Opportunity Information: Apply for HRSA 13 150
Apply for HRSA 13 150
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Social and Behavioral Interventions to Increase Solid Organ Donation" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.134 Grants to Increase Organ Donations.
- This funding opportunity was created on Nov 30, 2012 and posted on Jul 9, 2012.
- Applicants must submit their applications by Nov 30, 2012. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The number of recipients for this funding is limited to 4 candidate(s).
- Eligible applicants include: Private institutions of higher education Public and State controlled institutions of higher education County 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) Native American tribal governments (Federally recognized) State governments Others (see text field entitled Additional Information on Eligibility for clarification) City or township governments.
- Eligible applicants include Federally designated organ procurement organizations (OPO) and other public or nonprofit private entities eligible for funds under section 377A(a) (b) of the PHS Act, (42 U.S.C. 274f 1(a) (b)). Eligible applicants that are public or nonprofit private entities may include state and local governments, Indian Tribal Governments, institutions of higher education, other nonprofit organizations such as faith based and community based organizations and Tribal organizations. For profit organizations may participate in a grant project but are not eligible to apply as the applicant institution. If the applicant is an Organ Procurement and Transplant Network (OPTN) member, and/or if the applicant is working with a consortium that includes OPTN members, the applicant and all other OPTN members involved in the project are expected to be in compliance with the final rule governing the operation of the OPTN (42 CFR Part 121 or visit http://optn.transplant.hrsa.gov).
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Opportunity Summary:
The FY 2013 "Social and Behavioral Interventions to Increase Solid Organ Donation" grant opportunity (HRSA-13-150) is a discretionary grant program run by the Division of Transplantation within HRSA/HHS. Its core purpose is to narrow the persistent gap between the number of people needing transplants and the number of organs available, primarily by identifying and validating practical, real-world social and behavioral strategies that can be used as model interventions. In parallel, the program also aims to improve how well patients who may need a transplant and people considering donation understand living donation as an option, with an emphasis on informed decision-making rather than recruitment.
The program funds applied research that tests interventions aligned to one of three specific objectives. Two objectives focus on deceased donation: increasing an individual’s commitment to be a deceased organ donor (and documenting that decision), and increasing family or authorized decision-maker consent for donation when a relative dies. The third objective focuses on education related to living donation: increasing knowledge of the processes, risks, benefits, and tradeoffs of deceased and living donation among transplant candidates and/or potential living donors. Applicants are required to choose whether their project is centered on deceased donation or on living donation education. For deceased donation projects, HRSA is open to community-based efforts (for example, campaigns or initiatives that lead to documented donor designation) and hospital-based approaches (for example, strategies that improve how authorization conversations happen and increase consent rates). For living donation-focused projects, the emphasis is on educational models delivered in settings like dialysis centers, transplant programs, nephrology offices, or community venues, aimed at helping people understand options such as donating a kidney or liver segment while living.
A key boundary in this funding announcement is that it will not support projects designed to encourage living donation or to increase the number of living donors. Because living donation involves major surgery and real medical risk, HRSA draws a clear line: projects cannot be framed around boosting willingness or readiness to donate, nor can they use outcomes and metrics that effectively function as recruitment. Instead, living donation projects must be oriented toward neutral, balanced education that supports informed choices, addresses barriers to learning (such as language, access, misinformation, or system navigation challenges), and improves the quality and reach of educational practices for potential donors, potential recipients, and families.
The program is especially interested in interventions that can become true "model interventions," meaning they produce a clear and verifiable impact on at least one of the stated objectives, and they are replicable, transferable to other settings, and feasible to implement outside a research context. To meet that standard, applications must include rigorous methodology and a quantitative evaluation component capable of demonstrating effectiveness. Qualitative methods are allowed as a supplement when they add useful context, but the expectation is that the project will be able to show measurable changes tied to the intervention. HRSA allows some support for intervention development, but limits it to no more than 20 percent of total direct costs and staff time, reinforcing that the grant is meant for testing and evaluation rather than primarily building new programs from scratch.
