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Telehealth Publications

Telehealth Funding Guide

January 2005

Starting Point
Telehealth has become a large, diverse field that is still rapidly growing and evolving. A few years ago, telehealth funding came from limited number of specialized programs. Today, funding for a telehealth project could be available from numerous sources, many of which will not be specifically identified as telehealth/telemedicine. This listing of federal telehealth funding sources is designed to get you started in your quest for telehealth funding sources. You are urged to explore telehealth funding sources as well as mainstream programs that might be interested in incorporating telehealth features.

Mainstream Federal Government Funding
Now that the benefits of many telehealth applications have been demonstrated, federal agencies want to incorporate telehealth features in appropriate mainstream programs. For example, the Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services (DHHS) believes that the benefits of telehealth activities can improve the effectiveness and efficiency of its mainstream programs. Therefore, HRSA awards preference points in some grant competitions to applications that incorporate telehealth features. This mainstreaming of telehealth means that “telehealth” funds are potentially available from numerous clinical grant programs. For example, a program designed to fund innovative projects for diabetes could be the best source of funds for a project that proposed delivering services to a diabetes patient via telehealth. An applicant should track the clinical grant announcements for ones that encourage the inclusion of telehealth features.

Partnering
Often, the best way to develop a proposal for a mainstream funding grant is for an organization with telehealth skills to partner with an organization with clinical expertise. Increasingly, there is a well-developed knowledge base in a telehealth application as well as in the clinical area. Therefore, the task is to integrate these two knowledge bases, not to reinvent one of them. Combining the telehealth and clinical expertise can produce the most cost-effective proposal.

Locating Other Resources
A good starting point for information on telehealth is the Telemedicine Information Exchange (TIE). The TIE maintains a searchable database of funding sources for telemedicine and telehealth activity, which includes funding opportunities in both the government and private sectors. The TIE collects and maintains a variety of details about each funding opportunity, such as contact information, related Websites, deadlines, and other notes. The TIE was created by the Telemedicine Research Center and funded by the National Library of Medicine, National Institutes of Health. Links to funding opportunities throughout the U.S. Department of Health and Human Services (DHHS) can be found at http://www.hhs.gov/grants/index.shtml

HHS manages over 300 programs designed to protect the health of all Americans and provide essential human services, especially for those who are least able to help themselves. HHS, with a FY 2005 budget of $580 billion, is the largest grant-making agency is the federal government. The HHS homepage provides links to all HHS agencies including the Health Resources and Services Administration (HRSA), the National Institutes of Health (NIH), the Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC). Links to funding opportunities at most federal departments can be found at http://www.spo.berkeley.edu/Links/Fed.html, a site maintained by the University of California, Berkeley.

Locating Foundation Resources
The Foundation Center, a nonprofit entity, located on the web at, provides a wealth of information on what foundation support might be available for a telehealth project and how to develop the best proposal. The Foundation Center tracks the funding activity of thousands of foundations in numerous subject areas including health and provides background information on foundations as well as their prior funding patterns and projects.

The Foundation Center maintains a database of foundations that award grants directly to individuals. This database is available in both a print edition and an online format. The print directory ($65) features over 5,500 entries on foundations. Six indexes are provided to help target prospective grants by subject area, types of support, grantmaker name, and more. The online database is searchable by foundation name, foundation city, foundation state, field of interest, type of support, geographic focus, company name, school name, and free text search. It is available on a monthly ($9.95) or annual ($99.95) basis by subscription. These listings do not generally mention telehealth/telemedicine. Therefore, researchers will need to identify potential funding sources through searchers on health topics or population characteristics. After becoming familiar with The Foundation Center’s offerings through exploring its web site, a researcher might want to visit a local Foundation Center Cooperating Collections both for free access to the database as well as assistance in organizing a search. The Foundation Center Cooperating Collections are generally located in a public or university library.

Source of Information
The information in this guide was submitted by the programs, themselves.

Rural Utilities Service (RUS) top

U.S. Department of Agriculture (USDA), Rural Development Distance Learning and Telemedicine Loan and Grant ProgramContact:

Jonathan P. Claffey
Acting Assistant Administrator
Telecommunications Program
(202) 720-9554 (voice)
(202) 720-0810 (fax)
jclaffey@usda.gov

Distance Learning and Telemedicine Program
(202) 720-0413 (voice)
(202) 720-1051 (fax)
dltinfo@usda.gov

The Distance Learning and Telemedicine Loan and Grant Program (DLT) program improves access to health care services and education in rural communities by encouraging and improving the use of telecommunications, computer networks, and related technologies. The program provides grants, combination loan-grants and loans.

