learn from projects funded under this opportunity?
AHRQ is focused on building solid, generalizable evidence about implementation. That includes understanding what happened during rollout, how organizational conditions and context affected success or failure, what adaptations were made, and how the implementation process relates to measurable improvements in health care quality and patient outcomes.
Is this opportunity only about whether an intervention works?
No. The expectation is that projects go beyond reporting effectiveness. Applications should examine implementation processes and organizational change, not just outcomes, so the findings help explain what works, what does not, and under what conditions.
What types of studies does this R18 opportunity support?
The program supports studies of implementation tied to a quality improvement strategy that is anticipated to produce major improvements in health care delivery and meaningful enhancement of patient outcomes. The emphasis is on applied research in operational settings that can produce knowledge suitable for dissemination and broader use.
Does the research team need to be the same group that is designing or implementing the quality improvement strategy?
No. The research can be conducted by an independent team studying an implementation effort led by others. AHRQ allows both embedded research partnerships and external evaluations, as long as the study design and execution are rigorous and can support high-confidence conclusions.
What real-world implementation factors is AHRQ encouraging applicants to capture?
AHRQ encourages applicants to document practical, on-the-ground details that often determine success or failure, including organizational readiness, leadership engagement, workflow changes, staffing and training issues, adaptations made during implementation, barriers and facilitators, and how these factors relate to measurable improvements in quality and outcomes.
What grant mechanism is used for this opportunity?
This opportunity uses the AHRQ Research Demonstration and Dissemination Projects (R18) mechanism, which is typically intended for applied research that tests or evaluates health care improvements in real operational settings and generates knowledge that can be disseminated and used broadly.
How much funding is available and how many awards will be made?
The estimated total funding listed for the opportunity is $300,000. Funding levels, project duration, the number of awards, and award sizes are not fixed; they depend on peer review, available funds, and alignment with AHRQ priorities.
Is cost sharing or matching required?
No. Cost sharing or matching is not required for this opportunity.
Who is eligible to apply?
Eligibility is broad and includes many public and nonprofit entities, including:
- Public and state-controlled institutions of higher education
- State governments
- Local governments (including city/township and county governments)
- Independent school districts
- Special district governments
- Public housing authorities/Indian housing authorities
- Federally recognized Native American tribal governments
- Native American tribal organizations that are not federally recognized
- Nonprofit organizations with 501(c)(3) status (other than institutions of higher education)
- Nonprofit organizations without 501(c)(3) status (other than institutions of higher education)
- Eligible federal government agencies
What is the funding activity category for this opportunity?
The funding activity category is Health.
What is the CFDA number associated with this program?
The CFDA number associated with the program is 93.226 (Research on Healthcare Costs, Quality and Outcomes).
When was this opportunity posted and when did it close?
The posting date was December 9, 2008. The original closing date was May 7, 2011, and the current closing date listed was May 7, 2012. The archive date was June 7, 2012.
Is this opportunity still active?
Based on the listed closing date (May 7, 2012) and archive date (June 7, 2012), this was a time-limited opportunity during the 2008 to 2012 period and is not presented as an open, active solicitation in the information provided.
Where was the full announcement hosted?
The full announcement was hosted through the NIH grants guide site (which commonly hosts AHRQ funding opportunity announcements).
Who is listed as the contact for access or linking issues?
The contact information provided is the NIH Office of Extramural Research (OER) webmaster for access or linking issues.
What is the intended audience for the results of funded research?
The goal is to generate evidence that is useful beyond a single site or program and helps inform health care providers, patients, payers, policymakers, and the public about what works, what does not, and under what conditions quality improvement approaches lead to better care in the United States.
What makes a project a good fit for this opportunity based on the description?
A good fit is a rigorous study that examines implementation of a QI strategy in real health care settings, documents what happened during implementation (including organizational change and contextual factors), and produces findings that are generalizable and useful to stakeholders beyond the single study site.
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