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Published on AidPage by IDILOGIC on Jun 24, 2005
Administered by:

Department of Health and Human Services, Agency for Healthcare Research and Quality, Agency for Healthcare Research and Quality
(see all US Federal Agencies)

Explore all postings for this grant program:
  • Original Grant - Jan 29, 2004
Applications Due:

Apr 22, 2004

total funding: Not Available
max award: none
min award: none
cost sharing, matching: No
number of awards: Not Available
type of funding: Grant

The Agency for Healthcare Research and Quality (AHRQ) announces the
availability of research grants to assess the value derived from the adoption,
diffusion, and utilization of health information technology (HIT) to improve
patient safety and quality of care. AHRQ is seeking proposals that elucidate
the value of HIT from a variety of perspectives, including patients,
providers, purchasers, payers, policymakers, or other important stakeholders
and decision makers. The main objective of this RFA is to support projects
that will increase our knowledge and understanding of the value of HIT, which
includes clinical, safety, quality, financial, organizational, effectiveness,
efficiency, or other direct or indirect benefits that may be derived from the
use of HIT in the delivery of health care. The findings from this initiative
should provide these stakeholders with information needed to make better and
more informed clinical, purchasing, and other important health care decisions
regarding the use of HIT in their environment. The other objective of this
RFA is to support the development of models or other tools that can be used to
help demonstrate the value of HIT or to advance the adoption of HIT.

For the purpose of this RFA, value is defined as clinical, organizational,
financial, or other benefits derived from the adoption, utilization, and
diffusion of HIT less the costs of achieving these benefits. Specific aspects
of value may include things such as: reduction in medical errors; improved
use of effective and recommended interventions; decreased use of inappropriate
or ineffective interventions; increased use of clinical guidelines and
evidence-based clinical decisions; improvements in access to care and quality
of care; improvements in provider productivity; more efficient use of
personnel; reductions in costs (total costs or costs related to specific
activities and functions); enhanced revenues; better coordination of care
among providers; improved patient involvement and satisfaction; and greater
transparency and accountability of provider operations. These potential
benefits must be weighed against the costs and potentially detrimental
consequences of HIT adoption.

Applicants are encouraged to submit proposals that examine the value of HIT in
diverse health care settings (e.g., inpatient hospitals, outpatient clinics,
nursing homes, home health, and community care), consider the perspective of
various stakeholders (e.g., patients, providers and health care
organizations), and include priority populations (e.g., low income groups;
minority groups; women; children; the elderly; and individuals with special
health care needs, including individuals with disabilities and individuals who
need chronic care or end-of-life health care). AHRQ is also specifically
interested in applications that will examine the value of new and emerging
HIT, as well as applications that explore the unique barriers faced by rural
and small community providers in adopting HIT and opportunities for overcoming
these barriers.

The National Library of Medicine (NLM) provides grant support to health-
related institutions and organizations for projects to plan, design, test and
deploy systems and techniques for integrating data, information and knowledge
resources into a comprehensive networked information management system. NLM
supports these organizations in their efforts to build integrated advanced
information managements systems (IAIMS). IAIMS are computer networks that link
and relate the published biomedical knowledge base with individual and
institutional databases and information files, within and external to an
institution. The long-term goal of an IAIMS is a comprehensive and convenient
information management system, one that brings useful, usable knowledge to
action settings in health care, education and research, binding knowledge to
effective action. Particular emphasis is placed on mechanisms that enable the
easy flow of information between arenas of action, such as between health care
and education, or between health-related organizations, such as from a
community clinic to a hospital or public health department. Of particular
interest to NLM are projects which focus on context-appropriate information to
guide learning and decisions; standards based information management that
employs standard vocabularies and information exchange protocols; and digital

This RFA is one in a series of solicitations to be issued by AHRQ in FY 2004
on the use of HIT to improve patient safety and quality of care. The
solicitations form an integrated set of activities designed to explore
strategies for successful organizational and community-wide planning and
implementation of HIT solutions and to demonstrate the value of HIT in patient
safety and quality of care. The FY 04 HIT initiative will place particular
emphasis on the challenges facing rural and small communities in integrating
HIT into their health care delivery systems. In addition to this RFA, other
grants and contracts to be released as part of this program include:

1. Transforming Healthcare Quality through Information Technology (THQIT)
Planning Grants - planning grants to provide organizations and communities
with the resources needed to develop their capacity to compete for AHRQ (and
other funding agencies) implementation grants and further develop their HIT
capabilities for improving patient safety and quality of care. Planning grants
will enable these entities to begin planning and developing their HIT
infrastructure and data sharing capacity among clinical provider organizations
in their communities.

