INTEGRATED ADVANCED INFORMATION MANAGEMENT SYSTEMS (IAIMS) FELLOWSHIP GRANT RELEASE DATE: April 8, 2002 PA NUMBER: PAR-02-096 EXPIRATION DATE: 03-15-05, unless reissued. National Library of Medicine (NLM) (http://www.nlm.nih.gov) THIS PA CONTAINS THE FOLLOWING INFORMATION o Purpose of the PA o Research Objectives o Mechanism(s) of Support o Eligible Institutions o Individuals Eligible to Become Principal Investigators o Special Requirements o Where to Send Inquiries o Submitting an Application o Peer Review Process o Review Criteria o Award Criteria o Required Federal Citations PURPOSE OF THIS PA The National Library of Medicine provides IAIMS grants to health-related institutions and organizations that seek assistance 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. Integrated advanced information systems (IAIMS) are organization-wide or trans-organizational mechanisms that use computer networks to link and relate the published biomedical knowledge base with individual and institutional databases and information files, within and external to an institution. The IAIMS program described in this Program Announcement is a substantially revised version of the NLM"s existing IAIMS program, first announced in 1982 and substantially revised in 1992. Because health-related organizations exhibit considerable variation in their approach to information management, NLM"s IAIMS program offers several options for grant support: IAIMS Planning Grants, IAIMS Pilot Study Grants, IAIMS Testing and Evaluation Grants, IAIMS Operations Grants and IAIMS Fellowships. This program announcement describes only the IAIMS Fellowship. For information about other IAIMS grants, see their individual program announcements. RESEARCH OBJECTIVES The Internet, advanced computing technologies, and digital information have altered the information landscape. With access to data, information and knowledge no longer time- and place- dependent, new opportunities are emerging to improve health care, education and research. To benefit from these advances, health-related organizations must (1) seamlessly integrate their own digital information resources with relevant information obtained from external sources, and (2) bring digital information to health care teams, researchers, teachers, students, patients and the general public in a way supports sound decisions and effective action. The long-term goal of NLM"s IAIMS program is a comprehensive and convenient information management system, one that brings useful, usable knowledge to action settings in health care, education and research. Particular emphasis is placed on organization-wide and trans-organizational mechanisms that enable the easy flow of information between arenas of action, such as between health care and education, or between health-related organizations, such as from a community clinic to a hospital or public health department. Since 1984, NLM has provided IAIMS grants to academic health sciences centers to build networks and organizational mechanisms for information management. In its first two decades, the emphasis of IAIMS was building organizational mechanisms and infrastructure that were largely internal to academic centers. Technological advances and widespread access to the Internet make it possible now to shift the emphasis of IAIMS from building these capabilities to using them. The IAIMS challenge for the 21st century is to involve all kinds of health-related organizations in using local and national networks to acquire, manage, and deliver knowledge in a way that binds it to effective action.[1] The fundamental activity areas of today"s IAIMS program are these: o CONTEXT-APPROPRIATE INFORMATION. People need usable, useful health information to guide their learning and decisions. Health care, education and research take place today in an information space fed by many sources of digital and printed information, some of which are not owned by an organization. Each organization must implement approaches that select the right subset of information from the available sources, and present it in the way most effective for a given problem and person. Examples of context- appropriate systems include: o systems that deliver applicable "chunks" of published knowledge into settings in which clinical decisions are being made, o systems that employ user profiles to tailor information resources or services to meet the needs of a key audience, o systems that enable the exchange of data between research databanks and clinical health records, o education modules that are delivered into workplace settings. o STANDARDS-BASED INFORMATION MANAGEMENT. Integrated access to a collection of information resources and services (one-stop shopping) has always been a core purpose of IAIMS. Effective integration of data, information and knowledge requires common syntax and semantics. Health organizations must use common vocabularies and adopt information standards that support the integration and exchange of health information. Examples of standards-based information management include: o standards-based applications that move clinical data from one proprietary system to another, o systems that use components of the Unified Medical Language System (UMLS) to link library information to personal health records, o systems that employ accepted standard data definitions in transmitting claims information or other reports electronically. o DIGITAL LIBRARIES. The phrase "digital library" refers to a collection of information, data or knowledge, stored on a computer and accessible across a network to other local and distributed computers. Examples of digital libraries