publicdata/ahrq-gov
1
0
Fork 0
Code Issues Pull requests Projects Releases Packages Wiki Activity Actions
ahrq-gov/archive.ahrq.gov/fund/pipssum.htm
Scott Williams 58222b51ed Initial commit
2025-02-28 14:14:25 -05:00

414 lines
No EOL
27 KiB
HTML
Raw Blame History

<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN"
"http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<title>Partnerships in Implementing Patient Safety (PIPS): Technical Assistance Conference Call Summary</title>
<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
<!-- "metadata" -->
<meta name="keywords" content="Agency for Health Care Policy and Research, Agency for Healthcare Research and Quality, AHRQ, AHCPR, ambulatory care, award, career development, contract, federal aid, funding, grant, grant announcement, grant award, health services, initiatives, partners, prevention, program announcement, programs, Requests for Applications, Requests for Proposals, RFA, RFP, SBIR, Small Business Innovative Research, small conference grants, solicitations, training" />
<!-- Delete survey scripts -->
<link href="/includes/archive.css" rel="stylesheet" type="text/css" />
<link href="/includes/ahrqstyleprint_arch.css" rel="stylesheet" type="text/css" media="print" />
<script>
(function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){
(i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o),
m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m)
})(window,document,'script','//www.google-analytics.com/analytics.js','ga');
ga('create', 'UA-75759936-1', 'auto');
ga(' set', 'anonymizeIp', true);
ga('send', 'pageview');
</script></head>
<body><!-- Google Tag Manager -->
<noscript><iframe src="//www.googletagmanager.com/ns.html?id=GTM-W4DST4"
height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript>
<script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':
new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],
j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src=
'//www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);
})(window,document,'script','dataLayer','GTM-W4DST4');</script>
<!-- End Google Tag Manager -->
<noscript>
Your browser doesn't support JavaScript. Please upgrade to a modern browser or enable JavaScript in your existing browser.
</noscript>
<!-- Page Header v2.0 --><a name="top" id="top"></a>
<!--Begin Banner CodeS-->
<div id="ahrqbanner">
<div class="hhsportion">
<a href="#h1" class="skipnav">Skip Navigation</a>
<a href="http://www.hhs.gov" title="Archive: U.S. Department of Health and Human Services">
<img src="/images/hhs_banner_arch.gif" alt="Archive: U.S. Department of Health and Human Services" width="376" height="49" /> </a>
<a href="http://www.hhs.gov" title="www.hhs.gov" class="hhsright">
<img src="/images/hhs_link_arch.gif" alt="www.hhs.gov" width="127" height="41" /> </a> </div>
<div class="ahrqportion">
<a href="/" title="Archive: Agency for Healthcare Research Quality">
<img src="/images/ahrq_banner_arch.jpg" alt="Archive: Agency for Healthcare Research Quality" width="566" height="69" border="0" /> </a><form name="searchForm" method="get" action="https://search.ahrq.gov/search" id="banner_searchform">
<label for="search" style="z-index:-1;position:relative;margin-right:-65px; font-size:0px;">Search</label>
<input name="q" type="text" value=" Search Archive" size="11" onfocus="this.value='';" class="gotext" label="Search archive" id="search" />
<input type="hidden" name="entqr" value="0" />
<input type="hidden" name="output" value="xml_no_dtd" />
<input type="hidden" name="proxystylesheet" value="ARCHIVE_Front_End" />
<input type="hidden" name="client" value="ARCHIVE_Front_End" />
<input type="hidden" name="site" value="ARCHIVE_AHRQ_GOV" />
<input src="/images/topbn_GoButton.gif" class="gobtn" name="Submit" onclick="javascript:document.searchForm.submit();" type="image" alt="Search" />
</form>
<a href="https://www.ahrq.gov/" class="ahrqright">www.ahrq.gov</a> </div>