Grants can be used to fund capital costs on a one-time funding basis and require 15% matching funds. Specifically, the DLT grants fund the costs of acquiring and installing eligible equipment at health care sites, schools, and at other eligible sites. System operating expenses, including salaries, are not eligible. Applications for grants will go through a competitive scoring process in accordance with guidelines published at 7 CFR 1703.126. The deadline for FY 2005 applications for grants was February 1, 2005.

The combination loan-grant and loan programs fund the same eligible equipment as the grants (at the same type of end-user sites), and expand the reach of financial assistance to some construction, and, in some cases, acquisition of telecommunications transmission facilities.

Combination loan-grant and loan applications are evaluated on eligibility, credit quality, feasibility and other factors. Loan-grant and loan applications are accepted at any time, are not competitively scored, and are processed in the order they are received.

The Rural Utilities Service (RUS) funds incorporated organizations that operate educational or medical facilities in rural area or that provide distance learning or telemedicine services to such organizations or facilities.

The Program also funds consortia or partnerships of organizations that provide rural educational or health care services. In addition, units of state and local government are eligible to apply.

The FY 2004 DLT program provided $24.6 million in grants to 62 organizations, $22.7 million in combination loan-grants to 4 organizations and one loan for $9.7 million. The amounts available for the FY05 DLT program were listed in the January 18, 2005 Federal Register as: Grants $20.8 million; Loans $9.6 million; and Combination Loan-Grants $44 million. Additional information, the application guide and toolkit are available at: http://www.usda.gov/rus/telecom/dlt/dlt.htm.The DLT regulation can be found at: http://www.usda.gov/rus/telecom/dlt/dlt.htm.
Office for the Advancement of Telehealth top

HIV/AIDS Bureau (HAB), Health Resources and Services Administration (HRSA), U.S. Dept. of Health and Human Services (DHHS) Telehealth Network Grant Program (TNGP)

Contact
:
Carl Allen
(301) 443-0447 (voice)
(301) 443-1330 (fax)
callen@hrsa.gov (email)

The primary objective of the Telehealth Network Grant Program (TNGP) is to help communities build the human, technical, and financial capacity to develop sustainable telehealth programs and networks. Grants may be used to develop telehealth network projects in rural areas, in medically underserved areas, in frontier communities, and for medically underserved populations, to (a) expand access to, coordinate, and improve the quality of health care services; (b) improve and expand the training of health care providers; and (c) expand and improve the quality of health information available to health care providers, and patients and their families. Awards will be made for up to three years.

To be eligible for this program, the applying organization shall be a nonprofit entity that will provide services through a telehealth network. Each entity participating in the telehealth network may be a nonprofit or for-profit entity. Faith-based and community based organizations are eligible to apply. The telehealth network shall include at least two of the following entities (at least one of which shall be a community-based health care provider): (a) community or migrant health centers or other federally qualified health centers; (b) health care providers, including pharmacists, in private practice; (c) entities operating clinics, including rural health clinics; (d) local health departments; (e) nonprofit hospitals, including community (critical) access hospitals; (f) other publicly funded health or social service agencies; (g) long-term care providers; (h) providers of health care services in the home; (i) providers of outpatient mental health services and entities operating outpatient mental health facilities; (j) local or regional emergency health care providers; (k) institutions of higher education; or (l) entities operating dental clinics.

The funding priorities for this program are: (a) clinical telemedicine networks that address chronic conditions (e.g. asthma, diabetes) in a variety of settings, such as patient homes, schools, and other community settings; (b) projects designed to improve health care outcomes (e.g. improved access, productivity, dollars saved) as well as improved quality of services (e.g. reduction of medical errors); (c) clinical telemedicine networks that include distance-learning education for health professionals, and patients and their families, if such activities are in conjunction with the delivery of health services; and (d) clinical telemedicine networks that integrate their telemedicine information system into overall electronic clinical information systems (e.g. electronic medical record) used by network members.

In September 2003 OAT funded 15 TNGP projects at up to $250,000 each for a total of approximately $3.75 million. These grantees are eligible for non competing funding for a second and third year. In September 2004, these 15 grantees were awarded second year funding of approximately $250,000 each for a total of $3.75 million. Whether or not additional grantees are added in future funding cycles will depend on future appropriations. Potential grantees are encouraged to check the OAT website (below) for that information.

