National Institutes of Health (NIH)
Precision Medicine Initiative® Cohort Program Healthcare Provider Organization Enrollment Centers (UG3/UH3)
The purpose of this funding opportunity announcement (FOA) is to provide support for centers to enroll participants from U.S. healthcare provider organizations into the Precision Medicine Initiative® Cohort Program (PMI Cohort Program). The goal of the PMI Cohort Program is to build a research cohort of one million or more U.S. volunteers who are engaged as partners in a longitudinal, long-term effort to transform the understanding of factors contributing to individual health and disease.
Healthcare provider organizations (HPOs) will be key partners in the success of building the PMI Cohort. HPOs will be responsible for collaborating on engagement and enrollment, communication, biospecimen collection, healthcare data collection, and participant retention for the participants enrolled through their efforts. These data will be made available as a rich research resource toward addressing precision medicine research questions. Awards made through this FOA will initially support a 1-year, milestone-driven development phase (UG3), with possible rapid transition to a full implementation phase (UH3). UH3s will be awarded after administrative review of eligible UG3s that have met the scientific milestone and feasibility requirements. The UG3/UH3 application must be submitted as a single application, and applicants should note specific instructions for each phase in this FOA.
November 16, 2015
January 17, 2016
January 17, 2016
February 17, 2016, by 5:00 PM local time of applicant organization. All types of applications allowed for this funding opportunity announcement are due on this date.
No late applications will be accepted for this Funding Opportunity Announcement.
Applicants are encouraged to apply early to allow adequate time to make any corrections to errors found in the application during the submission process by the due date.
July 1, 2016
February 18, 2016
Required Application Instructions
It is critical that applicants follow the instructions in the SF424 (R&R) Application Guide, except where instructed to do otherwise (in this FOA or in a Notice from the NIH Guide for Grants and Contracts). Conformance to all requirements (both in the Application Guide and the FOA) is required and strictly enforced. Applicants must read and follow all application instructions in the Application Guide as well as any program-specific instructions noted in Section IV. When the program-specific instructions deviate from those in the Application Guide, follow the program-specific instructions. Applications that do not comply with these instructions may be delayed or not accepted for review.
I. Funding Opportunity Description
Section II. Award Information
Section III. Eligibility Information
Section IV. Application and Submission Information
Section V. Application Review Information
Section VI. Award Administration Information
Section VII. Agency Contacts
Section VIII. Other Information
In his State of the Union Address on January 20, 2015, President Obama announced his intention to launch the Precision Medicine Initiative® (PMI) “to bring us closer to curing diseases like cancer and diabetes, and to give all of us access to the personalized information we need to keep ourselves and our families healthier.” In order to achieve the President’s ambitious plan, the PMI Cohort Program will build a national research cohort of one million or more U.S. volunteers that will provide the platform for expanding knowledge of precision medicine approaches and that will benefit the nation for many years to come. On September 17, 2015, the Precision Medicine Initiative Working Group of the Advisory Committee to the Director (ACD) presented a detailed design framework for building this national research participant group, which may be accessed at https://www.nih.gov/sites/default/files/research-training/initiatives/pmi/pmi-working-group-report-20150917-2.pdf. The framework was supported by the full ACD, and accepted by the NIH Director
Applicants to this Funding Opportunity Announcement (FOA) should familiarize themselves with the PMI Working Group report. All partners in the President's PMI are expected to adhere to the PMI privacy and trust principles developed by the White House, which may be accessed at https://www.whitehouse.gov/sites/default/files/microsites/Final%20PMI%20Privacy%20and%20Trust%20Principles.pdf.
The primary objective of the PMI Cohort Program will be to enroll one million or more volunteers into a cohort that broadly reflects the diversity of the U.S. population, and to follow their health and clinical outcomes over time. The PMI Cohort Program will provide an ongoing venue for testing new hypotheses, as well as for determining whether results from smaller cohorts generalize to the broader U.S. population. Through the design and implementation of the PMI Cohort Program, there will be opportunities to explore the interoperability of electronic health records (EHRs) and mobile health (mHealth) technologies, such as sensors, smartphone apps, and wearable devices. The PMI Cohort Program will also provide a transformative framework for exploring the utility of “omics” technologies and data, and for learning best approaches for facilitating individuals’ access to their own health data.
Enrollment of PMI Cohort Program participants will be through two distinct approaches: one leveraging the strengths of healthcare provider organizations (HPOs) with existing relationships with potential participants and the other opening enrollment directly to volunteers who are not part of a participating HPO.
In order to be part of the PMI Cohort Program, all volunteers will be asked at entry for consent to join the Cohort Program and to be contacted for future studies. They will be asked to complete a brief survey and to undertake a standard exam, to share their healthcare records, and to be willing to submit biospecimens, including blood, urine, and saliva. The program will also utilize a variety of data collection methods over the life of the Cohort Program including mobile technologies, additional research questionnaires, collection of baseline and longitudinal data from EHRs, and collection and analyses of other biospecimens. These data will make up the core dataset and will be stored in a secure computing environment under rigorous standards to protect individual privacy.
The PMI Cohort Program will provide the data needed to address a wide range of scientific questions. Examples of scientific areas include, but are not limited to:
The PMI Cohort Program is unique with respect to its very large intended sample size of one million or more U.S. volunteers; its principle of extensive study participant engagement in all aspects of the PMI Cohort Program; its focus on utilization of new mobile technologies to facilitate the collection of data on study participants; the potential for coordination across multiple organizational entities; and the many potential users of the data, including researchers, the study participants themselves, and the general public.
