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U.S. Department of Health and Human Services: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18)

Deadline: September 25, 2018

The Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities program will fund large research demonstration and implementation projects that implement existing measures, metrics, tools and/or practices that have been shown to be efficacious in making healthcare safer in ambulatory care settings or long term care facilities. Knowledge gained from these projects will improve the prevention of adverse events that occur in these two settings, and also increase the knowledge base of how to best integrate measures, metrics, tools and practices to prevent harm among diverse health care delivery systems and sites that provide ambulatory and long term care.

Two research areas of interest are highlighted based on their settings – ambulatory care and long term care, with a specific focus on developing and evaluating strategies to integrate evidence-based health care measures, metrics, tools and/or practices more broadly to make health care safer for more individuals and organizations. Projects may involve implementation pilots held at a single site, several local sites simultaneously, or be large and wide in scale. The investigator will need to determine the scale of the project based upon the measure, metric, tool, or practice of interest, status of testing, and available resources in their health care setting. Projects should include a focus on issues that are relevant to underserved and vulnerable populations. Additionally, there is a specific interest in settings that serve vulnerable populations, including Federally Qualified Health Centers (FQHC), Community Health Centers, safety-net hospital outpatient departments, physician offices, and long term care facilities.

Specific areas of interest include the following examples:

  • Development of strategies to ensure implementation of efficacious measures, metrics, tools, and practices in ambulatory care settings and/or long term care facilities that improve patient safety
  • Factors that contribute to the successful implementation of a measure, metric, tool, and/or practice to improve patient safety in the ambulatory care setting or long term care facility
  • Interventions that implement a measure, metric, tool, and/or practice for improving coordination and continuity of care in the ambulatory and/or long term care setting in ways that improve patient safety
  • Interventions that implement a measure, metric, tool, and/or practice for improving appropriate follow-up of abnormal laboratory results, diagnostic tests, and specialty referrals in the ambulatory care setting in ways that improve patient safety
  • Interventions that implement a measure, metric, tool, and/or practice to ensure appropriate monitoring for individuals receiving high risk treatments in the ambulatory care setting such as anticoagulation therapy
  • Interventions that implement a measure, metric, tool, and/or practice to ensure monitoring of high risk conditions such as cancer in ways that improve patient safety
  • Interventions that implement a measure, metric, tool and/or practice to reduce post-hospital discharge adverse events in long term care facilities
  • Interventions that implement a measure, metric, tool, and/or practice for improving transitions between settings of care
  • Methodologically rigorous studies to better understand the extent of disparities in implementing measures, metrics, tools, or practices to improve patient safety processes, and factors that may contribute to these disparities in ambulatory care settings and/or long term care facilities
  • Studies of implementation strategies that can improve patient safety at different levels of the health care system including: the patient and caregiver, the provider-patient interactions, and the community and health care system
  • Interventions that demonstrate the ability to spread new evidence-based processes that prevent adverse events in ambulatory care settings and long term care facilities

Amount: Grants range up to $450,000 annually and up to $1,350,000 for the entire three year project period.

Eligibility: Higher education institutions; nonprofit organizations; governments; and other organizations, including Native American tribal organizations, faith-based or community-based organizations, and regional organizations.

Link: https://grants.nih.gov/grants/guide/pa-files/PA-18-750.html

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