Since 1989, the Office for the Advancement of Telehealth, formerly located with the Office of Rural Health Policy, has invested over $250 million in funding telemedicine/telehealth demonstration and evaluation projects, including projects funded under the Rural Health Outreach Grant Program.

Descriptions of current OAT-funded telemedicine/telehealth projects can be found at http://telehealth.hrsa.gov.

The Health Resources and Services Administration (HRSA) directs programs that improve the Nation's health by expanding access to comprehensive, quality health care for all Americans. HRSA works to improve and extend life for people living with HIV/AIDS, provide primary health care to medically underserved people, serve women and children through state programs, and train a health workforce that is both diverse and motivated to work in underserved communities. The FY 2005 HRSA Preview includes summaries, application deadlines and links to guidance for all HRSA programs expected to hold competitions in FY 2005.

 

Office of Rural Health Policy (ORHP) top

Health Resources and Services Administration (HRSA), U.S. Dept. of Health and Human Services (DHHS) Rural Health Care Services Outreach Grant

Program Contact:
Eileen Holloran (general information)
(301) 443-0835 (voice)
(301) 443-2803 (fax)
eholloran@hrsa.gov (email)
Rural Health Care Services Outreach Grant Program Grant funds are available for projects that support the direct delivery of health care and related services, expand existing services, or enhance health service delivery through programs that provide direct health care, provide health education, promotion and prevention or address other health related needs. The emphasis is on the actual delivery of specific services rather than the development of organizational capabilities. Projects goals are achieved by consortia of three or more organizations of the same type of providers (e.g., all hospitals) or more diversified health care provider groups. Each member of the consortium must have a significant role in the proposed project and the target population or community must be included in planning and developing the project.

Grant funds can be used to purchase equipment or vehicles provided that their cost does not exceed 40 percent per year of the federal grant amount. Funds under this program may not be used for the purchase, construction, renovation or improvement of a building or property or for in-patient care.

Under this grant program, ORHP funds rural nonprofit or public entities that have their organizational headquarters located in a rural county or in a rural ZIP Code of an urban county. All services must be provided in a rural county or ZIP Code.

Additional information about the Office of Rural Health Policy, complete program eligibility requirements, other funding opportunities to serve rural areas and application materials can be found on the ORHP web site at: http://www.ruralhealth.hrsa.gov.

Dates of competition: Application available: June 2005

Due Date: September 2005
National Telecommunications and Information Administration (NTIA) top

U.S. Dept. of Commerce (DOC)


Contact:
(202) 482-2048 (voice)
(202) 501-8009 (fax)
top@ntia.doc.gov (email)

The Technology Opportunities Program (TOP) is a highly-competitive, merit-based grant program that brings the benefits of digital network technologies to communities throughout the United States. TOP will not be awarding grants in FY 2005. Since 1994, TOP has awarded matching grants to public and non-profit organizations to demonstrate practical applications of telecommunications and information technologies. To date, TOP has awarded 610 grants, in all 50 states, Puerto Rico, the District of Columbia, and the U.S. Virgin Islands, totaling $233.59 million and leveraging $313.7 million in local matching funds. In FY 2004, 27 awards were made totaling more than $14.4 million.

More information on the grant program and its recent awards is available at http://www.ntia.doc.gov/top, (202) 482-2048 (voice), (202) 501-8009 (fax), top@ntia.doc.gov (e-mail).

Office of Rural Mental Health Research (ORMHR) top

National Institute of Mental Health (NIMH), National Institutes of Health (NIH), U.S. Dept. of Health and Human Services (DHHS)

Contact:
Anthony Pollitt, Ph.D.
Chief, Rural Mental Health Research Program
(301) 443-4525 (voice)
(301) 443-8552 (fax)
apollitt@nih.gov (email)
ORMHR/NIMH supports research focusing on a variety of issues that would ultimately enhance access to and quality of mental health care to rural and frontier populations. The NIMH and The National Institute on Drug Abuse (NIDA) have issued a new Program Announcement (PA) that details a number of issues in need of further research. The announcement, “Research On Rural Mental Health And Drug Abuse Disorders,” can be found at: http://grants.nih.gov/grants/guide/pa-files/PA-07-103.html.

Application deadlines are February 1, June 1, and October 1 of each year. Two key issues included in the PA are: (1) studies of intervention models of care that would enhance the delivery of mental health services to diverse rural and frontier communities; and (2) studies of the efficacy/effectiveness of diagnosing and delivering care through telecommunications modalities to underserved locations and populations, e.g., rural and frontier communities, the incarcerated, the hearing impaired, and the elderly who are in nursing homes or homebound.