The PMI Cohort Program proposes a highly interactive participation model, which is untested for a project of this scale. Participants will be the primary source of research observations; providers of information about their health and experiences; contributors to research questions; mediators of access to their healthcare data; contributors to overall data quality control; donators of data from mobile and wearable devices; and recipients of their own as well as aggregate data and analysis results, according to their preferences.
Participants and their advocates will be central partners in the governance, design, conduct, oversight, dissemination, and evaluation activities of the PMI Cohort Program. The PMI Cohort Program will develop quantitative approaches to assess which strategies most effectively engage participants, particularly those historically underrepresented in biomedical research.
To ensure that maximal scientific benefit is derived from this significant public investment and to respect the investment of participants in sharing their time and information, the NIH Office of the PMI Cohort Program will establish policies and mechanisms that promote maximum accessibility of the data to the broad scientific community including citizen scientists. It is expected that data generated from analyses conducted over the life of the program will further enhance the value of the program and build a living, evolving resource.
The PMI Cohort Program will ensure the responsible return of personal results and information to the individual participants, according to their individual preferences. This expectation will exist for all participants regardless of whether they were enrolled through an HPO or as a direct volunteer.
In its full implementation phase, the PMI Cohort Program will consist of a consortium of several highly integrated components. The major components are being solicited through this FOA and three other companion FOAs: (1) a central PMI Cohort Program Coordinating Center (CC); (2) healthcare provider organizations (HPOs), (3) a participant technologies center, and (4) a central Biobank.
In addition, in early 2016, NIH plans pilot activities including a direct volunteer pilot program focused on learning what prospective and enrolled participants like, need, and want; developing successful communications methods and content; understanding how to create and implement specialized data technologies, including website, apps, sensors, and clinical data; and building and testing research infrastructure for acquiring and managing biosamples. The output of the pilot phase will be knowledge needed to conduct successful long-term engagement with PMI Cohort Program volunteers, and scientific datasets of relatively limited scope and size. Prototype participant interaction and data acquisition technologies will also be tested in the pilot phase. If successful, these technologies may be transitioned to the full implementation phase Coordinating Center. The pilot phase is expected to start in early 2016 and extend through approximately January 2017, followed by transition to the full implementation phase.
The PMI Cohort Program will function as a Consortium, with all awardees considered to be members of the Consortium with specific roles in its governance structure (see Terms and Conditions, Section VI.2). For example, the PMI Cohort Program Steering Committee will consist of the Program Directors/Principal Investigators (PDs/PIs) from each of the awards, the NIH Project Scientist(s), representatives of the research participants, and academic and private researchers representing scientists who will use the PMI Cohort Program platform. The Steering Committee will meet shortly after funding to review and further develop a draft protocol and to plan for its rapid implementation.
The Steering Committee will meet, at least monthly, to share information on planning, recruitment progress, data and biospecimen collection, preliminary results, and analyses in progress.
The PMI Cohort Program Consortium will include participant representatives in all aspects of its governance structure. Additional working groups will be established by the PMI Cohort Program Consortium Steering Committee to oversee the development and implementation of Consortium policies and goals.
The PMI Cohort Program will have a single Institutional Review Board (IRB), to the extent permitted by law, constituted to ensure prompt and thoughtful consideration of the evolving protocols in the PMI Cohort Program and the central importance of participants as research partners. The PMI Cohort Program IRB will include significant representation by members of the public and representatives of the participant community.
This FOA solicits a set of HPOs as partners in the creation of the PMI Cohort Program. HPOs responding to this FOA are expected to have long-standing relationships of trust with a substantial cadre of potential participants and to be able to make available a longitudinal record of care in an electronic format.
HPOs will contribute to the PMI Cohort Program by recruiting and enrolling participants, fostering study participation, collecting data and biospecimens, continued participant engagement and facilitating involvement of researchers in the utilization of the research resources developed by the program. HPOs will also be expected to contribute to the goal of achieving a cohort that reflects the broad diversity of the U.S. population.
Individuals enrolled through HPOs should typically be invited to participate regardless of disease status and should represent all life stages. It is recognized that some HPOs have substantial preexisting integrated research resources such as established cohorts and data and biospecimen collections. If available, those resources should remain distinct from the PMI Cohort Program, but their availability has the potential to strengthen the overall capacities for advancing the field of precision medicine research.
Because of the complexity and need for innovation involved, the initial cooperative agreement awards will be granted for an exploratory (UG3) phase to demonstrate potential as PMI Cohort Program partners to enroll healthcare systems-based participants into the PMI Cohort. Projects showing great promise will be selected for transition to the scaled-up implementation (UH3) phase of the award.
To ensure efficient conduct of the activities outlined above, HPOs should be able to develop the capacity to provide the following functions as described below in two sequential phases.
Milestones and UG3/UH3 Transition The application must propose a well-defined set of milestones for the 1-year planning phase (UG3) and annual milestones for the implementation phase (UH3). In the event of an award, the PD(s)/PI(s) and NIH staff will negotiate a list of milestones for each year of support.
At the completion of the UG3 planning phase, the applicant will be required to submit a detailed transition request for the UH3 Demonstration Project implementation phase. UH3 transition requests will undergo an administrative review to determine whether the milestones have been met. It is anticipated that not all funded UG3 projects will transition to the UH3 phase. See Terms and Conditions and Section VI.3.