<div class="ahrqlinks"><a href="https://www.ahrq.gov/">AHRQ Home&#8212;Live Site</a> | <a href="/">Archive Home</a> | <a href="/sitemap.htm">Site Map</a> <!-- | &nbsp;<img src="/images/envelope1.jpg" alt="" width="21" height="14" /><a href="https://subscriptions.ahrq.gov/service/multi_subscribe.html?code=USAHRQ">E-mail Updates</a> --></div>
</div>
<div id="PrintBanner">
<img src="/images/printbanner_arch.jpg" alt="Archive print banner" /></div>
<a name="h1" id="h1"></a>
<!-- End of Page header -->
<!-- Content Body -->
<div id="mainContent"> <!-- Center Content section -->
<table width="100%" border="0" cellpadding="0" cellspacing="0" style="margin-left:10px; margin-right:10px;margin-top:5px" >
<!--DWLayoutTable-->
<tr>
<td class="crumb_link"><div id="crumbContent">
<p><strong>You Are Here:</strong> <span class="crumb_link"><a href="/" class="crumb_link">AHRQ Archive Home</a> &gt; <a href="granarch.htm" class="crumb_link">Grant Archive</a> &gt; Partnerships in Implementing Patient Safety (PIPS)
</span></p>
</div>
</td>
</tr>
<tr>
<td><h1><a id="h1" name="h1"></a>
Partnerships in Implementing Patient Safety (PIPS)
</h1>
</td>
</tr>
<tr>
<td><div id="centerContent">
<div class="headnote">
<p>This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: <a href="https://info.ahrq.gov/">https://info.ahrq.gov</a>. Let us know the nature of the problem, the Web address of what you want, and your contact information. </p>
<p>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p></div>
<h2>Technical Assistance Conference Call: Summary</h2>
<h3>October 6, 2004</h3>
<hr />
<p>The Partnerships in Implementing Patient Safety (PIPS) grants are to assist
health care institutions in implementing safe practices that may eliminate or
reduce medical errors, risks, hazards, and harms associated with health care
processes. These projects will inform providers, patients, payers, policymakers,
and the public about how safe practice interventions can be successfully
implemented in diverse health care settings and lead to safer and better health
care for all Americans.</p>
<p>On October 6, 2004, Agency for Healthcare Research and Quality (AHRQ) held a
conference call to provide potential applicants with background information and
to respond to questions about the preparation of applications in response to the
PIPS request for applications (RFA). This conference call is summarized below,
and includes a <a href="https://www.ahrq.gov/qual/pips/pipschck.htm">Checklist of
Key Requirements and Guidelines</a>.</p>
<hr />
<h2>Introduction</h2>
<p>Deborah Queenan greeted participants and summarized the agenda:</p>
<ol>
<li>Review the request for applications and related handouts:
<ul>
<li>PIPS Technical Assistance Conference Call Slide Presentation (<a
href="https://www.ahrq.gov/qual/pips/pipstac.ppt">PowerPoint&reg; file, 200
KB</a>; <a href="https://www.ahrq.gov/qual/pips/pipstac.htm">Text
Version</a>). Slide presentations can be accessed using a free <a href="http://www.microsoft.com/downloads/details.aspx?displaylang=en&amp;FamilyID=048dc840-14e1-467d-8dca-19d2a8fd7485">PowerPoint&reg; Viewer</a>. <a href="/exitdisclaimer.htm"><img src="/images/exitdisclaimer.gif" alt="Exit Disclaimer" border="0" align="middle" /></a>
</li><li><a href="https://www.ahrq.gov/qual/pips/pipstips.htm">Hot Tips from
Grants Management Staff</a>.
</li><li><a href="https://www.ahrq.gov/qual/pips/pipsfaq.htm">Frequently Asked
Questions (FAQs)</a>. </li></ul>
</li><li>Provide an open forum for questions and answers. </li></ol>
<h2>RFA Requirements and Instructions</h2>
<p>Ms. Queenan summarized the <a
href="http://grants1.nih.gov/grants/guide/rfa-files/RFA-HS-05-012.html">Partnerships
in Implementing Patient Safety</a> (PIPS) Request for Applications (RFA) and
grant application and management issues. She emphasized that the goal of PIPS is
to help health care institutions implement safe practice interventions that show
evidence of eliminating or reducing medical errors, risks, hazards, and harms
associated with the process of care. AHRQ envisions PIPS grants as partnerships
to facilitate opportunities for collaboration to improve patient safety. Ms.