2. Transforming Healthcare Quality Through Information Technology (THQIT)
Implementation Grants - implementation grants aimed at providing resources to
community partners who have successfully completed the planning process and
plan to implement HIT in their practice setting. These projects must also
include an evaluation of the effects of HIT on important patient safety and
quality measures. The objective of this RFA is to support implementation and
diffusion of HIT and to assess the extent to which HIT contributes to
measurable and sustainable improvements in patient safety and quality of care.
Research resulting from this RFA should inform AHRQ, providers, patients,
payers, policymakers, and the public about how HIT can be successfully
implemented in diverse health care settings and lead to safer and better
health care.

3. Health Information Technology Resource Center (HITRC) - The center will
provide technical assistance to grantees; serve as a repository for best
practice assimilation and diffusion; help develop, maintain and export
executable knowledge for clinicians and patients; offer expert HIT support for
providers and communities; perform and sponsor educational activities; and
develop and disseminate tools to help providers and organizations utilize HIT
to improve patient safety and quality of care.
In July 2003, AHRQ convened a diverse group of approximately 50 experts who
helped the Agency to identify gaps in knowledge relating to the use of HIT and
provided recommendations on important thematic areas for AHRQs HIT
initiatives in FY 2004. Among the panels many recommendations were the need
for more research on the impact of HIT on important health-related outcomes;
more research on HIT in diverse healthcare settings; the need to support local
and regional HIT collaborative projects that would lead to standards-based
data sharing across healthcare delivery sites; the need to demonstrate the
value of HIT in improving patient safety and quality of care, including
direct/indirect and tangible/intangible benefits; the need to study incentives
and disincentives to the adoption and use of HIT; the need for technical
assistance to providers, organizations, and communities in order to implement
HIT successfully in their environment; and the need to develop evidence-based,
executable knowledge content and decision-support tools to support clinical
decision-making. The panel also encouraged collaboration between AHRQ and
other Federal agencies, such as the Office for Rural Health Programs (OHRP) at
the Health Resources and Services Administration (HRSA) and the Center for
Medicare and Medicaid Services, to leverage the resources, expertise, and
experiences of these diverse Federal agencies and increase the programs
chances of success. Finally, the panel stressed the need for developing
collaborative partnerships and HIT programs that are viable and sustainable.
A summary of the proceedings is available on the AHRQ website at

Who can apply:

Anyone/General Public
City Or Township Governments
County Governments
Federally Recognized Indian Tribal Governments
Independent School Districts
Minority Group
Native American Organization
Non-Government - General
Nonprofits Having A 501(C)(3) Status With The IRS, Other Than Institutions Of Higher Education
Nonprofits That Do Not Have A 501(C)(3) Status With The IRS, Other Than Institutions Of Higher Education
Other Private Institution/Organization
Private Institutions Of Higher Education
Private Nonprofit Institution/Organization (Includes Institutions Of Higher Education, Hospitals)
Profit Organization
Public And State Controlled Institutions Of Higher Education
Public Housing Authorities/Indian Housing Authorities
Small Business (Less Than 500 Employees
Special District Governments
State (Includes District Of Columbia; Includes Institutions Of Higher Education And Hospitals)
U.S. Territories And Possessions (Includes Institutions Of Higher Education, Hospitals)

Eligible functional categories:
Funding Sources:

Medical Library Assistance
Research on Healthcare Costs, Quality and Outcomes

More Information:


If you have problems accessing the full announcement, please contact: NIH OER Webmaster

Address Info:

Office of Extramural Programs
6705 Rockledge Drive
Bethesda, MD 20892-7963

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