Prospective applicants should note that funding of UG3 phase of the cooperative agreement does not guarantee support of the UH3 implementation phase. Transition to the UH3 phase of the project will occur only if an administrative review process recommends that the UG3 planning activities have been successful, the UH3 can proceed with confidence of success, and if funds are available.
Cooperative Agreement: A support mechanism used when there will be substantial Federal scientific or programmatic involvement. Substantial involvement means that, after award, NIH scientific or program staff will assist, guide, coordinate, or participate in project activities. See Section VI.2 for additional information about the substantial involvement for this FOA.
The OER Glossary and the SF424 (R&R) Application Guide provide details on these application types.
NIH intends to commit $28 million in FY 2016 to fund up to 7 awards. Future year amounts will depend on annual appropriations
Direct costs should not exceed $2.7 million in year 1 of the UG3 phase. Direct costs should not exceed $6.7 million for each of years 2 through 5 of the UH3 phase. Requests exceeding this guidance should be strongly justified.
The maximum project period is 5 years.
NIH grants policies as described in the NIH Grants Policy Statement will apply to the applications submitted and awards made in response to this FOA.
Higher Education Institutions
The following types of Higher Education Institutions are always encouraged to apply for NIH support as Public or Private Institutions of Higher Education:
Nonprofits Other Than Institutions of Higher Education
Non-domestic (non-U.S.) Entities (Foreign Institutions) are
not eligible to apply.
Non-domestic (non-U.S.) components of U.S. Organizations are not eligible to apply.
Foreign components, as defined in the NIH Grants Policy Statement, are not allowed.
Applicant organizations must complete and maintain the following registrations as described in the SF 424 (R&R) Application Guide to be eligible to apply for or receive an award. All registrations must be completed prior to the application being submitted. Registration can take 6 weeks or more, so applicants should begin the registration process as soon as possible. The NIH Policy on Late Submission of Grant Applications states that failure to complete registrations in advance of a due date is not a valid reason for a late submission.
Program Directors/Principal Investigators (PD(s)/PI(s))
All PD(s)/PI(s) must have an eRA Commons account. PD(s)/PI(s) should work with their organizational officials to either create a new account or to affiliate their existing account with the applicant organization in eRA Commons. If the PD/PI is also the organizational Signing Official, they must have two distinct eRA Commons accounts, one for each role. Obtaining an eRA Commons account can take up to 2 weeks.
Any individual(s) with the skills, knowledge, and resources necessary to carry out the proposed research as the Program Director(s)/Principal Investigator(s) (PD(s)/PI(s)) is invited to work with his/her organization 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 support.
For institutions/organizations proposing multiple PDs/PIs, visit the Multiple Program Director/Principal Investigator Policy and submission details in the Senior/Key Person Profile (Expanded) Component of the SF424 (R&R) Application Guide.
This FOA does not require cost sharing as defined in the NIH Grants Policy Statement.
Applicant organizations may submit more than one application, provided that each application is scientifically distinct.
The NIH will not accept duplicate or highly overlapping applications under review at the same time. This means that the NIH will not accept:
Applicants must obtain the SF424 (R&R) application package associated with this funding opportunity using the “Apply for Grant Electronically” button in this FOA or following the directions provided at Grants.gov.
It is critical that applicants follow the instructions in the SF424 (R&R) Application Guide, including Supplemental Grant Application Instructions except where instructed in this funding opportunity announcement to do otherwise. Conformance to the requirements in the Application Guide is required and strictly enforced. Applications that are out of compliance with these instructions may be delayed or not accepted for review.
For information on Application Submission and Receipt, visit Frequently Asked Questions – Application Guide, Electronic Submission of Grant Applications.
Although a letter of intent is not required, is not binding, and does not enter into the review of a subsequent application, the information that it contains allows IC staff to estimate the potential review workload and plan the review.
By the date listed in Part 1. Overview Information, prospective applicants are asked to submit a letter of intent that includes the following information:
The letter of intent should be sent to:
Joni L. Rutter, PhD
NIH Office of the Director (OD)
All page limitations described in the SF424 Application Guide and the Table of Page Limits must be followed.
The following section supplements the instructions found in the SF424 (R&R) Application Guide and should be used for preparing an application to this FOA.
All instructions in the SF424 (R&R) Application Guide must be followed.
All instructions in the SF424 (R&R) Application Guide must be followed.
All instructions in the SF424 (R&R) Application Guide must be followed.
All instructions in the SF424 (R&R) Application Guide must be followed.
Biosketch: Describe expertise in design and implementation of large-scale clinical studies within an HPO (including enrollment and outcomes assessment) and clinical and EHR data standardization; activities equivalent to those proposed the Planning Phase; and track record of successful investigative collaborations or partnerships within and across HPOs in conducting clinical studies. Describe track record of performing the specialized work required in this project, including appropriate expertise and experience to contribute to a large-scale consortium and past participation in collaborative research projects.
All instructions in the SF424 (R&R) Application Guide must be followed.
The budget for the HPO enrollment centers should include travel for HPO enrollment center leaders to the Steering Committee meetings.
All instructions in the SF424 (R&R) Application Guide must be followed.
All instructions in the SF424 (R&R) Application Guide must be followed.
All instructions in the SF424 (R&R) Application Guide must be followed, with the following additional instructions:
Specific Aims: Provide the overall goals for the entire application and indicate separately Specific Aims to be accomplished in the UG3 phase and in the UH3 phase.
