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Recovery.gov - Track the Money

Recovery.gov is the U.S. government's official website that provides easy access to data
related to Recovery Act spending and allows for the reporting of potential fraud, waste, and abuse.

Agency Reporting


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Program Plan
Department of Health and Human Services - Recovery Act - Comparative Effectiveness Research - NIH Recovery Plan
Updated 05/15/2009
Objectives
Program Purpose

The NIH's objective is to target dollars to support scientific research opportunities that help support the goals of the Recovery Act. The projects will encompass NIH’s mission by conducting CER that aims to enhance patient and clinician decision-making and to improve “real world” health outcomes for the nation. The NIH objective specifically supports HHS strategic plan goal 4: advance scientific and biomedical research and development related to health and human services.


Public Benefits

This program will produce benefits to the economy through job creation and other stimulus effects, and aid in improving the health of the Nation through the award of grants, contracts and other activities that support biomedical research.


Measures
The measures have been revised to enrich the performance metrics for Recovery targets. In some instances, targets will not be available until additional baseline data has been collected.

MeasureTarget/Actual
2009201020112012
[-] Number of applications received
0/00/0--

Measure Information
Frequency : Quarterly
Direction : Increasing
Type : Output
Explanation : No Data Available
Unit : grants
[-] Number of meritorious grants awarded
0/00/0--

Measure Information
Frequency : Quarterly
Direction : Increasing
Type : Output
Explanation : No Data Available
Unit : grants
[-] Number of coordinating meetings, including FCC, AHRQ CER, VA CER
-0/0--

Measure Information
Frequency : Quarterly
Direction : Increasing
Type : Output
Explanation : No Data Available
Unit : meetings

Schedule and Milestones

NIH is developing a schedule with milestones and planned delivery dates for major phases of the program’s activities. NIH will likely focus initially on peer reviewed projects that were approved but were not funded in FY 2008 or approved but not likely to be funded in FY 2009 or FY 2010 within regular NIH appropriations related to CER. NIH issued a related Request for Application (RFA) for Challenge Grants and other NIH-wide solicitations such as Competitive Supplements, Grand Opportunities Grants to allow appropriate applicant response times to apply. NIH anticipates making the initial CER awards no later than September 2009.

As the Recovery Act requires, NIH will submit an operating plan for this program to the House and Senate Appropriation Committees prior to obligating the $400 million not later than July 30, 2009. Detailed milestones and fiscal year expenditure estimates will be included in the July 30 submission.


Milestones
Milestone Completion Date
Publish funding announcements 09/30/2009
Review and award meritorious applicants 09/30/2009
Review Progress Reports
Pay continuation
03/30/2010

Projects and Activities

NIH is currently developing a plan that specifies the kind and scope of activities that may be funded to achieve the program’s objectives. As a member of the Federal Coordinating Council for Comparative Effectiveness Research (FCC), which was authorized by and established pursuant to the Recovery Act, NIH is coordinating its research plan with other agency members and consulting with the FCC to ensure consistency with the HHS-wide plan.

To support scientific research opportunities that help achieve the goals of the Recovery Act, NIH plans to obligate resources across several major activities. Such activities may include:

• Previously Peer-Reviewed and Approved Projects. NIH will likely support peer-reviewed and approved, highly meritorious grant applications from investigators across the nation that were not funded in FY 2008 and grant applications that would not otherwise likely be funded in FY 2009 or FY 2010.

• New and Competing Research Efforts. NIH may also provide support for new types of activities that fit into the structure of the Recovery Act. For example, the new NIH Challenge Grant and Grand Opportunities programs will focus on health and science problems where significant progress can be made within a two year time frame.

• Continuations. NIH may support acceleration of the tempo of ongoing science via NIH’s supplement programs known as “administrative supplements” or expansion of the scope of current research through “competitive revisions” for support of additional infrastructure (e.g., equipment costing less that $100,000) and personnel.


Review Process

The National Institutes of Health through the Extramural Grants Management Advisory Committee (GMAC), and the Contract Management Advisory Committee (CMAC), has established policies and procedures to assure a consistent and integrated approach to oversight practices that monitor extramural grantee activities for NIH contracts, grants, and cooperative agreements. These committees meet approximately twice a month. Guidance for progress tracking, financial management, and administrative management of NIH grants includes OMB Circular A-110, OMB Circular A-123, Management's Responsibility for Internal Control, sections of the Recovery Act including Section 1512, and the Updated Implementing Guidance for the Recovery Act of 2009.