include collections of electronic published articles and books, electronic personal health records, multimedia curriculum materials, research databanks and data warehouses of administrative or clinical information. The complex array of activities in academic health sciences centers and health care organizations can result in poorly- integrated information resources and services. Departmental and organizational boundaries can impede the flow of usable, useful information (1) between centers of activity within a single organization (such as between 2 health professions school), or (2) among unaffiliated organizations, (such as departments at different universities or a community consortium of hospitals). Organizations must implement approaches that facilitate the use of information acquired in one arena of action, such as clinical care, by people in another arena, such as research. Information management includes such functions as: methods of stewardship that assure the availability of useful, usable, accurate information, tools that allow authorized people to use information retrospectively and prospectively, in real time, for their chosen purposes, links from the organization"s knowledge store to knowledge that is external (i.e., not owned by the organization), evaluation of the costs and benefits to users of an information resource or service. Work in any fundamental IAIMS activity area requires the adoption of efficient, effective strategies for information management. A discussion of pertinent information management issues and processes is a required component of all IAIMS applications. Applicants are encouraged to propose IAIMS projects that include more than one institution, or include organizations of different types such as hospitals, clinics, community centers and local government health departments. While more complex, such collaborative projects give desirable economies of scale, affect greater numbers of users, and take advantage of network technological advancements. IAIMS grants are not sequential grants. However, some IAIMS grants do have prerequisites. Please see the program details for each grant in the IAIMS program. Organizations may apply for more than one type of IAIMS grant at the same time, but those applications will compete against one another for funds. MECHANISM OF SUPPORT This PA uses the NIH F38 award mechanism. As an applicant, you will be solely responsible for planning, directing, and executing the proposed project. The IAIMS Fellowship grant provides a salary stipend not to exceed $50,000 per year for one or two years. The amount of the salary stipend will be based on the salary or remuneration that the individual would have been paid by the home institution on the date of award. Stipends may be supplemented by an institution from non-Federal funds. The applicant"s home institution may request an allowance up to $6,000 per year for support of supplies, equipment, travel, tuition, fees, insurance, and remuneration for the IAIMS mentor. ELIGIBLE INSTITUTIONS You may submit (an) application(s) if your institution has any of the following characteristics: o For-profit or non-profit organizations o Public or private institutions, such as universities, colleges, hospitals, and laboratories o Units of State and local governments o Eligible agencies of the Federal government o Domestic INDIVIDUALS ELIGIBLE TO BECOME PRINCIPAL INVESTIGATORS Any individual with the skills, knowledge, and resources necessary to carry out the proposed research is invited to work with their institution to develop an application for support. Individuals from underrepresented racial and ethnic groups as well as individuals with disabilities are always encouraged to apply for NIH programs. To apply for support, an organization must submit an application on behalf of the individual seeking the fellowship. Fellows must be citizens or non- citizen nationals of the United States, or have been lawfully admitted for permanent residence at the time of appointment. Individuals on temporary or student visas are not eligible. Physicians, dentists, nurses, health science librarians, researchers, educators, administrators, and other health professionals are eligible. Applicants must have a bachelor"s, master"s, or doctor"s degree or be enrolled in a program leading to such a degree and demonstrate a commitment to the health sciences. It is not a requirement that this fellowship lead to a degree. Whether or not the training is used for credit or certification in an educational program is up to the applicant and the organization involved. Applications from minority individuals, and women are strongly encouraged. SPECIAL REQUIREMENTS The purpose of the IAIMS Fellowship is preparation for in-depth involvement in IAIMS work. The IAIMS Fellowship may be undertaken at the applicant"s home institution, and/or may involve an internship at another institution. The fellowship should include formal instruction, mentoring by an appropriate IAIMS mentor, and the completion of a hands-on project. The application for an IAIMS Fellowship should cover the following points: o A learning program that prepares the candidate to work in one of the fundamental IAIMS activity areas, o Designation of an IAIMS mentor and a description of the mentor"s involvement, o The goals and duration of the fellowship, o The structure of the learning experience, including site visits and internships, o A hands-on project related to the course of study. Discussion of pertinent information management issues and processes is required. Each IAIMS fellow must have a mentor who advises and oversees the work. The IAIMS mentor should