Research Strategy: Organize the Research Strategy in the subsections identified below.
1) Background and Significance
2) Preliminary Data
3) Participant Engagement Plan
Key principles of the PMI Cohort Program include: 1) an inclusive philosophy of engagement that enables participation by individuals who have widely varying socioeconomic status, age, geography, health literacy, racial identity, ethnic heritage, personal competence with information technologies, and includes both healthy individuals and those with a wide range of health conditions and disabilities; 2) A philosophy about individual data access that includes immediate feedback to respondents on the data they have submitted as well as archival access to scientific data related to them as an individual that is maintained by the project; 3) An expectation that some research participants will participate in the design process, and serve as testers of the technologies and methods. The HPO application must include a Participant Engagement Plan informed by these principles. Applicants must detail specific plans for partnering with PMI Cohort Program participants and their advocates in the governance, design, conduct, oversight, dissemination, and evaluation activities in their activities.
3) Approach divided into two parts corresponding to the UG3 and UH3 phases.*(see two notes below)
A. UG3 Phase – address each of the items listed below that pertains to enrolling study participants and fostering study participant retention, data collection, and continued engagement in the PMI Cohort Program.
B. UH3 Phase - address each of the items listed below that pertains to maintaining the activities established during the UG3 Phase, as well as facilitating involvement of researchers inside and outside of the HPO and across HPO in scientific projects:
*Note: Milestones and Timeline: A timeline (Gantt chart) including milestones is required. Milestones are goals that must include clear and quantitative objective criteria for success. Yearly quantitative milestones are required to provide clear indicators of a project’s continued progress or emergent difficulties and will be used to evaluate the application not only in peer review but also in consideration of the awarded project for funding of non-competing award years. The application must include well-defined milestones (e.g., appropriate objective and quantitative performance targets; and timelines for assessing progress in both the UG3 and UH3 phases, including specific milestones for progressing from the UG3 phase to the UH3 phase). Separate headings should be included for milestones and timelines for each UG3 and UH3 stage, and should:
*Further Note: Collection of biospecimens to be determined by the PMI Cohort Program (e.g., blood, saliva, and urine samples) from study participants who consent to it near the time of enrollment, process the biospecimens to create aliquots of plasma, serum, and other biosamples and send them to the PMI Cohort Program designated biobank for use by PMI Cohort Program investigators, and allow the PMI Cohort Program to manage the primary process of approving access to and use of these biospecimens. Periodically obtain additional biospecimens as specified by the PMI Cohort Program.
Resource Sharing Plan: Individuals are required to comply with the instructions for the Resource Sharing Plans as provided in the SF424 (R&R) Application Guide, with the following modification:
Appendix: Do not use the Appendix to circumvent page limits. Follow all instructions for the Appendix as described in the SF424 (R&R) Application Guide.
When conducting clinical research, follow all instructions for completing Planned Enrollment Reports as described in the SF424 (R&R) Application Guide.
When conducting clinical research, follow all instructions for completing Cumulative Inclusion Enrollment Report as described in the SF424 (R&R) Application Guide.
See Part 1. Section III.1 for information regarding the requirement for obtaining a unique entity identifier and for completing and maintaining active registrations in System for Award Management (SAM), NATO Commercial and Government Entity (NCAGE) Code (if applicable), eRA Commons, and Grants.gov
Part I. Overview Information contains information about Key Dates and times. Applicants are encouraged to submit applications before the due date to ensure they have time to make any application corrections that might be necessary for successful submission. When a submission date falls on a weekend or Federal holiday, the application deadline is automatically extended to the next business day.
Organizations must submit applications to Grants.gov (the online portal to find and apply for grants across all Federal agencies). Applicants must then complete the submission process by tracking the status of the application in the eRA Commons, NIH’s electronic system for grants administration. NIH and Grants.gov systems check the application against many of the application instructions upon submission. Errors must be corrected and a changed/corrected application must be submitted to Grants.gov on or before the application due date and time. If a Changed/Corrected application is submitted after the deadline, the application will be considered late. Applications that miss the due date and time are subjected to the NIH Policy on Late Application Submission.
Applicants are responsible for viewing their application before the due date in the eRA Commons to ensure accurate and successful submission.
Information on the submission process and a definition of on-time submission are provided in the SF424 (R&R) Application Guide.
This initiative is not subject to intergovernmental review.
All NIH awards are subject to the terms and conditions, cost principles, and other considerations described in the NIH Grants Policy Statement.
Pre-award costs are allowable only as described in the NIH Grants Policy Statement.
Applications must be submitted electronically following the instructions described in the SF424 (R&R) Application Guide. Paper applications will not be accepted.
Applicants must complete all required registrations before the application due date. Section III. Eligibility Information contains information about registration.
For assistance with your electronic application or for more information on the electronic submission process, visit Applying Electronically. If you encounter a system issue beyond your control that threatens your ability to complete the submission process on-time, you must follow the Guidelines for Applicants Experiencing System Issues. For assistance with application submission, contact the Application Submission Contacts in Section VII.
All PD(s)/PI(s) must include their eRA Commons ID in the Credential field of the Senior/Key Person Profile Component of the SF424(R&R) Application Package. Failure to register in the Commons and to include a valid PD/PI Commons ID in the credential field will prevent the successful submission of an electronic application to NIH. See Section III of this FOA for information on registration requirements.