Queenan also stressed that the RFA is to serve as potential applicants' primary
reference.</p>
<p>Ms. Queenan mentioned expectations of application institutions and
requirements of evidence-based safe practice interventions. She emphasized that
the intervention should not focus solely on the use of health information
technology and that applicants must be able to implement the intervention at the
beginning of the grant award, anticipated to be June 2005. She also summarized
PIPS project objectives, especially the need for applicants to have completed a
risk assessment that documents the medical errors, risks, hazards, and harms to
be addressed by the selected safe practice intervention.</p>
<p>Ms. Queenan then listed available mechanisms of support and funding and
eligible institutions, and stressed the need for grant applications to include
an implementation plan as well as a well-developed, generalizable implementation
toolkit that AHRQ can widely disseminate. She noted that the funding opportunity
will use the U18 award mechanism and applications can be up to 24 months in
duration with an AHRQ-supported budget that is not to exceed $300,000 each year
in total costs. Ms. Queenan emphasized that AHRQ is anticipating some
variability, for example, projects under 24 months long or under the $300,000
level also will be considered.</p>
<p>Ms. Queenan summarized the qualifications of principal investigators (PIs)
and the need for the PI to devote at least 15 percent of his/her time to the
project. She then described institutional support and summarized the eight PIPS
project requirements, especially the importance of the implementation toolkit,
the evaluation plan, and the dissemination plan. Ms. Queenan emphasized that
AHRQ will return applications without review that do not address all of the
eight project requirements, that exceed 24 months in duration, or that exceed
$300,000 in total annual costs. She also provided an overview of supplementary
instructions about institutional support.</p>
<p>Continuing the review of important features of the RFA, Eileen Hogan
summarized AHRQ's monitoring strategies that are designed to keep the project on
track, the rights and responsibilities of awardees as well as AHRQ, PIPS review
criteria and award criteria, key dates and letter of intent and application
submission requirements, and next steps.</p>
<h2>Frequently Asked Questions (FAQs)</h2>
<p>After referring participants to AHRQ's Web site for further developments and
scheduling information and to the handout on grants management tips, Ms. Hogan
summarized selected <a
href="https://www.ahrq.gov/qual/pips/pipsfaq.htm">FAQs</a>. She reviewed:</p>
<ul>
<li>The organization of the list of FAQs.
</li><li>The importance of a time commitment.
</li><li>The need for a single Principal Investigator (PI) per project.
</li><li>The need for collaborative efforts to be appropriate for the project.
</li><li>The fact that an institution cannot submit two applications and no
individuals can submit applications. </li></ul>
<p>She also discussed:</p>
<ul>
<li>Support mechanisms, cost issues, and budget considerations.
</li><li>Evidence requirements ("making a case") for safe practices.
</li><li>The need for the intervention to not focus solely on health information
technology.
</li><li>Risk assessment parameters.
</li><li>Protection of data issues.
</li><li>Evaluation issues.
</li><li>Assurances and certifications.
</li><li>Review considerations and award issues. </li></ul>
<p>Noting that many of the FAQs are very specific, Ms. Hogan referred
participants to the RFA and <a
href="/qual/pips/pipsfaq.htm">FAQ handout</a> for more
information. </p>
<h2>Question and Answer Session</h2>
<p>Ms. Hogan reviewed the guidelines for today's forum and opened the
discussion. Questions and answers that expand upon information in the RFA and
handouts, are not specific to a particular institution, and were not previously
addressed are summarized below:</p>
<h3>General Application Guidelines</h3>
<p><strong>1. Can the same organization submit an application and be a subcontractor
or collaborate on a different organization's application?</strong></p>
<p>This is a judgment call that will come up during the review of applications.