Projects may be structured as pilot studies, extensions, or replications. Pilots test interventions that have not yet been tested for effectiveness in the organ donation field. Extensions build on prior pilot results by refining the intervention or adding new components to strengthen impact. Replications test an intervention previously shown to work, but in a different population or setting, such as translating a strategy used in faith communities to educational institutions, or applying an approach proven in one demographic group to another. Replication and extension proposals must include a strong rationale explaining why the approach should work in the new context. If an application proposes multiple coordinated strategies, it must be designed to measure not only the combined effect, but also the independent effect of each strategy and any interaction among them.
HRSA explicitly encourages creative, cost-effective approaches, including adapting strategies that have succeeded in other public health areas and evaluating whether they work for donation-related outcomes. The announcement also highlights the importance of equity and the transplant context for minority populations, particularly given the high need for kidney transplants and the greater likelihood of compatible donors within the same racial or ethnic group. Applications that focus on minority populations are encouraged, and replication studies are required to include at least one site with a large minority population. If the original study targeted a minority group, the replication must include at least one site involving a different minority group, pushing the field toward broader evidence across communities rather than one-off results.
The scope is deliberately limited to social and behavioral interventions related to solid organ donation (with the hope that successful strategies may also benefit eye and tissue donation, even though that is not the primary target). Several categories are out of scope and will not be funded: projects intended to increase living donation, biomedical or clinical research, improvements to donor management or organ recovery/preservation methods, fundamental work on creating or validating new evaluation tools, interventions that conflict with federal law, efforts focused only on tissue donation, and proposals evaluating clinical outcomes of donation after cardiac death (DCD) organs.
Administratively, the opportunity anticipated about four awards and did not require cost sharing or matching. Eligible applicants included federally designated organ procurement organizations (OPOs) and other public or nonprofit private entities eligible under section 377A(a)-(b) of the Public Health Service Act, such as state and local governments, tribal governments and tribal organizations, colleges and universities, and community-based or faith-based nonprofits. For-profit entities could participate as partners but could not apply as the lead applicant. If applicants or consortium partners were members of the Organ Procurement and Transplant Network (OPTN), they were expected to be in compliance with the OPTN Final Rule (42 CFR Part 121). The funding opportunity was posted July 9, 2012, with an application deadline of November 30, 2012, and it was later archived in January 2013.
FAQs: FY 2013 "Social and Behavioral Interventions to Increase Solid Organ Donation" (HRSA-13-150)
What is HRSA-13-150?
HRSA-13-150 is the FY 2013 discretionary grant opportunity titled "Social and Behavioral Interventions to Increase Solid Organ Donation." It was run by the Division of Transplantation within HRSA/HHS.
What is the main purpose of this grant program?
The core purpose is to help narrow the long-standing gap between the number of people who need organ transplants and the number of organs available. The program focuses on identifying and validating practical, real-world social and behavioral strategies that can serve as model interventions.
Does the program address living donation as well as deceased donation?
Yes, but in a very specific way. The program supports deceased donation interventions and also supports education related to living donation. For living donation, the emphasis is on improving understanding and supporting informed decision-making, not on recruitment.
What are the three objectives that funded interventions must align with?
Applicants must test interventions aligned to one of these objectives:
- Increase an individual's commitment to be a deceased organ donor and document that decision (deceased donation).
- Increase family or authorized decision-maker consent for donation when a relative dies (deceased donation).
- Increase knowledge of the processes, risks, benefits, and tradeoffs of deceased and living donation among transplant candidates and/or potential living donors (living donation education).
Do applicants have to choose between deceased donation projects and living donation education projects?
Yes. Applicants are required to choose whether their project is centered on deceased donation or on living donation education.
What kinds of approaches are acceptable for deceased donation projects?
For deceased donation, HRSA is open to both community-based and hospital-based efforts, including:
- Community-based campaigns or initiatives that lead to documented donor designation.
- Hospital-based strategies designed to improve authorization conversations and increase consent rates.
What settings are appropriate for living donation education projects?
Living donation education models may be delivered in settings such as dialysis centers, transplant programs, nephrology offices, or community venues. The goal is to help people understand living donation options (for example, donating a kidney or a liver segment while living) in a neutral, balanced way.
Are projects allowed to encourage living donation or increase the number of living donors?
No. A clear boundary of this funding announcement is that it will not support projects designed to encourage living donation or increase the number of living donors.