The applicant organization must ensure that the DUNS number it provides on the application is the same number used in the organization’s profile in the eRA Commons and for the System for Award Management. Additional information may be found in the SF424 (R&R) Application Guide.
See more tips for avoiding common errors.
Upon receipt, applications will be evaluated for completeness and compliance with application instructions by the Center for Scientific Review and responsiveness by components of participating organizations, NIH. Applications that are incomplete, non-compliant and/or nonresponsive will not be reviewed.
Applicants are required to follow the instructions for post-submission materials, as described in NOT-OD-13-030.
Only the review criteria described below will be considered in the review process. As part of the NIH mission, all applications submitted to the NIH in support of biomedical and behavioral research are evaluated for scientific and technical merit through the NIH peer review system.
Reviewers will provide an overall impact score to reflect their assessment of the likelihood for the project to exert a sustained, powerful influence on the research field(s) involved, in consideration of the following review criteria and additional review criteria (as applicable for the project proposed).
Reviewers will consider each of the review criteria below in the determination of scientific merit, and give a separate score for each. An application does not need to be strong in all categories to be judged likely to have major scientific impact. For example, a project that by its nature is not innovative may be essential to advance a field.
Does the project address an important problem or a critical barrier to progress in the field? Is there a strong scientific premise for the project? If the aims of the project are achieved, how will scientific knowledge, technical capability, and/or clinical practice be improved? How will successful completion of the aims change the concepts, methods, technologies, treatments, services, or preventative interventions that drive this field?
Specific to this FOA: Does the proposed work closely meet the PMI Cohort Program goals to build a research cohort of one million or more U.S. volunteers who are engaged as partners in a longitudinal, long-term effort to transform the understanding of factors contributing to individual health and disease? What is the likelihood that the proposed plans will meet the proposed timelines and milestones toward the goal of enabling a new era of medicine that empowers participants, researchers, and healthcare providers to work together toward development of individualized care? Will the participants be able to be partners in the program with the right to withdraw samples and data from the PMI Cohort Program, and to learn about activities proceeding with their samples and data? Are the engagement plans appropriate for a long term study?
Are the PD(s)/PI(s), collaborators, and other researchers well suited to the project? If Early Stage Investigators or New Investigators, or in the early stages of independent careers, do they have appropriate experience and training? If established, have they demonstrated an ongoing record of accomplishments that have advanced their field(s)? If the project is collaborative or multi-PD/PI, do the investigators have complementary and integrated expertise; are their leadership approach, governance and organizational structure appropriate for the project?
Specific to this FOA: Do the PD(s)/PI(s) and other key personnel have the necessary expertise in design and implementation of large-scale clinical studies within an HPO (including enrollment and outcomes assessment) and clinical and EHR data standardization? Do the PD(s)/PI(s) have extensive experience in performing proposed Planning Phase activities, and do they have a track record of successful investigative collaborations or partnerships within and across HPOs in conducting clinical studies? Do the applicant/organization and investigators have a track record of performing the specialized work required in this project? Do the applicant/organization and investigators have appropriate expertise and experience to contribute to a large-scale consortium? How extensive is their past participation in collaborative research projects?
Does the application challenge and seek to shift current research or clinical practice paradigms by utilizing novel theoretical concepts, approaches or methodologies, instrumentation, or interventions? Are the concepts, approaches or methodologies, instrumentation, or interventions novel to one field of research or novel in a broad sense? Is a refinement, improvement, or new application of theoretical concepts, approaches or methodologies, instrumentation, or interventions proposed?
Specific to this FOA: Are there innovative ways proposed of meeting PMI Cohort Program goals and milestones that could enhance efficiency, save money, and increase success? Does the application make clear the goal of this award to help further our understanding of disease, treatment response, and health outcomes? Will novel approaches be used by the PMI Cohort Program HPO investigators to meet the objectives of the PMI Cohort Program? Does the application contribute to the PMI Cohort Program goal of promoting participant engagement?
Are the overall strategy, methodology, and analyses well-reasoned and appropriate to accomplish the specific aims of the project? Have the investigators presented strategies to ensure a robust and unbiased approach, as appropriate for the work proposed? Are potential problems, alternative strategies, and benchmarks for success presented? If the project is in the early stages of development, will the strategy establish feasibility and will particularly risky aspects be managed? Have the investigators presented adequate plans to address relevant biological variables, such as sex, for studies in vertebrate animals or human subjects?
If the project involves humans, human subjects and/or NIH-defined clinical research, are the plans to address 1) the protection of humans and human subjects from research risks, and 2) inclusion (or exclusion) of individuals on the basis of sex/gender, race, and ethnicity, as well as the inclusion or exclusion of children, justified in terms of the scientific goals and research strategy proposed?
Will the scientific environment in which the work will be done contribute to the probability of success? Are the institutional support, equipment and other physical resources available to the investigators adequate for the project proposed? Will the project benefit from unique features of the scientific environment, subject populations, or collaborative arrangements?
Specific to this FOA: Is the HPO of adequate size and sophistication to reach many demographics? Does the HPO have a track record of EHR use? Has the HPO successfully conducted clinical studies, such that there are sufficient infrastructure and expertise (e.g., clinical investigators, informaticists) to implement the proposed project? Will the environment provide the infrastructure that has a good chance of succeeding in the UG3 phase, as well as scale to allow for both increasing numbers of participants, and deeper measures on participants in the UH3 phase?
As applicable for the project proposed, reviewers will evaluate the following additional items while determining scientific and technical merit, and in providing an overall impact score, but will not give separate scores for these items.