Information on NIMH grants can be found at http://www.nimh.nih.gov/researchfunding/grants.cfm.ORMHR funds non-profit and for-profit organizations.
National Library of Medicine (NLM) top

National Institutes of Health (NIH), U.S. Department of Health and Human
Services (DHHS)

The following units within the National Library of Medicine (NLM) fund telemedicine, biomedical informatics projects and related activities. Information on each unit's programs is provided below.
  • Division of Extramural Programs (EP)
    • Resource Support for Information Management
      • Internet Access to Digital Libraries (IADL) Grants
      • Information System Grants
      • Integrated Advanced Information Management Systems (IAIMS) Grants
    • Support for Research & Development
      • Small Project Grants (R03)
      • Exploratory/Developmental Grants (R21)
    • Small Business Innovation Research (SBIR)
  • Office for High Performance Computing and Communications (OHPCC)
  • National Network of Libraries of Medicine (NN/LM)

All programs are announced on the NLM website at: http://www.nlm.nih.gov.

Division of Extramural Programs (EP) top

Within the Division of Extramural Programs (EP), there are three areas of interest for telemedicine grantees:
  • Resource Support for Information Management
  • Support for Research & Development
  • Small Business Innovation Research (SBIR)
Resource Support for Information Management Contact:
Valerie Florance, PhD
Division of Extramural Programs
National Library of Medicine
Rockledge One, Suite 301
6705 Rockledge Drive
Bethesda, MD 20892
(301) 594-4882 (voice)
(301)402-2952 (fax)
FloranV@mail.nlm.nh.gov (email)
Within the Resource Support for Information Management there are three grant programs related to telehealth:

Internet Access to Digital Libraries (IADL)
Applications are accepted 3 times per year: February 1, June 1 and October 1. The Internet Access to Digital Libraries (IADL) grant enables organizations to improve infrastructure for access to scientific or health-related information offered by NLM and others. U.S. public and private, non-profit health-related organizations are eligible to apply. These grants can be for 1 or 2 years. The base amount is $45,000, with additional funds available for multi-site proposals. A description of the program and application process is available at http://www.nlm.nih.gov/ep/GrantIADL.html.

Information System Grants
Applications are accepted 3 times per year: February 1, June 1 and October 1. The Information System grants support projects for using computers and networks to improve access to and management of health information. Projects usually focus on providing new information resources and services to a target audience of consumers, patients or health professionals. U.S. public and private, non-profit health-related organizations are eligible to apply. These grants can be for up to 3 years; the average award is $150,000 per year. A description of the program and application process is available at http://www.nlm.nih.gov/ep/GrantInfoSys.html.

Integrated Advanced Information Management Systems (IAIMS) Grants Applications are accepted 3 times per year: February 1, June 1 and October 1.

The National Library of Medicine provides IAIMS grants to health-related organizations for projects to plan, design, test and deploy systems and techniques for integrating data, information and knowledge resources into a comprehensive networked information management system. Particular emphasis is placed on trans-organizational mechanisms that enable the easy flow of information between health-related organizations, such as from a community clinic to a hospital or public health department, or between arenas of action, such as between health care and basic biomedical research. U.S. private and public, for-profit and not-for-profit organizations are eligible to apply. There are 5 different types of grants in the IAIMS program - 2 resource grants (planning and operations), 2 investigational grants (pilot study and testing & evaluation) and a fellowship). Award amount varies by program. All IAIMS grants are described at http://www.nlm.nih.gov/ep/Grants.html.

Support for Research and Development

Contact:

Valerie Florance, PhD
Division of Extramural Programs
National Library of Medicine
Rockledge One, Suite 301
6705 Rockledge Drive
Bethesda, MD 20892
(301) 594-4882 (voice)
(301)402-2952 (fax)
FloranV@mail.nlm.nh.gov (email)

Research Grants in Biomedical Informatics and Bioinformatics (R01)

Applications are accepted 3 times per year: February 1, June 1 and October 1.NLM funds investigator-initiated research that centers on understanding data, information and knowledge - their nature, forms and uses - in the domains of health care and basic biological sciences. NLM's biomedical informatics research grants support the study of how information is best captured, represented, stored, retrieved, manipulated, managed and disseminated for use in clinical medicine, health services administration, education and basic biomedical sciences. Topics of interest relating to telehealth include knowledge representation, linkage of clinical and genomic information, effects of information technology and informatics advances on health care processes and outcomes, human-machine interaction, efficient management and use of large-scale data repositories. The average award in this program is $250,000 in direct costs per year for up to three years. A description of the program is available at http://www.nlm.nih.gov/ep/GrantResearch.html.

