Opportunity Information: Apply for RFA HS 10 002
Apply for RFA HS 10 002
- The Agency for Health Care Research and Quality in the health sector is offering a public funding opportunity titled "Transforming Primary Care Practice (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 Aug 13, 2009 and posted on Aug 13, 2009.
- Applicants must submit their applications by Nov 18, 2009. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- The funding agency has allocated a total of $3,200,000.00 to eligible and selected applicants.
- Each selected applicant is eligible to receive up to $300,000.00 in funding.
- Eligible applicants include: Private institutions of higher education City or township governments County governments State governments Others (see text field entitled Additional Information on Eligibility for clarification) Native American tribal organizations (other than Federally recognized tribal governments) Native American tribal governments (Federally recognized) Public and State controlled institutions of higher education.
- 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 Transforming Primary Care Practice (R18) grant opportunity (Funding Opportunity Number RFA-HS-10-002) was issued by the Agency for Healthcare Research and Quality (AHRQ) to fund research that closely examines real-world efforts to redesign and modernize primary care practices in the United States. The central focus is the patient-centered medical home (PCMH), a model promoted by a wide mix of stakeholders, including clinicians, employers, and insurers, as a way to strengthen primary care. Rather than supporting small, incremental quality improvement projects, this program targets whole-practice transformation efforts already underway and, importantly, emphasizes studying efforts that have demonstrated success in practice settings.
AHRQ is looking for systematic, rigorous studies that do two major things. First, applicants must validate that transformation to a PCMH actually led to better health care quality, demonstrated through measurable and defensible changes in clinical processes and patient outcomes. In other words, the research should show evidence that care improved after transformation, not just describe what changes were made. Second, once improvement is established, investigators are expected to dig into the details of how the transformation happened, documenting the steps, strategies, implementation pathways, and practical realities that made redesign possible. This includes evaluating not only clinical quality, but also effects on the costs of care and the lived experience of both patients and providers, such as satisfaction, workload, access, coordination, and perceived value.
A defining feature of this FOA is its emphasis on understanding the internal and external conditions that shape whether transformation succeeds. AHRQ specifically calls for studying the organizational and contextual factors within practices that influenced outcomes, such as leadership engagement, staffing models, workflow redesign, health IT capabilities, payment arrangements, local market forces, organizational culture, and other practice environment characteristics. The overall aim is to produce findings that can be translated and shared, so that other practices and health systems can learn which methods most reliably improve quality, reduce costs, and better meet the needs of patients and families. The expectation is that research results will help identify best practices for changing the structure, characteristics, and functioning of primary care.
From an administrative standpoint, this was a discretionary grant using the R18 activity mechanism (a research demonstration and dissemination type award used by AHRQ). The CFDA number is 93.226 (Research on Healthcare Costs, Quality and Outcomes). The opportunity was posted on August 13, 2009, with an original and current closing date of November 18, 2009, and it was archived on December 19, 2009. AHRQ estimated total funding at $3.2 million, with an award ceiling of $300,000 per award. 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. It also allowed applications from federally recognized tribal governments and other Native American tribal organizations, along with additional eligible entities such as certain federal agencies and faith-based or community-based organizations, as clarified in the FOA. The funding announcement was made available through the NIH grants infrastructure, with technical access support routed through the NIH Office of Extramural Research (OER) webmaster.
Frequently Asked Questions (FAQs)
What is the Transforming Primary Care Practice (R18) grant opportunity?
The Transforming Primary Care Practice (R18) grant opportunity (Funding Opportunity Number RFA-HS-10-002) is an Agency for Healthcare Research and Quality (AHRQ) funding program that supports research examining real-world efforts to redesign and modernize primary care practices in the United States.
What model of care is the central focus of this funding opportunity?
The central focus is the patient-centered medical home (PCMH), a primary care model promoted by multiple stakeholders (including clinicians, employers, and insurers) to strengthen primary care.
Does this program fund small quality improvement projects?
No. This program is aimed at whole-practice transformation efforts already underway, rather than small, incremental quality improvement projects.
What kind of transformation efforts does AHRQ want studied?
AHRQ emphasizes studying transformation efforts that have demonstrated success in real practice settings and then rigorously analyzing what improved and how the redesign was achieved.
What are the two main research expectations for applicants?
Applicants are expected to: (1) validate that transformation to a PCMH led to better health care quality using measurable and defensible changes in clinical processes and patient outcomes, and (2) once improvement is established, document how the transformation happened by detailing steps, strategies, implementation pathways, and practical realities that enabled redesign.
What does it mean to "validate" improvement under this FOA?
It means the research must show evidence that care improved after transformation, demonstrated through measurable and defensible changes in clinical processes and patient outcomes. The study should do more than describe what changes were made.
Beyond clinical quality, what other outcomes should be evaluated?
The FOA calls for evaluating effects on the costs of care and the lived experience of patients and providers. Examples mentioned include satisfaction, workload, access, coordination, and perceived value.
What implementation details does AHRQ want investigators to capture?
AHRQ expects investigators to document the steps, strategies, and pathways used to implement transformation, along with the practical realities encountered while redesigning a primary care practice.
What kinds of organizational or contextual factors should studies examine?
Studies are expected to analyze internal and external conditions that shape success, including leadership engagement, staffing models, workflow redesign, health IT capabilities, payment arrangements, local market forces, organizational culture, and other practice environment characteristics.
Why does this FOA emphasize context and conditions for success?
The goal is to identify which conditions and methods most reliably improve quality, reduce costs, and better meet the needs of patients and families, so findings can be translated and shared for broader learning.
What is the overall aim of the research supported by this program?
The overall aim is to produce findings that can be translated and shared so other practices and health systems can learn best practices for changing the structure, characteristics, and functioning of primary care.
Which agency issued this funding opportunity?
This funding opportunity was issued by the Agency for Healthcare Research and Quality (AHRQ).
What is the funding mechanism/activity for this award?
This is a discretionary grant using the R18 activity mechanism, described as a research demonstration and dissemination type award used by AHRQ.
What is the CFDA number associated with this opportunity?
The CFDA number is 93.226 (Research on Healthcare Costs, Quality and Outcomes).
How much total funding did AHRQ estimate for this program?
AHRQ estimated total funding at $3.2 million.
What was the maximum award amount per award?
The award ceiling was $300,000 per award.
Was cost sharing or matching required?
No. There was no cost sharing or matching requirement.
When was the opportunity posted, and what were the closing dates?
The opportunity was posted on August 13, 2009. The original and current closing date was November 18, 2009.
Is this funding opportunity still open?
No. The opportunity was archived on December 19, 2009.
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, and city or township governments.
Were tribal entities eligible to apply?
Yes. Federally recognized tribal governments and other Native American tribal organizations were eligible.
Were community-based or faith-based organizations eligible?
Yes. The FOA clarified eligibility to include additional entities such as faith-based or community-based organizations.
Were any federal entities eligible?
Yes. The FOA also referenced eligibility for certain federal agencies.
Where was the funding announcement made available?
The funding announcement was made available through the NIH grants infrastructure.
Who handled technical access support for the announcement?
Technical access support was routed through the NIH Office of Extramural Research (OER) webmaster.
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