The applicant can be an applicant and collaborator. However, the applicant must
demonstrate that the appropriate amount of time and resources are allocated and
the applicant is available to fulfill each commitment. Applicants must carefully
consider each project and its requirements, their potential collaborators, and
their ability to startup and perform each project if both were to receive
funding.</p>
<p><strong>2. Can a pediatric nursing home and licensed long-term home health care
program, which have separate licenses, submit two separate applications?</strong></p>
<p>If each institution has a separate Employer Identification Number (EIN) (a
Federal tax identification number), each is considered a separate institution
and may submit an application for this grant on its own.</p>
<p><strong>3. Can the work described in an application extend work already done on a
smaller scale? For example, can a safe practice intervention in an inpatient
setting be extended to an ambulatory care setting?</strong></p>
<p>Yes, but to avoid funding an already existing project, AHRQ would require the
applicant to demonstrate how the extension project differs from the original
project.</p>
<p><strong>4. Do medical schools that provide care and submit grants to practice at
various hospitals need to list the hospitals as collaborators?</strong></p>
<p>In this instance, the hospitals could be collaborators. However, applicants
must specify the patient population upon which the intervention will be
implemented.</p>
<h3>Dissemination Plan</h3>
<p><strong>5. Are there examples of the dissemination plan required in the
application?</strong></p>
<p>AHRQ does not have specific examples. Reviewers will examine how applicant
institutions plan to disseminate the information that results from the projects
within their institutions or across the health care system. Reviewers also will
assess whether or not the applicant's dissemination plan is appropriate and
helps move research forward as part of AHRQ's institution reporting
commitment.</p>
<h3>Evidence-Based Research</h3>
<p><strong>6. Would an evidence-based practice from the National Guidelines
ClearinghouseT be an acceptable intervention under this grant?</strong></p>
<p>Yes. Other sources of evidence to support the relevance of implementing a
particular practice include Evidence-based Practice Centers Report Number 43,
AHRQ patient safety research grants, the general peer-reviewed literature, and
models in other industries.</p>
<p><strong>7. Does an applicant institution need to have hard core outcomes data
prior to implementation of a safe practice intervention?</strong></p>
<p>Not necessarily. Applications must provide evidence for the proposed
intervention, demonstrate that a risk assessment has been conducted in the
institution, and then identify anticipated outcomes based on the identified
risks that would be eliminated. Applicants need to identify how the safe
practice intervention will address the known risks and hazards.</p>
<p><strong>8. Regarding the tension between evidence-based versus innovative
interventions, can applicants adapt an intervention from one setting to another
setting?</strong></p>
<p>Yes, but the grant application needs to balance innovation with
evidence-based research and make the best case possible for the evidence that is
available. In addition, when there is a paucity of evidence about an
intervention, such as the use of communication to improve pediatric patient
safety, the application needs to draw on evidence available in the literature,
current AHRQ and other Federal projects, and other industries. Applications must
specify the appropriateness and feasibility of the intervention and demonstrate
how to evaluate its effectiveness in the setting proposed.</p>
<h3>Implementation Toolkit</h3>
<p><strong>9. What should the implementation toolkit contain?</strong></p>
<p>AHRQ does not have examples of toolkit contents. Applications must describe
the tools that are anticipated or projected to result from the implementation of
a safe practice intervention. Each grantee and AHRQ will collaborate to develop
a toolkit as one of each project's many anticipated products. For example,
toolkits could contain background materials that grantees used when performing
their interventions. The background materials would serve to document or provide
an audit trail of lessons learned, successes, and challenges; the history of the
intervention; and how well it worked. The goal is to design a toolkit that can
be transferred to and implemented at other institutions. Ideally, toolkits will
extend past the utility of research reports or publications and enable AHRQ and
its grantees to proactively put research into action.</p>
<p><strong>10. Who owns the toolkit once the grant has ended?</strong></p>
<p>The toolkit remains the grantee institution's property under a cooperative
agreement with the Federal Government. Because it will have funded the toolkit's
development, the Federal Government maintains certain rights to the toolkit's
use and dissemination.</p>
<h3>Eligibility</h3>
<p><strong>11. Would a visiting nurse service affiliated with a research institution
need to partner with a hospital to be eligible for the PIPS grant?</strong></p>
<p>Visiting nurse services are health care provider organizations so they are
eligible for the grant on their own and would not have to partner with a
hospital or other health care organization.</p>
<p><strong>12. If an organization currently works on an AHRQ grant for a different
type of project, is it still eligible for this RFA?</strong></p>
<p>Yes, except when the institution's current AHRQ award has requirements that
would limit its eligibility for this RFA.</p>
<p><strong>13. What is an eligible Federal agency?</strong></p>
<p>Eligible Federal agencies have the authority to accept grants. For example,
AHRQ has grants with the Department of Defense and Department of Education.
