Accessibility Information

Users of assistive technologies such as screen readers should use the following link to activate Accessibility Mode before continuing: Learn more and Activate accessibility mode.

Research on Healthcare Costs, Quality and Outcomes

Number: 93.226
Agency: Department of Health and Human Services
Office: Agency for Healthcare Research and Quality

Program Information 

Program Number/Title (010):
93.226 Research on Healthcare Costs, Quality and Outcomes
Federal Agency (030):
Agency for Healthcare Research and Quality, Department of Health and Human Services
Authorization (040):
Public Health Service Act, Title IX, 42 U.S.C 299 ff; Affordable Care Act, Public Law 111-148.
Objectives (050):
To support research and evaluations, demonstration projects, research networks, and multidisciplinary centers and to disseminate information on health care and on systems for the delivery of such care involving: (1) The quality, effectiveness, efficiency, appropriateness and value of health care services; (2) quality measurement and improvement; (3) the outcomes, cost, cost-effectiveness, and use of health care services and access to such services; (4) clinical practice, including primary care and practice-oriented research; (5) health care technologies, facilities and equipment; (6) health care costs, productivity, organization, and market forces; (7) health promotion and disease prevention, including clinical preventive services; (8) health statistics, surveys, database development, and epidemiology; and (9) medical liability. In support of this research, the Agency has a special interest in health care and its delivery in the inner city, in rural areas, and for priority populations (low-income groups, minority groups, women, children, the elderly, and individuals with special health care needs).
Types of Assistance (060):
Uses and Use Restrictions (070):
The research should contribute to the health services knowledge base from which empirically based information can be derived by policymakers, both immediately and over the coming decades. Grants include funds for direct costs (such as personnel, travel, equipment, or supplies) necessary to carry out an approved project as well as funds for the reimbursement of applicable indirect costs (also referred to as facilities and administrative costs). Unallowable costs are indicated in the HHS Grants Policy Statement.
Eligibility Requirements (080)
Applicant Eligibility (081):
Federal, State or local government agencies, federally-recognized Indian Tribal Governments, U.S. Territories, sponsored organizations, non-government organizations, minority groups, specialized groups, public or private institutions of higher education, and other public or nonprofit private agencies, institutions, or organizations. Research project grants may also be awarded to individuals. For-profit organizations are eligible to apply for these grants only if "cooperative agreement" is the designated funding mechanism. Organizations described in section 501(c)4 of the Internal Revenue Code that engage in lobbying are not eligible.
Beneficiary Eligibility (082):
Federal, State or local government agencies, federally-recognized Indian Tribal Governments, public or private nonprofit institutions, U.S. territories, Native American organizations, sponsored organizations, consumers, students, minority groups, specialized groups, health or education professionals, individuals, scientist/researchers, and the general public.
Credentials/Documentation (083):
Nonprofit organizations must submit proof of their nonprofit status when applying for grants. Costs will be determined in accordance with DHHS Regulations 45 CFR 74. OMB Circular No. A-87 applies to this program.
Application and Award Process (090)
Preapplication Coordination (091):
Preapplication coordination is not applicable. Environmental impact information is not required for this program. This program is excluded from coverage under E.O. 12372.
Application Procedures (092):
OMB Circular No. A-102 applies to this program. OMB Circular No. A-110 applies to this program. Applications must be submitted in response to a Funding Opportunity Announcement (FOA). All FOAs are posted on Refer to the FOA of interest for specific requirements regarding the application procedure as AHRQ is in the process of transitioning to the new SF-424 Research and Related (R&R) grant application form and to electronic submission through for competing awards. For FOAs for which applications have not yet been transitioned to electronic submission through, nongovernmental applicants should submit using Form PHS-398 (Rev. November 2007); State and local governments may submit using the standard application forms, as furnished by PHS and required by 45 CFR Part 92. For State agencies, no State Plan is required. Applications are reviewed and evaluated by a group composed primarily of nonfederal scientists. The review is conducted by a panel of experts in the specific study area proposed. This program is subject to the provisions of 45 CFR Part 92 for State and local governments.
Award Procedure (093):