Small Project Grants (R03)
Applications are accepted 3 times per year: February 1, June 1 and October 1.Small grants are short-term awards designed to support basic and clinical research to answer specific, targeted research questions or to perform pilot or feasibility testing in biomedical informatics or bioinformatics. U.S. private and public, for-profit and not-for-profit organizations are eligible to apply. Small project grants provide up to $50,000 per year for one or two years. A description of the program and application process is available at http://www.nlm.nih.gov/ep/GrantSmallProjects.html

Exploratory/Developmental Grants (R21)
Applications are accepted 3 times per year: February 1, June 1 and October 1. Exploratory/Developmental grants support the early and conceptual stages of innovative research projects in biomedical informatics, biotechnology information, and health sciences library and information science. Their purpose is to foster the introduction of novel scientific ideas, model systems, tools, agents, targets, and technologies that have the potential to substantially advance informatics research. The applicant may request a project period of up to two years with a combined budget for direct costs of up $275,000 for the two year period. A description of the program and application process is available at http://www.nlm.nih.gov/ep/GrantExDev.html.

Small Business Innovation and Research (SBIR)
Contact:

Milton Corn, MD, Director,
Division of Extramural Programs
National Library of Medicine
Rockledge One, Suite 301
6705 Rockledge Drive
Bethesda, MD 20892
(301) 496-4621 (voice)
(301) 402-2952 (fax)
cornm@mail.nlm.nih.gov (email)

Small Business Innovation and Research (SBIR) Grants.
Applications are accepted 3 times per year: April 1, August 1, and December 1. SBIR grants are available to small businesses that wish to bring ideas to market. NLM supports SBIR grants in its areas of interest - the management and communication of medical or health information and knowledge, including its development, transmission, dissemination, and evaluation. Phase 1 SBIR grants can provide $100,000 for 6 months of basic research & development. Projects that successfully complete Phase I can apply for a Phase II grant. The program and application process are described at http://grants1.nih.gov/grants/funding/sbir.htm and additional information on the SBIR program at NIH is available at http://grants1.nih.gov/grants/funding/sbirsttr_programs.htm. A grant review cycle takes approximately 9 months, from deadline to award.
For example:

Cycle I

Application Receipt Date: February 1
Merit Review: June-July
Board of Regents Review: September-October
Earliest Project Start Date: DecemberFor more information on Application Submission, Review, and Award Cycles follow the NIH cycles, see http://www.nlm.nih.gov/ep/Lifecycle.html.

For more information on grant deadlines, see http://www.nlm.nih.gov/ep/Deadlines.html

Office for High Performance Computing and Communications (OHPCC) top

Contact:
Michael J. Ackerman, PhD
Assistant Director, HPCC
National Library of Medicine
Lister Hill National Center for Biomedical Communications (LHNCBC)
8600 Rockville Pike
Bethesda MD 20894
(301) 402-4100 (voice)
(301) 402-4080 (fax)
ackerman@nlm.nih.gov (e-mail)
NLM has sponsored programs in telemedicine, generally from the perspective of the application of communications technologies for delivery of health care at a distance. Management of these programs has been the responsibility of the OHPCC, and projects are generally funded through contract awards. Requests for Proposals (RFPs) are available when issued from the NLM Office of Acquisitions Management, http://www.nlm.nih.gov/oam/oam.html. The following programs, which were funded over a multi-year period, are described in detail on the OHPCC Web site at http://www.nlm.nih.gov/research/telemedinit.html and http://www.nlm.nih.gov/research/ngiinit.html.
  • Scalable Information Infrastructure Projects (2003)
  • Next Generation Internet (NGI) Projects (1998)
  • NLM Telemedicine Initiative (1996)
  • High Performance Computing and Communications (1994)
The CD-ROM from the Telemedicine Symposium which was co-funded by the Office for the Advancement of Telehealth and was held on March 13 and 14, 2001 is available on the web only.