be expert in an area of informatics or information science that is pertinent to the applicant"s learning program, and/or have participated in IAIMS activities at another location. The mentor may be at the home institution of the applicant, or at another institution. WHERE TO SEND INQUIRIES We encourage your inquiries concerning this PAR and welcome the opportunity answer questions from potential applicants. o Direct your questions about scientific/research issues to: Valerie Florance, Ph.D. Extramural Programs National Library of Medicine Rockledge 1, Suite 301, 6705 Rockledge Drive Bethesda, MD 20892 Telephone: (301) 594-4882 FAX: (301) 402-2952 Email: Floranv@mail.nlm.nih.gov o Direct your questions about financial or grants management matters to: J. Christopher Robey Extramural Programs National Library of Medicine Rockledge 1, Suite 301, 6705 Rockledge Drive Bethesda, MD 20892 Telephone: (301) 496-4221 FAX: (301) 402-2952 Email: RobeyJ@mail.nlm.nih.gov SUBMITTING AN APPLICATION Applications are to be submitted on the grant application form PHS 416-1 [http://grants1.nih.gov/grants/funding/416/phs416.htm] and will be accepted at the standard application deadlines as indicated in the application kit, April 5, August 5, and December 5. Application kits are available at most institutional offices of sponsored research offices and online [http://grants1.nih.gov/grants/funding/416/phs416.htm] For assistance in downloading the application forms, contact GrantsInfo, Telephone (301) 710-0267, Email: GrantsInfo@nih.gov. APPLICATION RECEIPT DATES: Applications submitted in response to this program announcement will be accepted at the standard application deadlines, which are available at https://grants.nih.gov/grants/dates.htm. Application deadlines are also indicated in the PHS 398 application kit. Complete Item 3 on the face page of the application indicating that the application is in response to this announcement and print F38 IAIMS Fellowship. The completed original and two legible copies along with the Personal Data form [https://grants.nih.gov/grants/funding/416/phs416.htm], the Checklist [https://grants.nih.gov/grants/funding/416/phs416.htm], appendix material, sealed reference reports, and other required information must be sent or delivered to: Center for Scientific Review National Institutes of Health 6701 Rockledge Drive, Room 1040, MSC 7710 Bethesda, MD 20892-7710 Bethesda, MD 20817 (for express/courier service) APPLICATION PROCESSING: Applications must be received by or mailed on or before the receipt dates described for new grants at https://grants.nih.gov/grants/funding/submissionschedule.htm. The CSR will not accept any application in response to this PA that is essentially the same as one currently pending initial review unless the applicant withdraws the pending application. The CSR will not accept any application that is essentially the same as one already reviewed. This does not preclude the submission of a substantial revision of an application already reviewed, but such application must include an Introduction addressing the previous critique. PEER REVIEW PROCESS Applications will be reviewed for scientific and technical merit by NLM"s Biomedical Library and Informatics Review Committee, in accordance with the standard NIH peer review procedures [http://www.csr.nih.gov/refrev.htm]. In general, the review criteria customarily employed by the NIH for fellowship applications will be followed. As part of the initial merit review, all applications will: o Receive a written critique o Undergo a selection process in which only those applications deemed to have the highest scientific merit, generally the top half of applications under review, will be discussed and assigned a priority score o Receive a second level review REVIEW CRITERIA The review criteria focus on four main components: Candidate: An assessment of the candidate"s previous academic and research performance and the potential to become an important contributor to biomedical, behavioral, or clinical science. Sponsor and Training Environment: An assessment of the quality of the training environment and the qualifications of the sponsor as a mentor for the proposed research training experience. Research Proposal: The merit of the scientific proposal and its relationship to the candidate"s career plans. Training Potential: An assessment of the value of the proposed fellowship experience as it relates to the candidate"s needs in preparation for a career as an independent researcher. OTHER REVIEW CRITERIA In addition to the general review criteria outlined above, each IAIMS grant has a specific set of review criteria. Critical Review Elements for IAIMS Fellowship Grants include the following: o Responsiveness to one or more of the IAIMS fundamental activity areas, o Learning program that is likely to produce intended results, o Substantive involvement of a suitable IAIMS mentor, o Hands-on project that is likely to achieve stated goals, o Evidence of institutional support. Though not required, these elements will be highly favored by reviewers of IAIMS Fellowship grants: o Focus on building new informatics skills that allow the applicant to apply existing subject expertise in a new area, o Focus on building subject expertise to complement existing informatics or information science expertise, o Formal coursework, e.g. informatics or information science courses in accredited programs. AWARD CRITERIA Applications submitted in response to a PA will compete for available funds with all other recommended applications. The following will be considered in making funding decisions: o Scientific merit of the