Opportunity Information: Apply for RFA AG 24 024
The National Institutes of Health (NIH) is offering a cooperative agreement opportunity (U54; clinical trial not allowed) titled "Understanding the Supply of Professional Dementia Care Providers and Their Decisions" (RFA AG 24 024; CFDA 93.866). The purpose is to build a major national research resource focused on the professional dementia care workforce by conducting a large, national survey of dementia care providers and then, for respondents who agree, linking those survey data to administrative records. The overall idea is to move beyond what surveys alone can tell us by pairing self-reported information about providers and their workplaces with real-world operational and clinical data sources, creating a richer, more accurate foundation for workforce and health services research in Alzheimers disease and related dementias (AD/ADRD).
At the center of the project is a national survey targeting professional dementia care providers across multiple roles. This includes physicians and other licensed or credentialed care professionals involved in dementia care, such as licensed practical nurses (LPNs) and social workers, among others. A key design feature is intentional oversampling of individuals from populations that have been underrepresented in AD/ADRD research, as well as oversampling institutions that predominantly serve underrepresented populations. This emphasis is meant to ensure the resulting dataset can support meaningful analyses of disparities and the structural factors that shape dementia care delivery in different communities, rather than reproducing the limitations seen in many existing workforce studies where certain groups and settings are not adequately represented.
The linked-data component is a major part of what NIH is trying to enable. For survey participants who consent, the project would connect provider-level and institution-level survey responses to administrative data such as electronic health records, insurance claims, payroll records, and other institutional or state-level data. This linkage is intended to support deeper research into the supply of skilled dementia care labor, how care teams and institutions organize and deliver dementia-related services, and how workforce conditions translate into measurable patterns of care. By integrating administrative sources with survey responses, researchers can study topics like staffing levels, workforce stability, compensation structures, care utilization, and outcomes in ways that are difficult or impossible using either source alone.
The opportunity is also explicitly aimed at understanding variation: how differences in provider characteristics (training, experience, role, background) and institutional characteristics (setting, resources, patient mix, organizational practices) contribute to differences in the care that people living with dementia receive. NIH highlights that this resource should help identify modifiable individual and organizational behaviors, meaning practical factors that can be changed through policy, management decisions, training, or workflow redesign. The larger goal is to improve overall dementia care delivery while also addressing and reducing AD/ADRD disparities, especially in settings serving communities that have historically been overlooked in research.
Because this is a U54 cooperative agreement, the award mechanism signals substantial involvement from NIH program staff during the project period compared with a typical research project grant. In practice, that usually means the funded team is expected to coordinate closely with NIH on study design choices, data elements, linkage approach, governance, and dissemination plans, with an emphasis on producing a broadly useful national resource rather than a single narrow research study. The notice also specifies "clinical trial not allowed," indicating the work is focused on data resource development, survey implementation, and observational analyses rather than testing an intervention in a clinical trial framework.
Eligibility is broad and includes many types of U.S.-based organizations and governments. Eligible applicants include state, county, and local governments; special districts; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized Native American tribal governments; Native American tribal organizations other than federally recognized governments; public housing authorities and Indian housing authorities; nonprofits with or without 501(c)(3) status; for-profit organizations other than small businesses; small businesses; and other entities. NIH also calls out additional eligible applicants such as Alaska Native and Native Hawaiian Serving Institutions, Asian American Native American Pacific Islander Serving Institutions (AANAPISISs), Hispanic-serving Institutions, Historically Black Colleges and Universities (HBCUs), Tribally Controlled Colleges and Universities (TCCUs), faith-based or community-based organizations, regional organizations, U.S. territories or possessions, and certain tribal governments that are not federally recognized. Foreign institutions are not eligible to apply, and non-U.S. components of U.S. organizations are not eligible; however, foreign components as defined by the NIH Grants Policy Statement are allowed, which generally means limited, well-justified foreign involvement can be included under NIH rules without the applicant being a foreign institution.
Administrative details from the posting include the agency (NIH), the original closing date listed as 2023-02-03, and a posted award ceiling that is not specified in the provided text. Taken together, the opportunity is best understood as NIH investing in a national, linkable data infrastructure focused on professional dementia care providers and the institutions that employ them, specifically designed to enable stronger workforce research and to illuminate actionable pathways for improving dementia care quality and equity across the United States.Apply for RFA AG 24 024
- The National Institutes of Health in the health sector is offering a public funding opportunity titled "Understanding the Supply of Professional Dementia Care Providers and Their Decisions (U54 Clinical Trial Not Allowed)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.866.
- This funding opportunity was created on 2022-12-23.
- Applicants must submit their applications by 2023-02-03. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501 (c) (3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education, Private institutions of higher education, For-profit organizations other than small businesses, Small businesses, Others.
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Frequently Asked Questions (FAQs)
What is the title of this NIH funding opportunity?
The opportunity is titled "Understanding the Supply of Professional Dementia Care Providers and Their Decisions."
What is the funding mechanism and what does it imply?
This is a U54 cooperative agreement. A cooperative agreement typically means NIH program staff will have substantial involvement during the project period, with ongoing coordination on major elements such as study design choices, data elements, linkage strategy, governance, and dissemination. The intent is to produce a broadly useful national research resource, not just a single, narrow research study.
Are clinical trials allowed under this opportunity?
No. The opportunity is designated "clinical trial not allowed." The supported work is focused on building a data resource, implementing a national survey, linking survey data to administrative records (for consenting respondents), and conducting observational analyses rather than testing an intervention as a clinical trial.
