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Special Emphasis Notice: AHRQ Announces Interest in Health Services Research to Improve Care Delivery, Access, Quality, Equity, and Health Outcomes for Older Adults

National Institutes of Health

The purpose of this Special Emphasis Notice (SEN) is to inform the research community of the Agency for Healthcare Research and Quality’s (AHRQ) strong and continued interest in receiving health services research grant applications that advance the Nation’s goal of improving care delivery, access, quality, equity, and health outcomes for older adults.

The older adult population in the U.S., age 65 and older increased by 38.6% from 40.3 million to 55.8 million between 2010 and 2020 ( U.S. Census Bureau data ) and is expected to reach 94.7 million by 2060) ( US. Census Burea data). The health system is ill-prepared to meet the need of older adults, the majority of whom have multiple chronic conditions and frequently receive fragmented and sub-optimal care. This leads to poor outcomes, including avoidable adverse events, hospitalizations, and institutionalization, and increased costs. Furthermore, most people aged 65 and older are women, who compared to men, disproportionately experience illness, multiple chronic conditions, disability, poverty, and barriers in access to care as do low-income older adults and those from certain racial and ethnic minority groups. The sustainability of Medicare and Medicaid programs is dependent on improving quality and outcomes of care for older adults.

Re-engineering healthcare delivery systems to deliver person-centered integrated care so that care transformation optimizes physical and mental health outcomes, functional status, and well-being, is paramount. Specifically, such changes can reduce much of the morbidity and premature mortality associated with aging, and chronic conditions can be effectively managed, allowing people to live independently and contribute to their communities longer.

This SEN conveys AHRQ’s interest in supporting health services research to conduct research that will address questions related to the development, implementation, evaluation, and scale of person-centered models of care to optimize physical and mental health, functional status, and the well-being among older adults. This SEN builds on AHRQ’s prior work, including the Optimizing Health and Function as We Age Roundtable Report , Research Agenda for Transforming Care for People with Multiple Chronic Conditions , and the Multiple Chronic Conditions e-careplan . It also supports AHRQ’s ongoing commitment to the inclusion of priority populations in health services research ( About Priority Populations | Agency for Healthcare Research and Quality (ahrq.gov) .

Applicants should consider this SEN active until May 15, 2027.