Applications are reviewed for scientific merit by a committee including nonfederal consultants who are selected from appropriate scientific fields. AHRQ considers the recommendations of the review committee, program interest, and the availability of funds in the final selection of grantees. When such decisions are made, applicants are notified and a Notice of Award is issued.
Deadlines (094):
Contact the headquarters or regional office, as appropriate, for application deadlines.
Range of Approval/Disapproval Time (095):
> 180 Days.
Appeals (096):
Not Applicable.
Renewals (097):
If additional support is desired to continue a project beyond the approved project period, an application for competing continuation must be submitted for review in the same manner as a new application.
Assistance Consideration (100)
Formula and Matching Requirements (101):
This program has no statutory formula.
This program has no matching requirements.
MOE requirements are not applicable to this program.
Length and Time Phasing of Assistance (102):
Grants may be approved for project periods of up to 5 years, depending on the grant program and based on the availability of funding. Refer to the FOA of interest for information regarding the maximum duration of the project period. Awards are made on an annual basis and it is expected that obligations will be made within the budget period awarded. After awards are issued, funds are released in accordance with the payment procedure established by the grantee institution with DHHS, which may be an Electronic Transfer System or a Monthly Cash Request System. Method of awarding/releasing assistance: lump sum.
Post Assistance Requirements (110)
Reports (111):
Program reports are not applicable. Grantees must submit quarterly SF425 reports to PSC. Progress reports are required on an annual basis. Some programs also require quarterly progress reports. A final progress report must be submitted within 90 days after the end of a project. Inventions are to be reported immediately. A Final Invention Statement must be submitted within 90 days after the end of a project. An annual Federal Financial Report (FFR; SF425) must be submitted within 90 days after the end of the calendar quarter in which the budget period ends. A final FFR must be submitted within 90 days after the end of the project. Performance monitoring is not applicable.
Audits (112):
In accordance with the provisions of OMB Circular No. A-133 (Revised, June 27, 2003), "Audits of States, Local Governments, and Non-Profit Organizations," nonfederal entities that expend financial assistance of $500,000 or more in Federal awards will have a single or a program-specific audit conducted for that year. Nonfederal entities that expend less than $500,000 a year in Federal awards are exempt from Federal audit requirements for that year, except as noted in Circular No. A-133. In addition, grants and cooperative agreements are subject to inspection and audits by DHHS and other Federal government officials.
Records (113):
Records must be retained for at least three years; records shall be retained beyond the three year period if audit findings have not been resolved.
Financial Information (120)
Obligations (122):
(Project Grants) FY 13 $118,783,000; FY 14 est $113,139,000; and FY 15 est $99,121,000
Range and Average of Financial Assistance (123):
$16,085 to $2,946,329; $325,305 average. These are total cost figures (direct costs plus associated facilities and administrative costs, if appropriate).
Program Accomplishments (130):
Fiscal Year 2013: $118.783 million (366 grants). Fiscal Year 2014: AHRQ anticipates funding $113.139 million in grant funding (368 grants). Fiscal Year 2015: AHRQ anticipates funding $99.121 million in grant funding (292 grants).
Regulations, Guidelines, and Literature (140):
42 CFR 67, Regulations for Grants for Health Services Research, Evaluation, Demonstration, and Dissemination Projects as amended by Public Law 106-129; HHS Grants Policy Statement, DHHS Publication No. (OASH) 94-50,000 (Rev.) April 1, 1994.
Information Contacts (150)
Regional or Local Office (151) :
Headquarters Office (152):
George Gardner 540 Gaither Road, Rockville, Maryland 20850 Phone: 301-427-1447
Website Address (153):
Examples of Funded Projects (170):
Fiscal Year 2013: AHRQ-supported grants focus on health information technology research, patient safety research, prevention and care management, and quality, effectiveness, and efficiency research. Fiscal Year 2014: Based on availability of funding, it is anticipated that AHRQ-supported grants will continue to focus on health information technology research, patient safety research, prevention and care management, and quality, effectiveness, and efficiency research. Fiscal Year 2015: No current data available.
Criteria for Selecting Proposals (180):
The proposals must first be reviewed by review groups of peers and recommended for approval on the basis of scientific and technical merit. This includes consideration of the qualifications of the principal investigator and staff to conduct the research using appropriate methodology and budget. Those approved proposals which are most relevant to the identified program priority issues of the AHRQ are funded to the extent that funds are available.