The Effectiveness of Transitional Care

Letter of Intent Deadline:

March 10, 2014 at 5:00 p.m. (ET)

Letters of Intent will be screened for responsiveness and fit to program goals. Only those selected will be permitted to submit full applications. Notification of request to submit full application will occur no later than March 21, 2014. PCORI encourages prospective applicants to contact us with questions prior to the deadline.


PCORI is soliciting applications for research to determine which transitional care service clusters are most effective in improving patient-centered outcomes – while optimizing re-admission rates – in different at-risk subpopulations and in different healthcare contexts (e.g., fee-for-service, capitation, new payment models, medical homes, and integrated delivery systems). The proposed research should consider obtaining the needed information by evaluating the results of the widespread experimentation now underway in hundreds of U.S. communities. PCORI is particularly interested in proposals that also evaluate the acceptability of various transitional service clusters to patients, caregivers and providers, as well as other determinants of scalability. PCORI intends to fund one three-year comprehensive study by an organization or a consortium of organizations that has the expertise, resources and organizational governance needed to answer rigorously all the questions of interest.

Full Announcement:

The Effectiveness of Transitional Care

*Key Dates:

Online System Opens

February 5, 2014

Applicant Town Hall Session

February 12, 2014, 1:00 PM (ET)

Letter of Intent (LOI) Due

March 10, 2014 at 5:00 pm ET

LOI Screening Notification

March 21, 2014

Application Deadline

May 6, 2014 at 5:00 pm ET

Merit Review Dates

August 2014

Awards Announced

September 2014

Earliest Start Date

December 2014

Total Costs:

$15 Million

Maximum Project Period:

3 Years

Funds Available Up To:

$15 Million


Applications may be submitted by any private sector research organization, including any non-profit or for-profit organization; any public sector research organization, including any university or college hospital or healthcare system, laboratory or manufacturer, unit of local, state or federal government. All US applicant organizations must be recognized by the Internal Revenue Service. Non-domestic components of organizations based in the United States and foreign organizations may apply, as long as there is demonstrable benefit to the US healthcare system and US efforts in the area of patient-centered research can be clearly shown. Organizations may submit multiple applications for funding. Individuals are not permitted to apply.

Review Criteria:

1. Impact of the condition on the health of individuals and populations

2. Potential for the study to improve health care and outcomes

3. Technical merit

4. Patient-centeredness

5. Patient and stakeholder engagement

Applicant Resources:

Applicant FAQs

Applicant Town Hall Webinar Archive

Application Checklist

PCORI Application Guidelines

Budget Justification Template

Budget Summary for the Entire Project Template

Detailed Budget Template

Engagement Template

Methodology Report and Standards

People and Places Template

PCORI Funded Projects: Sample Engagement Plans

PCORI Online System

PCORI Online System User Manual: Submitting a Letter of Intent

PCORI Online System User Manual: Submitting an Application (Transitional Care)

PCORI Policy on Submission of Research Contract Applications

Research Plan Template

Sample Contract for Funded Research Projects

Technical Abstract Template


*Deadlines are at 5:00 PM ET. If deadlines fall on a weekend or a federal holiday, the deadline will be the following Monday or the next day after the federal holiday.