See http://www.nlm.nih.gov/research/telesymp.html. Also included are other documents and information pertaining to NLM's Telemedicine Initiative.
National Network of Library of Medicine (NN/LM) top

Contact:
Angela B. Ruffin, PhD
Head
NN/LM National Network Office
National Library of Medicine
8600 Rockville Pike, Bldg. 38, Room B1-E03
Bethesda, Maryland 20894
(301) 496-4777 (voice)
(301) 480-1467 (fax)
http://www.nlm.nih.gov/nno/nnohome.html
NLM administers the National Network of Libraries of Medicine (NN/LM), consisting of eight Regional Medical Libraries (RMLs), and over 5,000 health sciences libraries and a growing number of public libraries. The RMLs offer training programs, various types of project funding, and other resources to reach the underserved and minority health professionals in rural, urban and inner city areas, the public health workforce, and the general public. For further information, consult http://nnlm.gov to identify and link to your local RML.
National Cancer Institute (NCI) top

National Institutes of Health (NIH), U.S. Dept. of Health and Human Services (DHHS) Multimedia Technology Health Communication Grants-NCI

Contact:  

Connie Dresser, RDPH, LN
(301) 435-2846 (voice)
(301) 480-2087 (fax)
cd34b@nih.gov (email)

The National Cancer Institute (NCI) at NIH has a designated program in the Division of Cancer Control and Population Sciences that addresses the use of multimedia technology to translate cancer research into programs, interventions, systems, networks, or products needed by the public or primary care professionals to reduce cancer risk or improve the quality of life of cancer survivors.

The goals of the Multimedia Technology Health Communication SBIR Grant Program are to 1) fund science-based, user-centered grants and contracts to translate cancer research into programs, interventions, systems, networks, or products needed by professionals or the public to reduce cancer risk or improve the quality of life of cancer survivors; 2) promote the use of innovative media technology and/or communication approaches in cancer prevention and control applications used in medical and community settings; 3) improve communication behaviors of primary care professions, patients, and care-givers in cancer-related matters; 4) promote organizational infrastructures changes that promote the use of products developed in the program; 5) promote the development of system models and 6) expand the methods for evaluating ehealth research and developed products.

Applicants are required to develop, implement, and test the effectiveness of new or existing models of behavior modification, information, education or training using a variety of media technology including: computer applications, expert systems, advanced telephone technologies, television, radio, videotext, virtual reality, the Web, and wireless technologies in nine research categories.Specifically, the program uses the Small Business Innovation Research (SBIR) Grant mechanism and the Small Business Technology Transfer (STIR) Grant mechanism to fund multimedia technology grants. The SBIR mechanism funds small businesses and the STIR mechanism funds collaborations between small businesses and non-profit organizations.

Background Information on NIH's Small Business Innovation Research (SBIR) Program (From the NIH guide to Grants and Contracts)

The Small Business Innovation Research (SBIR) program provides support for research and development (R&D) of new technologies and methodologies which have the potential to succeed as commercial products. The government supports this type of grant mechanism because innovative technologies and methodologies fuel progress in biomedical and behavioral research and represent an increasingly important area of the economy. The intent of the SBIR program is to increase private sector commercialization of innovations derived from federal R&D.The applicant organization must be a small business concern, and the primary employment of the principle investigator must be with the small business at the time of the award and during the conduct of the proposed project. However, scientists at research institutions can play important roles in an SBIR project by serving as consultants and/or sub-contactors to the small business. Certain agencies (e.g., FDA, NIH, and CDC) are required to reserve a specified amount of their extramural research or R&D budget for an SBIR program.The objectives of the SBIR program's three phases are:

  • Phase I: Determine the scientific and technical merit, feasibility and potential for commercialization of the proposed project.
  • Phase II: Develop the product, implement it in a large-scale study or clinical trial and evaluate its impact and effectiveness with potential end-users.
  • Phase III: Where appropriate, pursue with non-SBIR funds, the commercialization of the results of the research or R&D of Phases I and II.
For more information about the SBIR/STTR grants funded by this program, access the home page: http://cancercontrol.cancer.gov/hcirb/sbir or contact Connie Dresser, the Program Director at: cd34b@nih.gov.
Centers for Medicare & Medicaid Services (CMS) top

U.S. Dept. of Health and Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) U.S. Dept. of Health and Human Services (DHHS) Telemedicine Payment Evaluation Project and the Informatics for Diabetes Education and Telemedicine (IDEATel) Demonstration Project