In addition, the NIH Office of Management Assessment (OMA) and the Office of Financial Management are establishing a common framework for identifying, assessing, and testing of operational and financial risks and internal controls associated with implementing Recovery Act requirements. OMA will work with NIH offices that are responsible for implementing programs receiving Recovery Act funding to: identify and score the Recovery Act risks, assess controls related to the identified the Recovery Act risks, remediate controls as needed, monitor the inventory of the Recovery Act risks, and report on the risks and controls to NIH and HHS leadership. These assessments will be done consistent with the statutory requirements of the Federal Manager’s Financial Integrity Act, which required managers to assess the effectiveness of management controls applicable to their responsibilities, and the Improper Payments Information Act, as well as OMB’s circular A-123 Management’s Responsibility for Internal Control, which strengthens financial management controls so that Federal agencies can better detect and prevent improper payments.

Progress reports are required for all active projects annually. The reports are reviewed by both program and grants management staff as required in the respective NIH Manual Chapters. The review process includes a project officer completing a review checklist for each project that covers: progress, scope, planning, any project changes, safety, outputs, and reporting requirement. The checklist requires additional information for any identified risk or challenge areas. Mitigating or corrective actions are documented and trigger additional review as required. Outputs are reviewed by program officials to confirm appropriate progress. Progress standards are based on planned activities and milestones within the grant application.

Grants management specialists monitor disbursements from the grantee project accounts as reported in the quarterly SF272 (Cash Transaction Report) to assure that the drawdowns from the Division of Payment Management System are appropriate for the effort described in the application. When disbursements are outside of planned parameters, grants management specialists contact the grantee for additional information, and confer with NIH program staff to determine whether the project may be at risk. Decisions to limit disbursements based on actual charges to the project may be required, if project funds are determined to be at risk. Additional funds may be withheld if progress is not satisfactory, and continued concerns may lead to suspension or termination of award.

NIH conducts technical assistance visits for oversight of grantee organizations when deemed necessary by the grants management specialist based on a GMAC Risk Assessment analysis. Site visits and reviews are tailored to the specific circumstance of use for each Grantee Institution, with the participation of grant and/or program management as needed.

Although science validates itself statistically, other forms of evaluations occur on a regular or as needed basis. The findings from evaluability assessments, evaluations and system assessments are used to improve or to eliminate activities.


Cost and Performance Plan

Transparency:

NIH will be open and transparent in all of its grants competitions that involve spending of Recovery Act funding consistent with statutory and OMB guidance.

NIH will ensure that recipient reporting required by Section 1512 of the Recovery Act and OMB guidance is made available to the public on Rocovery.gov by October 10, 2009. NIH will inform recipients of their reporting obligation through standard terms and conditions, grant announcements, contract solicitations, and other program guidance. NIH will provide technical assistance to grantees and contractors and fully utilize Project officers to ensure compliance with reporting requirements. To ensure recipient cost and performance requirements are reported, all awards issued with Recovery Act have special accounting numbers and codes to track the funds and awards. All Recovery Act funds must be awarded separately from the normal appropriation funds. The awards must comply with both existing NIH reporting requirements and the Recovery Act reporting requirements. The awards must comply with both existing NIH reporting requirements and the Recovery Act reporting requirements. Grants will include special terms and conditions based on guidance provided by OMB and HHS. NIH will have a link to Recovery.gov on its website.

Accountability:

To ensure that managers are held to high standards of accountability in achieving program goals under the Recovery Act, NIH will build on and strengthen existing processes. Senior NIH and Science Implementation officials will meet regularly with senior Department officials to ensure that projects are meeting their program goals, assessing and mitigating risks, ensuring transparency, and incorporating corrective actions. The personnel performance appraisal system will also incorporate Recovery Act program stewardship responsibilities for program and business function managers.

The Project officer’s annual review requires additional information for any identified risk or challenge areas. Mitigating or corrective actions are documented and trigger additional review as required. Outputs are reviewed by program officials to confirm appropriate progress. Progress standards are based on planned activities and milestones within the grant application. Grants management can limit disbursement of funds for any funding improprieties and if progress is not satisfactory.

NIH is coordinating efforts with its Office of Management Assessment and Office of Financial Management to ensure that existing risk management processes are fully used as NIH implements the provisions of the Recovery Act. Terms and conditions of award notices will also be amended so that awardees are fully aware of the reporting requirements associated with these funds.


Energy Efficiency Spending Plans

The infrastructure that may be supported through these funds will be primarily data bases, patient registries and other health information technologies, which are not subject to energy efficiency or green building requirements. No construction will be carried out with these funds.


Program Plan Award Types
No Data Available