REINVENTION ACTIVITIES NIH GUIDE, Volume 23, Number 25, July 1, 1994 P.T. 34 Keywords: Grants Administration/Policy+ National Institutes of Health Recently, the NIH extramural programs were designated a Public Health Service "Reinvention Laboratory." A number of reinvention activities have been undertaken to make the NIH work better and cost less. These activities are, in part, a continuation of the usual reevaluation of policies and procedures, which is even more critical now because of fiscal constraints on both the NIH and research institutions. An important goal of this effort is to decrease the workload of applicants and reviewers while conserving resources for the direct support of research. PEER REVIEW In one set of activities, NIH is examining ways to streamline peer review. The number of applications reviewed by NIH has increased from fewer than 19,000 in 1983 to more than 38,000 in 1993. Neither staffing nor funding have kept pace with this increase. The fair review of all applications is the guiding principle and any change considered will uphold that principle. The use of triage for the review of applications received in response to RFAs has been evaluated and found to be both effective and fair. Now, the value of triage in the review of investigator-initiated applications is being assessed. The comments of reviewers and a careful evaluation of outcome are vital components of the study. A pilot study of the triage of grant applications extends the use of triage from the institutes to the Division of Research Grants (DRG). Reviewers designate the least meritorious applications "noncompetitive" and provide scores for only those applications considered clearly "competitive" for funding. It is important to note that "non-competitive" should not be equated with either the previously used "disapproval" or presently used "not recommended for further consideration" categories. The pilot study of the triage process is an attempt to reduce the workload of the researchers who serve on study sections and allow more discussion of the applications that are considered competitive. The first phase of the triage pilot study, conducted by selected Study Sections within the DRG during the February, 1994 review round, incorporated a streamlined format for the expedited production of summary statements. Thus, the critiques of "non-competitive" applications consisted of essentially unabridged comments from the reviewers and could be sent to applicants almost immediately following the meeting of the Study Section, providing the applicant more time to amend and resubmit the application. An expanded pilot study, taking into consideration the comments of participants in the initial study, is being conducted in the June, 1994 review round. In this study, streamlined summary statements will be used for all applications. For the group of "competitive" applications, the document will also contain a "Resume and Summary of Discussion" to convey the highlights of the discussion at the study section meeting and a paragraph detailing the budgetary recommendations. Another initiative addresses the desirability of having reviewers place greater emphasis on the person being supported than on the specifics of a project. For example, the extension of MERIT awards emphasizes retrospective evaluation of the investigator whereas the traditional R01 review focuses on a prospective review of planned activities. The most appropriate balance between these two perspectives is one topic of discussion. Within DRG, a study will soon be undertaken to assess the effectiveness of automatically assigning competing renewal and amended applications to the Institute or Center (IC) and Initial Review Group of the previous record. While deviations could, of course, occur, it may be desirable to ensure that applicants, program staff, and review administrators are clear about the standard procedures. STRUCTURE OF AWARDS A number of initiatives related to the research grant programs are also under consideration or soon to be initiated. For example, there has been discussion of establishing modular grants, at levels of support preset by NIH (e.g., $150,000, $250,000). This could be combined with an assurance that subsequent budget reductions would be very unlikely or paylines set by size of grant such that the payline for smaller awards would be higher than that for larger. GRANT APPLICATION Another set of reinvention activities focuses on reducing the burden of providing grant application material. The "just-in-time" pilot test postpones the collection of a fairly substantial amount of information that currently must be provided in all competing applications until an application clearly is being considered for funding. This delayed request and receipt of information relieves the burden for approximately 70 to 75 percent of applicants who will not receive an award. The information that would be delayed or simplified includes the collection of other support information, specific budget detail, and the biographical sketch. The biographical sketch will include only information related to research background and experience, including, at the option of the applicant, the other support relevant to the proposed research. If relevant support is cited, only the title and source is necessary. This approach may simplify and reduce the administrative burden associated with the NIH grant application without compromising the initial review group determination of scientific merit or the reasonableness of the proposed budget. Information relevant to the award of the project would be exchanged "just in time" prior to award. "Just-in-time" is being studied through four RFAs from four ICs. This provides an opportunity to explain the requirements to a defined set of applicants and to evaluate the results. As with many such innovations, the effect may be beneficial for some (applicants who are not funded) and not for others (grants administration staff). It is essential that the applicant Principal Investigator and institution can provide the detailed information quickly if a decision is made to fund an application. ELECTRONIC RESEARCH ADMINISTRATION The electronic exchange of application and post-award information has been assigned high priority. A proposal for Electronic Research Administration (ERA) is being drafted. Within this system, each institution would use a unique, assigned number to submit applications, and institutional information would then be drawn automatically from a database of complete institutional profiles. Thus, the need to provide data repeatedly on a project-by-project basis would be eliminated. In addition, electronic application files would be created to serve as the repository for all information generated during the life cycle of each project. This data base would be accessible to authorized institutional and NIH staff, who could each review and add information as required. INFORMATION ABOUT EXTRAMURAL RESEARCH PROGRAMS High priority is also assigned to increasing electronic availability of information about extramural research programs. Currently, the research community can access the NIH Guide for Grants and Contracts and telephone directory on both the NIH Gopher and NIH Grantline; the PHS Grants Policy Statement on the NIH Grantline; and the (CRISP) database, which lists all NIH grant and contract awards, on the NIH Gopher. The full text of the NIH Guide and the Table of Contents is available through separate LISTSERV subscriptions (NIH Guide, Vol. 23, No. 20, May 27, 1994). Information from the Office for Protection from Research Risks (OPRR); rosters of advisory groups including review groups; the minutes of the National Advisory Council meetings; the NIH Extramural Programs; and descriptions of ongoing programs such as the First Independent Research Support and Transition (FIRST) Awards and the National Research Service Act (NRSA) Awards will be available electronically in the future. NATIONAL PERFORMANCE REVIEW In addition to the projects outlined above, several reinvention activities are being explored to manage the reduced Federal workforce mandated by the National Performance Review. Among them is the increased use of the Intergovernmental Personnel Act (IPA), which permits Federal agencies to obtain the services of experts from eligible institutions. This could offer valuable opportunities for extramural scientists in emerging areas of science to gain exposure to the NIH extramural processes and transfer that knowledge to their home institutions. Several other initiatives, selected for the potential to improve service to the research community and increase administrative efficiency, are in the very early stages of development. Some involve administrative simplifications that can be implemented immediately; others will require further evolution before they can be initiated in the short or long term. All are part of an ongoing process being conducted with broad involvement across the NIH and in partnership with the greater scientific community. INQUIRIES Researchers and members of all segments of the extramural research community are encouraged to contribute suggestions for additional modifications of NIH procedures and comments on the ongoing activities. Comments may be sent to: Dr. Wendy Baldwin Deputy Director for Extramural Research National Institutes of Health Building 1, Room 144 Bethesda, MD 20892 e-mail: lef@cu.nih.gov .
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