Resources and Data Sharing Plan
The reviewers will comment on the appropriateness and adequacy of the proposed Resources and Data Sharing Plan to meet the goals of the PMI Cohort Program, including rapid sharing of data with the broad scientific community, and as appropriate, the public, as appropriate.
For research that involves human subjects but does not involve one of the six categories of research that are exempt under 45 CFR Part 46, the committee will evaluate the justification for involvement of human subjects and the proposed protections from research risk relating to their participation according to the following five review criteria: 1) risk to subjects, 2) adequacy of protection against risks, 3) potential benefits to the subjects and others, 4) importance of the knowledge to be gained, and 5) data and safety monitoring for clinical trials.
For research that involves human subjects and meets the criteria for one or more of the six categories of research that are exempt under 45 CFR Part 46, the committee will evaluate: 1) the justification for the exemption, 2) human subjects involvement and characteristics, and 3) sources of materials. For additional information on review of the Human Subjects section, please refer to the Guidelines for the Review of Human Subjects.
When the proposed project involves human subjects and/or NIH-defined clinical research, the committee will evaluate the proposed plans for the inclusion (or exclusion) of individuals on the basis of sex/gender, race, and ethnicity, as well as the inclusion (or exclusion) of children to determine if it is justified in terms of the scientific goals and research strategy proposed. For additional information on review of the Inclusion section, please refer to the Guidelines for the Review of Inclusion in Clinical Research.
The committee will evaluate the involvement of live vertebrate animals as part of the scientific assessment according to the following criteria: (1) description of proposed procedures involving animals, including species, strains, ages, sex, and total number to be used; (2) justifications for the use of animals versus alternative models and for the appropriateness of the species proposed; (3) interventions to minimize discomfort, distress, pain and injury; and (4) justification for euthanasia method if NOT consistent with the AVMA Guidelines for the Euthanasia of Animals. Reviewers will assess the use of chimpanzees as they would any other application proposing the use of vertebrate animals. For additional information on review of the Vertebrate Animals section, please refer to the Worksheet for Review of the Vertebrate Animal Section.
Reviewers will assess whether materials or procedures proposed are potentially hazardous to research personnel and/or the environment, and if needed, determine whether adequate protection is proposed.
As applicable for the project proposed, reviewers will consider each of the following items, but will not give scores for these items, and should not consider them in providing an overall impact score.
Reviewers will assess the information provided in this section of the application, including 1) the Select Agent(s) to be used in the proposed research, 2) the registration status of all entities where Select Agent(s) will be used, 3) the procedures that will be used to monitor possession use and transfer of Select Agent(s), and 4) plans for appropriate biosafety, biocontainment, and security of the Select Agent(s).
Reviewers will comment on whether the following Resource Sharing Plans, or the rationale for not sharing the following types of resources, are reasonable: Sharing Model Organisms.
For projects involving key biological and/or chemical resources, reviewers will comment on the brief plans proposed for identifying and ensuring the validity of those resources.
Reviewers will consider whether the budget and the requested period of support are fully justified and reasonable in relation to the proposed research.
Applications will be evaluated for scientific and technical merit by (an) appropriate Scientific Review Group(s) convened by Center for Scientific Review, in accordance with NIH peer review policy and procedures, using the stated review criteria. Assignment to a Scientific Review Group will be shown in the eRA Commons.
As part of the scientific peer review, all applications:
Appeals of initial peer review will not be accepted for applications submitted in response to this FOA.
Applications will be assigned on the basis of established PHS referral guidelines to the appropriate NIH Institute or Center. Applications will compete for available funds with all other recommended applications submitted in response to this FOA. Following initial peer review, recommended applications will receive a second level of review by the NIH Council of Councils. The following will be considered in making funding decisions:
After the peer review of the application is completed, the PD/PI will be able to access his or her Summary Statement (written critique) via the eRA Commons. Refer to Part 1 for dates for peer review, advisory council review, and earliest start date.
Information regarding the disposition of applications is available in the NIH Grants Policy Statement.
If the application is under consideration for funding, NIH will request "just-in-time" information from the applicant as described in the NIH Grants Policy Statement.
A formal notification in the form of a Notice of Award (NoA) will be provided to the applicant organization for successful applications. The NoA signed by the grants management officer is the authorizing document and will be sent via email to the grantee’s business official.
Awardees must comply with any funding restrictions described in Section IV.5. Funding Restrictions. Selection of an application for award is not an authorization to begin performance. Any costs incurred before receipt of the NoA are at the recipient's risk. These costs may be reimbursed only to the extent considered allowable pre-award costs.
Any application awarded in response to this FOA will be subject to terms and conditions found on the Award Conditions and Information for NIH Grants website. This includes any recent legislation and policy applicable to awards that is highlighted on this website.
All NIH grant and cooperative agreement awards include the NIH Grants Policy Statement as part of the NoA. For these terms of award, see the NIH Grants Policy Statement Part II: Terms and Conditions of NIH Grant Awards, Subpart A: General and Part II: Terms and Conditions of NIH Grant Awards, Subpart B: Terms and Conditions for Specific Types of Grants, Grantees, and Activities. More information is provided at Award Conditions and Information for NIH Grants.
