Military Health Services Research (MHSR)

 

The Military Health System Research (MHSR) Program, provides intramural grants for topic areas directed by the Office of the Assistant Secretary of Defense for Health Affairs (OASD (HA)) and the Defense Health Agency (DHA). The intent of this initiative is to foster capability and capacity within the Military Health System (MHS) by fostering research that supports the transition to an integrated health system focused on the Quadruple Aim: improved health readiness, better health, better care, and lower cost. The Military Health System Research (MHSR) funds studies that identify factors that affect the economics/cost, quality, variation and outcomes of military health care delivery across the MHS enterprise. Some examples of applicable MHSR research grants include how policies, social factors, financing systems, organizational structures and processes, and health technologies influence health care delivery to individuals, families, communities, and populations within the MHS. The MHSR program goal is to use data driven evidence to inform policy and decision making that will improve the efficiency and effectiveness of healthcare delivery within the MHS.

Active 12.007 Defense Health Agency (Dha), Department of Defense B - Project Grants Fiscal Year 2019 - Researched new innovative access to care technologies in emergency departments and Military Treatment Facilities (MTFs). - Examined Burden Of Disease Of Musculoskeletal Conditions And Associated Healthcare Utilization Patterns In Active Duty Millennium Cohort Members And Military Health System Population - Researched and measured impact of cost sharing on medication adherence in the MHS for both non-retirees and retirees.
Fiscal Year 2020 No new projects funded due to Covid 19, so no accomplishment to report. Examples of projects that could be funded resulting in accomplishments include studies that identify factors that affect the economics/cost, quality, variation and outcomes of military health care delivery. This includes how policies, social factors, financing systems, organizational structures and processes, health technologies, behaviors influence the health care delivery to individuals, families, communities, and populations.
Fiscal Year 2021 -Research led to expansion of the ACCESS system within the MHS that would (1) help reduce ED crowding, (2) improve access to care through a live-tracking system that patients can review and select from, and (3) reduce the number of unfilled primary care appointments. -The ACCESS system in place in the BAMC ED serves as a template for other MTFs to use.
Fiscal Year 2023 An MHSR accomplishment at the Naval Postgraduate School (NPS) has shown significant variation in access to behavioral health resources across the US that can have impact to Service members and their beneficiaries. The NPS study reports that almost one-third of TRICARE Beneficiaries live in a community with inadequate mental health care access, specifically access to psychiatrists. Study findings were published in the Journal of the American Medical Association (JAMA Network Open 6.1 (2023): e2249314-e2249314.). 10 U.S.C. 4001
Enter into and administer grants, cooperative agreements, and other authorized transactions with any agency, university, nonprofit corporation, or other organization to perform or support DHA mission-related work. Establish procedures for DHA to administer all authorities and responsibilities specified. The eligibility for applicants will be in accordance with the individual FOA. Generally, competitions are open to private and public educational institutions that carry out science and engineering research and/or related science and engineering education; however, competition may be limited to a class of such institutions, such as Historically Black Colleges and Universities or other minority institutions (HBCUs/MIs). Some competitions may allow eligibility to other types of organizations, such as for-profit applicants. However, awards are not made to individuals. Not applicable. Not applicable. Preapplication coordination is not applicable. 2 CFR 200, Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal Awards applies to this program. Each program announcement, FOA, or other notice of funding opportunity tells potential proposers who is eligible to apply, what activities will be supported, in which science and engineering areas they will be supported, and how to apply. Some announcements also may require white papers before submission of full proposals. Award decisions are based on a competitive selection of proposals, using a technical merit review. Evaluation criteria are specified in the relevant announcement. If selected for award, the proposal is the basis for the award document and the applicant agrees to perform the research or research related activities (e.g., science or engineering education or research infrastructure-building activities) described therein. Not applicable. From 120 to 180 days. Appeal procedures are stated in applicable program announcements, FOAs, or other notices of funding opportunities. As specified in individual program announcements, FOAs, or other notices of funding opportunities, applications for competitive new awards are permitted As specified in individual program announcements, FOAs, or other notices of funding opportunities. Generally, the principal evaluation and selection criteria are the technical merits of the proposed research (or research-related activity) and its potential relationship in the long term to missions of the Department of Defense. Other selection criteria vary with the nature of the specific research or research-related activity. Typical examples include: Qualifications of the principal investigator and other key personnel to perform the proposed activity; adequacy of current or planned facilities and equipment to do so; and realism and reasonableness of proposed costs. Uses and restrictions are specified in individual FOAs Performance Reports: Individual program announcement, FOAs, or other notices of funding opportunities specify report requirements for performance reports Not applicable. Record keeping requirements are in accordance with the terms and conditions of the award, which will include appropriate provisions related to recipient records that are required. Statutory formula is not applicable to this assistance listing.