However, as a general rule, AHRQ grants neither contribute to the salaries of
Federal employees nor cover indirect costs. Representatives of Federal agencies
and others with specific questions on this topic who are interested in applying
for this grant should contact their own grants and review offices to address any
unanticipated issues that might arise.</p>
<p><strong>14. Is a health maintenance organization (HMO) eligible for this
grant?</strong></p>
<p>HMOs that provide care to a patient population in a hospital, ambulatory
home, pharmacy, etc., are eligible health care provider organizations under this
RFA.</p>
<p><strong>15. Can a Federal hospital be a collaborator?</strong></p>
<p>Yes.</p>
<h3>Funding and Budget</h3>
<p><strong>16. Is there secondary funding available for implementing the evaluation
plan?</strong></p>
<p>No, the evaluation plan and dissemination plan are key components of
implementing a safe practice intervention and both are encompassed within the
grant. Rather than supporting evaluation projects, this AHRQ grant funds the
implementation of a safe practice intervention as well as the evaluation of that
implementation.</p>
<p><strong>17. Can funds be used to pay the salaries of project personnel?</strong></p>
<p>Yes. Reviewers will focus on whether or not the proposed budget is
appropriate or warranted for the project. In addition, AHRQ does not use the
modular process in its grant mechanism.</p>
<p><strong>18. Should applicants budget travel for one or two annual patient safety
meetings?</strong></p>
<p>The overall budget is $300,000 in total costs each year. AHRQ anticipates
that one patient safety meeting will be conducted each year of the grant.
Therefore, applicants' budgets for the 24-month project should reflect a total
of two patient safety meetings, one occurring each year.</p>
<h3>PI Qualifications</h3>
<p><strong>19. Does the PI have to have a master's level degree or is it more
important for that person to have direct or extensive experience, capabilities,
and availability?</strong></p>
<p>Rather than focusing on educational credentials, reviewers will be more
interested in determining whether the proposed PI has the appropriate
capabilities, experience, expertise, and time to effectively lead and implement
the project. Reviewers also will assess whether or not the team has the right
skill mix and level of commitment to successfully accomplish the project. In
addition, ideally, the PI would be located at the institution in which the
intervention is to be implemented.</p>
<h3>Risk Assessment</h3>
<p><strong>20. Does the risk assessment have to be specific to the institution or is
a general problem that would be applicable to a specific institution
acceptable?</strong></p>
<p>Risk assessments need to be specific to the institution or health care
provider organization in which the intervention is being implemented. When
drawing data from existing risk assessments that are general in nature or
specific to another institution, applicants must specify how the data apply to
their particular institution and the setting in which the intervention is
proposed. In addition, the risks identified must be manifest and unique to the
institution in which the intervention is implemented.</p>
<p><strong>21. Rather than risk assessments of individual institutions, would a
Statewide risk assessment of a large group of nursing homes, which has overall
risk models and a substantial amount of data on level of risk and the prevalence
of practices that could reduce risk, be acceptable?</strong></p>
<p>Yes, a Statewide risk assessment of this nature is within the parameters of
this grant. One of AHRQ's intentions in this RFA is to apply the overall risk
model.</p>
<p><strong>22. Is it acceptable if the institution conducts the risk assessment
during the time of the application's submission?</strong></p>
<p>Yes, but only if sufficient data exist to adequately and appropriately