Recipients of federal financial assistance (FFA) from HHS must administer their programs in compliance with federal civil rights law. This means that recipients of HHS funds must ensure equal access to their programs without regard to a person’s race, color, national origin, disability, age and, in some circumstances, sex and religion. This includes ensuring your programs are accessible to persons with limited English proficiency. HHS recognizes that research projects are often limited in scope for many reasons that are nondiscriminatory, such as the principal investigator’s scientific interest, funding limitations, recruitment requirements, and other considerations. Thus, criteria in research protocols that target or exclude certain populations are warranted where nondiscriminatory justifications establish that such criteria are appropriate with respect to the health or safety of the subjects, the scientific study design, or the purpose of the research.
For additional guidance regarding how the provisions apply to NIH grant programs, please contact the Scientific/Research Contact that is identified in Section VII under Agency Contacts of this FOA. HHS provides general guidance to recipients of FFA on meeting their legal obligation to take reasonable steps to provide meaningful access to their programs by persons with limited English proficiency. Please see http://www.hhs.gov/ocr/civilrights/resources/laws/revisedlep.html. The HHS Office for Civil Rights also provides guidance on complying with civil rights laws enforced by HHS. Please see http://www.hhs.gov/ocr/civilrights/understanding/section1557/index.html; and http://www.hhs.gov/ocr/civilrights/understanding/index.html. Recipients of FFA also have specific legal obligations for serving qualified individuals with disabilities. Please see http://www.hhs.gov/ocr/civilrights/understanding/disability/index.html. Please contact the HHS Office for Civil Rights for more information about obligations and prohibitions under federal civil rights laws at http://www.hhs.gov/ocr/office/about/rgn-hqaddresses.html or call 1-800-368-1019 or TDD 1-800-537-7697. Also note it is an HHS Departmental goal to ensure access to quality, culturally competent care, including long-term services and supports, for vulnerable populations. For further guidance on providing culturally and linguistically appropriate services, recipients should review the National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care at http://minorityhealth.hhs.gov/omh/browse.aspx?lvl=2&lvlid=53.
Cooperative Agreement Terms and Conditions of Award
The following special terms of award are in addition to, and not in lieu of, otherwise applicable U.S. Office of Management and Budget (OMB) administrative guidelines, U.S. Department of Health and Human Services (DHHS) grant administration regulations at 45 CFR Part 75 and other HHS, PHS, and NIH grant administration policies.
The administrative and funding instrument used for this program will be the cooperative agreement, an “assistance” mechanism (rather than an “acquisition” mechanism), in which substantial NIH programmatic involvement with the awardees is anticipated during the performance of the activities. Under the cooperative agreement, the NIH purpose is to support and stimulate the recipients’ activities by involvement in and otherwise working jointly with the award recipients in a partnership role; it is not to assume direction, prime responsibility, or a dominant role in the activities. Consistent with this concept, the dominant role and prime responsibility resides with the awardees for the project as a whole, although specific tasks and activities may be shared among the awardees and the NIH as defined below.
Director, Precision Medicine Initiative Cohort Program (Director, PMI Cohort Program): The Director of the PMI Cohort Program will direct the PMI Cohort Program office and report directly to the NIH Director; lead planning and decision making about new funding opportunities, collaborations, and funding plans; and coordinate with NIH Institute and Center (IC) leadership and offices, external stakeholders, and other Federal agencies. The Director of the PMI Cohort Program will be responsible for overall stewardship of the PMI Cohort Program.
Steering Committee (SC): The SC will provide coordination of activities of the PMI Cohort Program. The SC will include PDs/PIs from each of the awardees, research participants and their representatives, academic and private researchers who will use the PMI cohort platform and NIH programmatic staff. The SC will establish working groups to oversee the development and implementation of consortium policies. The number of NIH votes may not exceed one third of the total number of votes on the SC. One of the NIH Project Scientist along with the CC PI/PD will be the co-chairs of the SC.
Executive Committee (EC): The EC will be a small group of members of the SC, charged with overseeing development and implementation of the PMI Cohort Program, addressing and finding solutions to challenges and obstacles and making recommendations to the Director of the PMI Cohort Program. The EC should include participant representation. One of the PMI Cohort Program Project Scientists would serve as a voting member. Each full member will have one vote. The number of NIH votes may not exceed one third of the total number of votes on the EC. The Director of the PMI Cohort Program will serve as a non-voting co-chair with the PI/PD of the CC.
PMI Cohort Program Advisory Panel: The PMI Cohort Program Advisory Panel will comprise experts in areas of relevance to the PMI Cohort Program, including representatives of PMI Cohort Program participants. The Panel will meet provide general counsel and feedback to the Director, PMI Cohort Program and the NIH Director.
The PI(s)/PD(s) will have primary responsibility for:
Rights to Subject Inventions: Under the Bayh-Dole Act, awardees generally retain the right to elect title to inventions made by its employees as a result of the work performed under the award. The Bayh-Dole Act also allows for a different disposition of such “subject inventions,” when the agency determines that exceptional circumstances exist such that restriction or elimination of the right to retain title to any subject invention will better promote the policy and objectives of the Act. NIH intends, to make such a “Determination of Exceptional Circumstances” (“DEC”) for this award, to assure that patents directed to inventions made under this award cannot be used to block access by the research public to this important resource and associated technology.
A fundamental objective of this cooperative agreement is to ensure that this valuable resource remains available without interruption to the research public for many years to come, even in the event that awardees withdraw or are terminated or otherwise can no longer manage the resource, or when the associated scientific grants, discussed elsewhere in this FOA, are expired. NIH will own the biospecimens and related data and may take exclusive custody and control of them at its reasonable discretion upon termination or expiration of this cooperative agreement.
