Opportunity Information: Apply for RFA HS 22 001

The Agency for Healthcare Research and Quality (AHRQ) grant opportunity titled "Reducing Racial and Ethnic Healthcare Disparities in Chronic Conditions by Dissemination and Implementation of Patient Centered Outcomes Research (PCOR) Evidence (R18)" (Funding Opportunity Number RFA-HS-22-001; CFDA 93.226) supports projects that take existing patient-centered outcomes research evidence and actively put it into practice in real-world healthcare settings. The core idea is not to generate new clinical evidence from scratch, but to spread and implement proven, evidence-based approaches in ways that measurably reduce disparities in health outcomes and care quality experienced by racial and ethnic minority groups and other AHRQ priority populations. AHRQ is looking for work that is practical, scalable, and grounded in PCOR findings, with a strong emphasis on dissemination and implementation strategies that can change systems of care.

Projects funded under this NOFO are expected to deploy innovative, evidence-based interventions across healthcare environments in order to close gaps in outcomes and quality. The interventions must be designed around improving the uptake, consistency, and effectiveness of evidence-based strategies, and they should clearly connect implementation activities to the specific goal of reducing health and healthcare disparities. While applicants have flexibility in choosing the condition area and setting, the announcement highlights several domains where evidence-based interventions have already shown promise in reducing disparities. These include improving control and long-term management of chronic conditions such as cardiovascular disease, increasing appropriate cancer and chronic condition screening, and improving prenatal care, maternal health outcomes, and infant mortality. In practice, this points to projects that help health systems, clinics, community partners, and other service settings consistently deliver evidence-backed care to populations that have historically faced barriers to access, continuity, trust, and high-quality treatment.

The opportunity uses the R18 research demonstration and dissemination grant mechanism and is categorized as discretionary grant funding within the health activity area. The posted award ceiling is $1,500,000 per award. The NOFO was created on May 26, 2022, with an original closing date of June 17, 2022. Although the excerpt does not specify the expected number of awards, the intent is to fund a set of implementation-focused projects that can serve as models for broader adoption, especially when they demonstrate effective strategies for overcoming structural, organizational, cultural, geographic, and workflow barriers that contribute to disparities.

Eligibility is broad and includes many types of U.S.-based organizations and governmental entities. Eligible applicants listed include state, county, and local governments; special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized Native American tribal governments; tribal organizations other than federally recognized governments; public housing authorities/Indian housing authorities; nonprofit organizations (both 501(c)(3) and non-501(c)(3), excluding institutions of higher education in those categories); for-profit organizations other than small businesses; and small businesses. The NOFO also calls out additional eligible applicant types and community-anchored institutions that commonly serve priority populations, including Alaska Native and Native Hawaiian Serving Institutions, Asian American Native American Pacific Islander Serving Institutions (AANAPISIs), Hispanic-serving Institutions, Historically Black Colleges and Universities (HBCUs), Tribally Controlled Colleges and Universities (TCCUs), faith-based or community-based organizations, regional organizations, U.S. territories or possessions, eligible federal agencies, and Indian/Native American tribal governments other than federally recognized entities.

At the same time, the announcement is explicit about limits related to foreign participation. Non-domestic (non-U.S.) entities, including foreign organizations and foreign institutions, are not eligible to apply. In addition, non-domestic components of U.S. organizations are not eligible to apply, meaning the applicant and the proposed operational components supported by the award must be U.S.-based.

Overall, this funding opportunity is aimed at moving PCOR evidence off the page and into everyday care in ways that directly address inequities. Competitive applications would be expected to clearly identify a disparity in a chronic condition area, select PCOR-supported interventions that can realistically be adopted in the chosen settings, and build a strong dissemination and implementation approach that improves reach, adoption, fidelity, and sustainability among the populations experiencing the greatest burdens. The end goal is straightforward: better, more equitable outcomes and quality of care for racial and ethnic minority populations and other AHRQ priority groups through real-world implementation of what is already known to work.

  • The Agency for Health Care Research and Quality in the health sector is offering a public funding opportunity titled "Reducing Racial and Ethnic Healthcare Disparities in Chronic Conditions by Dissemination and Implementation of Patient Centered Outcomes Research (PCOR) Evidence (R18)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.226.
  • This funding opportunity was created on 2022-05-26.
  • Applicants must submit their applications by 2022-06-17. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • Each selected applicant is eligible to receive up to $1,500,000.00 in funding.
  • Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, Native American tribal organizations (other than Federally recognized tribal governments), 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, Private institutions of higher education, For-profit organizations other than small businesses, Small businesses, Others.
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