identify the risks for the intervention being proposed.</p>
<h3>Technology</h3>
<p><strong>23. Can the proposed intervention be technologically based?</strong></p>
<p>No, the primary intervention cannot be a technology. However, it would be
acceptable for computers and E-mail reminders, for example, to take a secondary
role in the project. Further, the implementation needs to be generalizable to
other settings, and technology often makes transferring an implementation across
institutions difficult.</p>
<h2>Summary and Adjournment</h2>
<p>Applications must fulfill all of the requirements of the RFA. Their goal is
to convince the reviewers that the evidence, implementation plan, and project as
a whole are sound and the target risk is represented in the institution where
the practice will be implemented.</p><!--
<p>AHRQ personnel thanked participants and adjourned the conference call.</p> -->
<h2>Next Steps</h2>
<p>Applicants with further questions specific to their institutions should contact the appropriate AHRQ contacts listed under Section VII of the RFA. AHRQ strongly encourages health care provider organizations that are interested in applying for the grant to begin preparing their applications.</p>
<p class="size2"><em>Current as of October 2004</em></p>
<!-- <hr />
<p class="size2"><strong>Internet Citation:</strong></p>
<p class="size2"><em>Partnerships in Implementing Patient Safety: Technical Assistance Conference Call Summary</em>. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/qual/pips/pipssum.htm</p>
<hr /> -->
<div class="footnote">
<p> The information on this page is archived and provided for reference purposes only.</p></div>
<p>&nbsp;</p>
<!-- </div>-->
</div></td>
</tr>
</table>
<!-- End of Center Content section -->
</td>
</tr>
</table>
</div>
<!-- End of Center Content section -->
<!-- Footer graphic 1.2-->
<table cellspacing="0" cellpadding="0" border="0" width="100%">
<tr>
<td width="125" background="/images/bottom_ahrq_bkg.jpg"><img src="/images/bottom_ahrq_1.jpg" width="125" alt="AHRQ" /></td>
<td width="100%" background="/images/bottom_ahrq_bkg.jpg" ><img src="/images/bottom_ahrq_bkg.jpg" width="10" height="34" alt="" /></td>
<td width="310" background="/images/bottom_ahrq_bkg.jpg"><img src="/images/bottom_ahrq_2.gif" alt="Advancing Excellence in Health Care" width="310" height="34" /></td>
</tr>
</table>
<!-- Footer links section -->
<div id="banner_Footer2"><p> <a href="https://www.ahrq.gov/">AHRQ Home</a> | <a href="https://info.ahrq.gov" class="footer_navlink">Questions?</a> | <a href="https://www.ahrq.gov/contact/index.html" class="footer_navlink">Contact AHRQ</a> | <a href="https://www.ahrq.gov/sitemap.html" class="footer_navlink">Site Map</a> | <a href="https://www.ahrq.gov/policy/electronic/accessibility/index.html" class="footer_navlink">Accessibility</a> | <a href="https://www.ahrq.gov/policy/electronic/privacy/index.html" class="footer_navlink">Privacy
Policy</a> | <a href="https://www.ahrq.gov/policy/foia/index.html" class="footer_navlink">Freedom of Information Act</a> | <a href="https://www.ahrq.gov/policy/electronic/disclaimers/index.html" class="footer_navlink">Disclaimers</a> | <a href="http://www.hhs.gov/open/recordsandreports/plainwritingact/index.html" class="footer_navlink">Plain Writing Act</a> <br />
<a href="http://www.hhs.gov" class="footer_navlink">U.S. Department of Health &amp; Human Services</a> | <a href="http://www.whitehouse.gov" class="footer_navlink">The White House</a> | <a href="http://www.usa.gov" class="footer_navlink">USA.gov: The U.S. Government's Official Web Portal</a></p>
</div>
<div id="banner_Footeraddress"><p>Agency for Healthcare Research and Quality <img src="/images/bottom_dot.gif" alt="" /> 5600 Fishers Lane Rockville, MD 20857 <img src="/images/bottom_dot.gif" alt="" /> Telephone: (301) 427-1364</p></div>
<!-- End of Footer links section -->
</body>
</html>
Reference in a new issue View git blame Copy permalink