What is the main purpose of this award?
The purpose is to build a major national research resource focused on the professional dementia care workforce by (1) conducting a large, national survey of professional dementia care providers and (2) linking survey responses to administrative records for participants who consent.
What problem is NIH trying to solve with this project?
NIH is aiming to move beyond what surveys alone can provide by pairing self-reported information about providers and workplaces with real-world operational and clinical data sources. The goal is to create a richer foundation for workforce and health services research in Alzheimer's disease and related dementias (AD/ADRD), including research on disparities.
What is the core activity at the center of the project?
The core activity is a large national survey targeting professional dementia care providers across multiple roles.
Who is included in the survey population?
The survey targets professional dementia care providers across multiple roles, including physicians and other licensed or credentialed care professionals involved in dementia care. Examples mentioned include licensed practical nurses (LPNs) and social workers, among others.
What does "oversampling" mean in this opportunity, and why is it required?
A key design feature is intentional oversampling of individuals from populations underrepresented in AD/ADRD research, as well as oversampling institutions that predominantly serve underrepresented populations. This is intended to ensure the dataset supports meaningful analyses of disparities and structural factors shaping dementia care delivery, rather than repeating limitations of existing studies where certain groups and settings are not adequately represented.
What kinds of data will be collected through the survey?
Based on the description, the survey will capture provider-level and institution-level information, including self-reported information about providers and their workplaces. The notice emphasizes provider characteristics (such as training, experience, role, and background) and institutional characteristics (such as setting, resources, patient mix, and organizational practices) as key dimensions of interest.
What is the linked-data component, and how does it work?
For survey respondents who agree (consent), the project links survey responses to administrative data sources. This linkage is intended to connect provider-level and institution-level survey responses to operational and clinical records so researchers can study workforce supply, organizational decisions, and measurable patterns of care more accurately than using survey or administrative data alone.
Is participation in data linkage required for survey respondents?
No. The linkage is described as applying to "respondents who agree" and "for survey participants who consent," indicating that linkage is consent-based.
What types of administrative records are mentioned as potential linkage sources?
The opportunity mentions electronic health records (EHRs), insurance claims, payroll records, and other institutional or state-level data as examples of administrative data sources for linkage.
What kinds of research questions is the linked dataset intended to support?
The combined survey and administrative data are intended to support research on the supply of skilled dementia care labor, how care teams and institutions organize and deliver dementia-related services, and how workforce conditions translate into patterns of care. Specific examples mentioned include studying staffing levels, workforce stability, compensation structures, care utilization, and outcomes.
What does NIH mean by focusing on "variation" in dementia care delivery?
NIH highlights understanding how differences in provider characteristics (training, experience, role, background) and institutional characteristics (setting, resources, patient mix, organizational practices) contribute to differences in the care received by people living with dementia.
What are "modifiable individual and organizational behaviors" in this context?
In the context of this opportunity, modifiable behaviors are practical factors that can be changed through policy, management decisions, training, or workflow redesign. The resource is expected to help identify such actionable levers for improving dementia care delivery.
How does this opportunity address AD/ADRD disparities?
It emphasizes building a dataset that can support meaningful disparities analyses by oversampling underrepresented populations and institutions that predominantly serve them. The broader goal is to improve dementia care quality while also addressing and reducing AD/ADRD disparities, particularly in settings serving communities historically overlooked in research.
Which federal agency is sponsoring this opportunity?
The sponsoring agency is the National Institutes of Health (NIH).
What is the RFA number and CFDA listing provided?
The RFA is RFA AG 24 024, and the CFDA number provided is 93.866.
Who is eligible to apply?
Eligibility is broad and includes many U.S.-based organizations and governments. Examples listed include state, county, and local governments; special districts; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized Native American tribal governments; Native American tribal organizations other than federally recognized governments; public housing authorities and Indian housing authorities; nonprofits with or without 501(c)(3) status; for-profit organizations other than small businesses; small businesses; and other entities.
Are specific types of institutions explicitly called out as eligible?
Yes. The opportunity also calls out Alaska Native and Native Hawaiian Serving Institutions, Asian American Native American Pacific Islander Serving Institutions (AANAPISIs), Hispanic-serving Institutions, Historically Black Colleges and Universities (HBCUs), Tribally Controlled Colleges and Universities (TCCUs), faith-based or community-based organizations, regional organizations, U.S. territories or possessions, and certain tribal governments that are not federally recognized.
Are foreign institutions eligible to apply?
No. Foreign institutions are not eligible to apply.
Can a U.S. organization include a non-U.S. component in the application?
Non-U.S. components of U.S. organizations are not eligible. However, "foreign components" (as defined by the NIH Grants Policy Statement) are allowed, meaning limited, well-justified foreign involvement may be included under NIH rules without the applicant being a foreign institution.
What is the focus area or disease area for this resource?
The focus is Alzheimer's disease and related dementias (AD/ADRD), specifically the professional dementia care workforce and the institutions and systems involved in dementia care delivery.
What is the overall deliverable NIH appears to want from the funded project?
NIH appears to be investing in a national, linkable data infrastructure centered on a national survey of professional dementia care providers and consent-based linkage to administrative records, designed to enable stronger workforce and health services research and to identify actionable pathways to improve dementia care quality and equity.
What administrative deadline information is provided?
The posting lists an original closing date of 2023-02-03.
Is the award ceiling provided in the information above?
No. The posting notes that the award ceiling is not specified in the provided text.
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