If living donation education is allowed, what exactly is prohibited?
Projects cannot be framed around boosting willingness or readiness to donate, and they cannot use outcomes or metrics that function as recruitment. Living donation projects must instead focus on neutral education that supports informed choices.
What is the intended focus of living donation-related work under this opportunity?
Living donation-focused work must be oriented toward balanced education and improving how people learn about the processes, risks, benefits, and tradeoffs. The program also emphasizes addressing barriers to learning, such as language, access, misinformation, or challenges navigating the system.
What does HRSA mean by a "model intervention"?
A model intervention is an approach that produces a clear, verifiable impact on at least one stated objective and is replicable, transferable to other settings, and feasible to implement outside a research context.
What level of evaluation rigor is expected?
Applications must include rigorous methodology and a quantitative evaluation component that can demonstrate effectiveness. Qualitative methods are allowed as a supplement when they add context, but measurable change tied to the intervention is expected.
How much of the project can be dedicated to intervention development?
HRSA allows some support for intervention development, but it is limited to no more than 20 percent of total direct costs and staff time. The grant is intended primarily for testing and evaluation rather than building a new program from scratch.
What types of study designs does the program allow (pilot, extension, replication)?
Projects may be structured as:
- Pilot studies: test interventions not yet tested for effectiveness in the organ donation field.
- Extensions: build on prior pilot results by refining the intervention or adding components to strengthen impact.
- Replications: test an intervention previously shown to work, but in a different population or setting.
What is required for replication or extension proposals?
Replication and extension proposals must include a strong rationale explaining why the approach should work in the new context (for example, moving a strategy from faith communities to educational institutions, or from one demographic group to another).
If a project includes multiple strategies, are there extra evaluation requirements?
Yes. If an application proposes multiple coordinated strategies, it must be designed to measure the combined effect, the independent effect of each strategy, and any interaction among them.
Does HRSA encourage adapting strategies from other public health areas?
Yes. The opportunity explicitly encourages creative, cost-effective approaches, including adapting strategies that have worked in other public health fields and evaluating whether they work for donation-related outcomes.
How does the opportunity address equity and minority populations?
The announcement highlights the transplant context for minority populations and encourages applications focusing on minority communities, particularly given the high need for kidney transplants and the greater likelihood of compatible donors within the same racial or ethnic group.
Are there specific minority-population requirements for replication studies?
Yes. Replication studies are required to include at least one site with a large minority population. If the original study targeted a minority group, the replication must include at least one site involving a different minority group.
Is the scope limited to solid organ donation?
Yes. The scope is deliberately limited to social and behavioral interventions related to solid organ donation. The announcement notes that successful strategies may also benefit eye and tissue donation, but those are not the primary target.
What types of projects are explicitly out of scope and will not be funded?
The opportunity states that it will not fund:
- Projects intended to increase living donation or increase the number of living donors.
- Biomedical or clinical research.
- Improvements to donor management or organ recovery/preservation methods.
- Fundamental work focused on creating or validating new evaluation tools.
- Interventions that conflict with federal law.
- Efforts focused only on tissue donation.
- Proposals evaluating clinical outcomes of donation after cardiac death (DCD) organs.
How many awards were anticipated?
The opportunity anticipated about four awards.
Was cost sharing or matching required?
No. The opportunity did not require cost sharing or matching.
Who was eligible to apply as the lead applicant?
Eligible applicants included federally designated organ procurement organizations (OPOs) and other public or nonprofit private entities eligible under section 377A(a)-(b) of the Public Health Service Act. Examples listed include state and local governments, tribal governments and tribal organizations, colleges and universities, and community-based or faith-based nonprofits.
Can a for-profit organization apply as the lead applicant?
No. For-profit entities could participate as partners but could not apply as the lead applicant.
Were there compliance expectations for OPTN members?
Yes. If applicants or consortium partners were members of the Organ Procurement and Transplant Network (OPTN), they were expected to be in compliance with the OPTN Final Rule (42 CFR Part 121).
When was the opportunity posted and when were applications due?
The funding opportunity was posted on July 9, 2012, and the application deadline was November 30, 2012.
Is this funding opportunity still open?
No. The opportunity was later archived in January 2013.
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