Contact:
Diana L. Ayres
(410) 786-7203 (voice)
In February 2000, as a result of legislative mandates in section 4207 of the Balanced Budget Act of 1997 (BBA 97), section 413 of the Balanced Budget Refinement Act of 1999 (BBRA 99), and BIPA 00, CMS awarded a $28 million 4-year cooperative agreement to Columbia University to focus on the monitoring and care of Medicare beneficiaries residing in medically underserved inner city and rural areas (including those beneficiaries with limited English speaking capabilities) of New York suffering from diabetes mellitius. In September 2004, as a result of legislation contained in section 417 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, CMS awarded $10.2 for the first year (of a potential $29 million 4-year cooperative agreement) to extend the demonstration for an additional 4-years. The second phase of IDEATel began on February 28, 2004, and will expire on February 28, 2008. For the most part, the logistics remain the same, although some changes may occur as a result of lessons learned from phase 1.

The demonstration is multi-faceted, and involves remote patient monitoring and interventional informatics, automated clinical guidelines and standards, and specialized curricula for health care professionals dealing with the use of informatics and telemedicine systems. The demonstration is intended to apply high capacity telemedicine and computing networks and services to improve primary and preventative care related to diabetes. The project is designed as a blocked, randomized controlled trial consisting of 1,665 urban and rural participants (775 in New York City, basically in Manhattan and the Bronx and 890 in 39 counties in upstate New York). The participants are randomly assigned equally to a treatment or control group. The participants in the treatment group receive a home telemedicine unit (HTU) and diabetes care management provided by nurse case managers. The control group participants continue to receive usual care from their primary care physicians. The HTU consists of a personal computer with audio/video communication capabilities and devices for measuring blood sugar and blood pressure. The HTU allows participants to monitor their blood pressure and blood sugar and transmit these measurements to nurse case managers, communicate via audio/video conferencing with nurse case managers (known as televisits) and access web-based feature such as educational materials and chat rooms that are accessible only to other participants.

In addition to the demonstration, Congress also mandated that an independent evaluation be performed. The evaluation is to include an assessment of telemedicine's impact on improving access to health care services, reducing Medicare costs, and improving quality of life. CMS contracted with Mathematica Policy Research, Inc. (MPR) to prepare the mandated interim and final evaluation reports, the first of which was forwarded to Congress on May 7, 2003. MPR will prepare an interim report for submittal to Congress mid 2005. General information about CMS grant and contract solicitations can be found at: http://www.cms.hhs.gov/ResearchDemoGrantsOpt/. Information on Medicaid and telemedicine can be found at: http://www.cms.hhs.gov/Telehealth/
Agency for Healthcare Research and Quality (AHRQ) top

U.S. Dept. of Health and Human Services (DHHS)

In October 2004, the Agency for Healthcare Research and Quality (AHRQ) in the U.S. Department of Health and Human Services (DHHS) announced $139 million in grants and contracts to promote the use of health information technology (HIT).

These awards will provide insight into how best to use health information technologies to improve patient safety by reducing medication errors; increasing the use of shared health information between providers, laboratories, pharmacies and patients; helping to insure safer patient transitions between health care settings, including hospitals, doctors' offices, and nursing homes; and reducing duplicative and unnecessary testing.

"These grants will provide the momentum needed to move forward with the creation of a safer U.S. health care system based on proven health information technologies, especially in the rural and small communities throughout America where the need is so great," said AHRQ Director Carolyn M. Clancy, M.D. "Health care systems across the country can learn from our grantees' experiences and follow their lead."

The $139 million will be used in the following ways:
  • Transforming Health Care Quality thru Information Technology (THQIT) - The THQIT initiative is a multi-year program funding over 100 grants to communities, hospitals, providers, and health care systems to help in all phases in the planning, development, and use of health information technology. The grants are spread across 38 States, with a special focus on small and rural hospitals and communities. First-year funding is $41 million and will total nearly $96 million over three years.
  • Developing Statewide and Regional networks-Five-year contracts to five States (CO, IN, RI, TN, UT) or their designees to help them develop Statewide networks that are secure, ensure privacy of health information, and make an individuals' health information more available to health care providers. Participants include major purchasers of health care, public and private payers, hospitals, ambulatory care facilities, home health care providers, and long-term care providers. First-year funding is $1 million for each State and will total $25 million over the course of the contracts.
  • Encouraging adoption of HIT by sharing knowledge -The creation of the AHRQ National Health Resource Center for Health IT to aid grantees and other Federal partners by providing technical assistance, provide a focus for collaboration, serve as a repository for best practices, and disseminate needed tools to help providers explore the adoption and use of health information technology to improve patient safety and quality of care. The two-year contract, renewable for up to three years, was awarded to The National Opinion Research Center (NORC), http://www.norc.uchicago.edu/about/index.asp a national organization for research at the University of Chicago. First-year funding is $4 million, with an estimated value of $18.5 million over the course of the contract.
For the full HHS press release on these projects, go to http://www.ahrq.gov/news/press/pr2004/hhshitpr.htm.