proposed project as determined by peer review o Availability of funds o Relevance to program priorities REQUIRED FEDERAL CITATIONS MONITORING PLAN AND DATA SAFETY AND MONITORING BOARD: Research components involving Phase I and II clinical trials must include provisions for assessment of patient eligibility and status, rigorous data management, quality assurance, and auditing procedures. In addition, it is NIH policy that all clinical trials require data and safety monitoring, with the method and degree of monitoring being commensurate with the risks (NIH Policy for Data Safety and Monitoring, NIH Guide for Grants and Contracts, June 12, 1998: https://grants.nih.gov/grants/guide/notice-files/not98-084.html). INCLUSION OF WOMEN AND MINORITIES IN CLINICAL RESEARCH: It is the policy of the NIH that women and members of minority groups and their sub-populations must be included in all NIH-supported clinical research projects unless a clear and compelling justification is provided indicating that inclusion is inappropriate with respect to the health of the subjects or the purpose of the research. This policy results from the NIH Revitalization Act of 1993 (Section 492B of Public Law 103-43). All investigators proposing research involving human subjects should read the "NIH Policy and Guidelines" on the inclusion of children as participants in research involving human subjects that is available at https://grants.nih.gov/grants/funding/children/children.htm. REQUIRED EDUCATION ON THE PROTECTION OF HUMAN SUBJECT PARTICIPANTS: NIH policy requires education on the protection of human subject participants for all investigators submitting NIH proposals for research involving human subjects. You will find this policy announcement in the NIH Guide for Grants and Contracts Announcement, dated June 5, 2000, at https://grants.nih.gov/grants/guide/notice-files/NOT-OD-00-039.html. PUBLIC ACCESS TO RESEARCH DATA THROUGH THE FREEDOM OF INFORMATION ACT: The Office of Management and Budget (OMB) Circular A-110 has been revised to provide public access to research data through the Freedom of Information Act (FOIA) under some circumstances. Data that are (1) first produced in a project that is supported in whole or in part with Federal funds and (2) cited publicly and officially by a Federal agency in support of an action that has the force and effect of law (i.e., a regulation) may be accessed through FOIA. It is important for applicants to understand the basic scope of this amendment. NIH has provided guidance at https://grants.nih.gov/grants/policy/a110/a110_guidance_dec1999.htm. Applicants may wish to place data collected under this PA in a public archive, which can provide protections for the data and manage the distribution for an indefinite period of time. If so, the application should include a description of the archiving plan in the study design and include information about this in the budget justification section of the application. In addition, applicants should think about how to structure informed consent statements and other human subjects procedures given the potential for wider use of data collected under this award. URLs IN NIH GRANT APPLICATIONS OR APPENDICES: All applications and proposals for NIH funding must be self-contained within specified page limitations. Unless otherwise specified in an NIH solicitation, Internet addresses (URLs) should not be used to provide information necessary to the review because reviewers are under no obligation to view the Internet sites. Furthermore, we caution reviewers that their anonymity may be compromised when they directly access an Internet site. HEALTHY PEOPLE 2010: The Public Health Service (PHS) is committed to achieving the health promotion and disease prevention objectives of "Healthy People 2010," a PHS-led national activity for setting priority areas. This PA is related to one or more of the priority areas. Potential applicants may obtain a copy of "Healthy People 2010" at http://www.health.gov/healthypeople. AUTHORITY AND REGULATIONS: This program is described in the Catalog of Federal Domestic Assistance No. 93.879. Awards are made under authorization of the PHS Act, Title III, Part A, Section 301, Title IV, Part D, Subpart 2, Sections 472-476, as amended, Public Law 100-607 and administered under NIH grants policies described at https://grants.nih.gov/grants/policy/policy.htm and under Federal Regulations 42 CFR 52 and 45 CFR Parts 74 and 92. This program is not subject to the intergovernmental review requirements of Executive Order 12372 or Health Systems Agency review. The PHS strongly encourages all grant recipients to provide a smoke-free workplace and discourage the use of all tobacco products. In addition, Public Law 103-227, the Pro-Children Act of 1994, prohibits smoking in certain facilities (or in some cases, any portion of a facility) in which regular or routine education, library, day care, health care, or early childhood development services are provided to children. This is consistent with the PHS mission to protect and advance the physical and mental health of the American people. REFERENCES [1] Next-Generation IAIMS: Binding Knowledge to Effective Practice. Florance, V. and Masys, D. Prepared under contract N01-LM 9-3523. Washington, D.C.: Association of American Medical Colleges, September 2001. The full technical report is available in PDF form at http://www.aamc.org/programs/betterhealth/iaimsinside.pdf Information about past and present recipients of IAIMS grants is available from the IAIMS Consortium at http://www.cbmi.upmc.edu/iaims/consortium/index.htm
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