This Notice of Funding Opportunity Announcement (NOFO) seeks applications for innovative research studies to test, refine, and implement equity-focused evidence-based interventions within healthcare delivery systems including the integration of implementation and outcome/impact evaluations.
Donor Name: Agency for Health Care Research and Quality
State: All States
County: All Counties
Type of Grant: Grant
Deadline: 04/22/2023
Size of the Grant: $2,500,000
Details:
Addressing healthcare inequities in historically underserved populations continues to be a critical national priority. Healthcare systems have a vital role in transforming care to be more equitable and will require tools and intervention strategies to support action and sustainable progress. Yet historically, equity has not been an explicit focus of many EBIs. As a result, evidence regarding the generalizability and effectiveness of EBIs across diverse contexts, populations, and settings has been limited, thereby having the potential to exacerbate health inequities and even cause harm. Building this evidence-base requires explicit attention on equity-focused EBIs that can fill an important void and advance the goal of eliminating disparities in care delivery by supporting the widespread and accelerated use of effective interventions focused on equity.
Objectives
The objective of this NOFO is to build new evidence regarding the implementation and effectiveness of EFEBIs to address disparities and advance equitable care in healthcare delivery systems. Applications submitted in response to this NOFO must include a detailed description of the development, implementation, and evaluation of the EFEBI and include the following:
- description of how the holistic/participatory approach selected will be used to center equity and ensure the voices of stakeholder and community members from underserved and priority populations are reflected in all stages of the research process; description should detail methods and role of partners, stakeholders, and community, and discuss any potential limitations to the approach;
- description of how the project will address priorities of underserved population(s), including those who experience persistent poverty and other socioeconomic inequalities and achieve overall research and health equity goals;
- description of EBI(s) selection (why and how) to ensure advances in equitable care delivery (including considerations of de-implementation and adaptations), and clear description of the primary outcome measure(s);
- discussion of how study designs and methodologies (i.e., alternative or pragmatic) will maximize equity and inclusion of diverse contexts, populations, and settings, while also balancing aspects of scientific rigor such as reliability, internal and external validity;
- inclusion of a graphic framework/model and corresponding description to illustrate how the EBI(s) and research approach addresses evidence gaps (transparency of logic and assumptions); show hypothesized relationships between various elements to reach the desired outcome (advancing equity). This framework/model should also delineate/or align with elements/metrics for the implementation and impact evaluation including but not limited to: contextual factors ranging from the populations characteristics, features of setting in which the EBI(s) is being delivered, connections to systems and sectors outside of healthcare setting, role of social determinates of health, cultural, organizational, and structural factors including specifically addressing the role of discrimination and racism at multiple levels (structural, institutional, and personally mediated) in the healthcare system;
- description of equity-relevant metrics included in implementation and outcome evaluation, including measures of health equity and measures of both direct and indirect effects of contextual factors impacting health equity and consideration of potential limitations of current measures;
- address elements of scalability, sustainability, and dissemination including the role of participatory methods that foster inclusion of partner, stakeholder, community (end-users) voice.
Funding Information
The total costs (direct and indirect) for a project awarded under this funding announcement will not exceed $500,000 in any given year and $2,500,000 for the entire project period.
Eligibility Criteria
- Public and State controlled institutions of higher education
- Small businesses
- Native American tribal governments (Federally recognized)
- Public housing authorities/Indian housing authorities
- Special district governments
- Private institutions of higher education
- County governments
- State governments
- 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
- City or township governments
- Nonprofits that do not have a 501(c)(3) status with the IRS, other than institutions of higher education
- Independent school districts
- For profit organizations other than small businesses
Additional Information on Eligibility
Other Eligible Applicants include the following: Alaska Native and Native Hawaiian Serving Institutions; Asian American Native American Pacific Islander Serving Institutions (AANAPISISs); Eligible Agencies of the Federal Government; Faith-based or Community-based Organizations; Hispanic-serving Institutions; Historically Black Colleges and Universities (HBCUs); Indian/Native American Tribal Governments (Other than Federally Recognized); Non-domestic (non-U.S.) Entities (Foreign Organizations); Regional Organizations; Tribally Controlled Colleges and Universities (TCCUs) ; U.S. Territory or Possession; on-domestic (non-U.S.) Entities (Foreign Institutions) are not eligible to apply. Non-domestic (non-U.S.) components of U.S. Organizations are not eligible to apply.
For more information, visit Grants.gov.