Matching requirements are not applicable to this assistance listing.

MOE requirements are not applicable to this assistance listing. Assistance is available for the length stated in individual FOA or other notice of funding opportunities. Method of awarding/releasing assistance: Lump. None/Not specified. MHSR General Inbox
16401 E Centretech Parkway
Aurora, CO 80012 USA
dha.ncr.j-9.mbx.hsr@health.mil
Phone: 303-676-3997 https://www.grants.gov/web/grants/view-opportunity.html?oppId=330852 09-7202-0-2-020 (Project Grants) FY 22$10,000,000.00; FY 23 est $10,000,000.00; FY 24 est $10,000,000.00; FY 21$10,000,000.00; FY 20$0.00; FY 19$7,448,012.00; - See individual FOA's for expected range of award accounts (generally vary from $$750,000 to $1,000,000 over 2 year period of performance). See program announcements, FOAs, or other notices of funding opportunities issued by executive agents. The DoDGARS (as updated through DoD's interim implementation of 2 CFR part 200 which can be found at 2 CFR part 1103) applies to DoD grants and cooperative agreements. Fiscal Year 2019 -Geographic Variations to Improve Quality and Reduce Costs in the Military Health System -Impact of cost sharing on medication adherence in the MHS for both non-retirees and retirees - Access to care and emergency department utilization at a major military treatment facility - Permanent Change of Station and Variation in Cancer Prevention and Care in the Military Health System
Fiscal Year 2020 No new projects funded due to Covid 19. Examples of projects that could be funded include studies that identify factors that affect the economics/cost, quality, variation and outcomes of military health care delivery. This includes how policies, social factors, financing systems, organizational structures and processes, health technologies, behaviors influence the health care delivery to individuals, families, communities, and populations.
Fiscal Year 2022 Research on the ACCESS system within the MHS that would (1) help reduce ED crowding, (2) improve access to care through a live-tracking system that patients can review and select from, and (3) reduce the number of unfilled primary care appointments.
Fiscal Year 2023 An MHSR funded project at the Naval Postgraduate School (NPS) has shown significant variation in access to behavioral health resources across the US that can have impact to Service members and their beneficiaries. The NPS study reports that almost one-third of TRICARE Beneficiaries live in a community with inadequate mental health care access, specifically access to psychiatrists. Study findings were published in the Journal of the American Medical Association (JAMA Network Open 6.1 (2023): e2249314-e2249314.). The MHSR funded project at Dartmouth College in collaboration with the Institute for Defense Analysis (IDA) compared rates of utilization of low back pain (LBP) treatments (i.e. physical therapy, manual therapy, behavioral therapies, opioid and benzodiazepine prescription) across the MHS and their association with resolution of LBP, particularly using nonpharmacologic treatments in order to reduce opioid use. The researchers reported substantial variability across catchment areas within TRICARE for the treatment of LBP and higher rates of opioid prescription were associated with worse outcomes. Results are published in the Journal Spine (Lurie, Jon D., et al. "A Regional Analysis of Low Back Pain Treatments in the Military Health System." Spine.)