NIH staff have substantial programmatic involvement that is above and beyond the normal stewardship role in awards, as described below:
NIH staff will interact with the PD(s)/PI(s) on a regular basis to monitor progress and negotiate goals. Monitoring may include: regular communication with the PI and his staff, periodic site visits for discussion with the awardees’ research team, observation of data collection and management techniques, fiscal reviews, and other relevant stewardship matters.
The Director of the PMI Cohort Program will be responsible for the overall stewardship of the PMI Cohort Program, taking into account the advice and inputs of the EC and PMI Cohort Program Advisory Panel described in these Terms and Conditions, and with the concurrence of the NIH Director.
For each grant award there will be an NIH Program Official (PO), a member of NIH staff responsible for the normal scientific and programmatic stewardship of the award. The PO will be named in the award notice. The NIH will also retain its typical stewardship role, including its authority and discretion to withhold or reduce support or take other enforcement action, such as if the awardee fails to achieve its goals or fails to comply with the Terms and Conditions of the Award.
In addition, there will be an NIH Project Scientist assigned to the award. The Project Scientist will have substantial scientific and programmatic involvement during the conduct of this activity. The Project Scientist will have primary responsibility for:
Areas of Joint Responsibility include:
The awardees, NIH staff and other stakeholders will convene as a SC in person three times a year, and monthly via conference calls. The PMI Cohort Program Coordinating Center PD/PI will co-chair the SC with the Project Scientist(s). The PMI Cohort Program director will participate, but will not have voting rights. The SC will:
The EC will have weekly conference calls, and will meet in person three times a year, at dates concurrent with the SC meetings. The EC will be responsible for the day-to-day activities as well as higher-level opportunities and obstacles. The EC will work to ensure seamless development and implementation across awardees. The PMI Cohort Program Coordinating Center PD/PI will chair or co-chair EC. The PMI Cohort Program Director may serve as a non-voting co-chair of the EC.
The PMI Cohort Program Advisory Panel will meet periodically, generally at dates concurrent with the SC in-person meetings, and will be chaired by a member(s) of this independent committee. The PMI Cohort Program Director, PMI Project Scientist(s), and members of the EC or SC may join these meetings at the discretion of the PMI Cohort Program Advisory Panel.
Any disagreements that may arise in scientific or programmatic matters (within the scope of the award) between award recipients and the NIH may be brought to Dispute Resolution. A Dispute Resolution Panel composed of three members will be convened. The three members will be: a designee of the Steering Committee chosen without NIH staff voting, one NIH designee, and a third designee with expertise in the relevant area who is chosen by the other two; in the case of individual disagreement, the first member may be chosen by the individual awardee. This special dispute resolution procedure does not alter the awardees’ right to appeal an adverse action that is otherwise appealable in accordance with PHS regulation 42 CFR Part 50, Subpart D and DHHS regulation 45 CFR Part 16.
PDs/PIs must submit a Non-Competing Continuation Progress Report (PHS 2590) at the end of the UG3 project period to inform the decision to move from the UG3 to the UH3 phase. The PHS 2590 should include:
The UG3 awardee will submit the approved UH3 transition package to the NHLBI Grants and Program Officer no later than May 1, 2017. Receipt of this progress report will trigger an administrative program review that will determine whether or not the UH3 should be awarded. The release of UH3 funds will be based on original UG3/UH3 peer review recommendations, successful completion of mutually agreed upon negotiated scientific milestones, on program priorities, and on the availability of funds. Peer review is not anticipated between the two phases of the project, but the PMI Cohort Program Office reserves the right to conduct a program review with outside opinions.
A final progress report, invention statement, and the expenditure data portion of the Federal Financial Report are required for closeout of an award, as described in the NIH Grants Policy Statement.
The Federal Funding Accountability and Transparency Act of 2006 (Transparency Act), includes a requirement for awardees of Federal grants to report information about first-tier subawards and executive compensation under Federal assistance awards issued in FY2011 or later. All awardees of applicable NIH grants and cooperative agreements are required to report to the Federal Subaward Reporting System (FSRS) available at www.fsrs.gov on all subawards over $25,000. See the NIH Grants Policy Statement for additional information on this reporting requirement.
We encourage inquiries concerning this funding opportunity
and welcome the opportunity to answer questions from potential applicants.
eRA Service Desk (Questions regarding ASSIST, eRA Commons
registration, submitting and tracking an application, documenting system
problems that threaten submission by the due date, post submission issues)
Finding Help Online: https://grants.nih.gov/support/ (preferred method of contact)
Telephone: 301-402-7469 or 866-504-9552 (Toll Free)
(Questions regarding application instructions and process, finding NIH grant
Email: GrantsInfo@nih.gov (preferred method of contact)
Joni L. Rutter, PhD
NIH Office of the Director
Noni Byrnes, PhD
Center for Scientific Review (CSR)
National Institute of Heart, Lund, and Blood Institute (NHLBI))
Recently issued trans-NIH policy notices may affect your application submission. A full list of policy notices published by NIH is provided in the NIH Guide for Grants and Contracts. All awards are subject to the terms and conditions, cost principles, and other considerations described in the NIH Grants Policy Statement.
Awards are made under the authorization of Sections 301 and 405 of the Public Health Service Act as amended (42 USC 241 and 284) and under Federal Regulations 42 CFR Part 52 and 45 CFR Part 75.
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