For specific information on each award, go to www.ahrq.gov/research/hitfact.htm.

These projects support President Bush's initiative to use HIT to improve the Nation's health care system. More information on DHHS activities in HIT can be found at the web site of the National Coordinator for Health Information Technology at http://www.hhs.gov/healthit.

Information on FY 2005 AHRQ funding opportunities, including HIT, is available through the AHRQ Web site at http://www.ahrq.gov; through AHRQ InstantFAX by calling 301-594-2800 from a fax machine with a telephone handset; and from the AHRQ Publications Clearinghouse (AHRQ Publications Clearinghouse; P.O. Box 8547; Silver Spring, MD 20907-8547; (800) 358-9295; (888) 586-6349 (TDD). The monthly publication Research Activities provides information on grant announcements and RFPs for contracts and is available through the AHRQ Publications Clearinghouse.

AHRQ's research projects examine the availability, quality and costs of health care services; ways to improve the effectiveness and appropriateness of clinical practice, including the prevention of disease; and other areas of health services research, such as services for persons with HIV infection.

AHRQ uses mechanisms of grants, cooperative agreements, and contracts to carry out research projects, demonstrations, evaluations, and dissemination activities. AHRQ also supports small grants, conference grants, and training through dissertation grants and National Research Service Awards to institutions and individuals. Areas of specific interest for grants and cooperative agreements are announced in the NIH Guide for Grants and Contracts. These may be areas of ongoing interest identified in program announcements (PAs) or targeted one-time activities identified in requests for applications (RFAs).
National Institutes of Standards and Technology (NIST) top  

U.S. Department of Commerce (DOC) Advance Technology Program-Information Infrastructure for Healthcare (IIH)

Contact for information about eligibility, how to apply, and cost-sharing requirements, the ATP program:
(800) 287-3863 (voice recording)
(301) 926-9254 (fax)
atp@nist.gov (email)

Mail Stop 4720
National Institute of Standards and Technology, Gaithersburg, MD 20899-4701
Contact for technical information:
Bettijoyce Lide, Program Manager
(301) 975-2218 (voice)
(301)926-9524 (fax)
bettijoyce.lide@nist.gov (email)
The National Institutes of Standards and Technology's (NIST) Advanced Technology Program (ATP) supports strategic, high-risk research in cutting-edge technologies through a government/private-sector partnership program. ATP will not hold a competition for funding high-risk R&D in fiscal year 2005.

In fiscal year 2004, Advanced Technology Program (ATP) funded such health projects as the detection and treatment of cancer using near-infrared absorbing nanoshells; the development of breast cancer diagnostic and therapeutic antibodies that recognize only unique tumor proteins; development of techniques for site-specific insertion and control of therapeutic genes in human adult neural stem cells; development of a system to track user interaction with computer applications to monitor, and possibly mitigate, cognitive decline in older adults; creation of a prototype of an anonymous clearinghouse for sensitive patient medical data that will enable large-scale drug studies; development of a novel wearable transdermal drug delivery system; development of a tissue engineering strategy for rotator cuff tendons utilizing a patient's own bone marrow cells and a novel biomaterial; and development of a new library-based technology platform to select a broad array of fully human monoclonal antibodies in mammalian cells for therapeutic use in treating cancer, inflammation, and infectious diseases.

In the area of healthcare informatics, Advanced Technology Program (ATP) has funded over 50 projects representing an investment of approximately $200 million of government funding and a comparable amount of industry cost share.

Please visit the NIST ATP Web site for additional information or to download an information kit.

Telehealth Links
 

Universal Service for Rural Health Care Providers (Federal Communications Commission)

Distance Learning & Telemedicine Program (U.S. Department of Agriculture)

Innovation, Demand and Investment in Telehealth (Acrobat/pdf, U.S. Department of Commerce)

Technical Assistance Documents: A Guide to Getting Started in Telemedicine (HRSA grantee Web site)

American Telemedicine Association (not a U.S. Government Web site)

Telemedicine Information Exchange (not a U.S. Government Web site)

 

Questions Order Publications