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Annual Portfolio Assessment Expert Review Pilot

Technology Portfolio
Panel Summary Report

Prepared by:
New Editions Consulting, Inc.
6858 Old Dominion Dr., Suite 230
McLean, VA 22101
January 4, 2006

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Executive Summary

The National Institute on Disability and Rehabilitation Research (NIDRR) conducted its Annual Portfolio Assessment Expert Review (APAER) Process Pilot for the Technology Portfolio on October 5-6, 2005, in Arlington, VA.

The APAER process was developed by NIDRR to assess the agency's progress in meeting Federal performance requirements under the Government Performance and Results Act (GPRA) and the Program Assessment Reporting Tool (PART). The PART is a systematic method of assessing and improving program performance across the Federal government, instituted by the Office of Management and Budget (OMB). The APAER process was designed as an external expert review of NIDRR grantee accomplishments using a three-year cycle. NIDRR's Technology portfolio was reviewed as a pilot of this new process.

A panel of 17 researchers, consumers, clinicians, educators, advocates, and industry representatives reviewed NIDRR's technology portfolio, based on reports from 46 grantees with active awards in 2004 under the Rehabilitation Engineering Research Center (RERC), Disability and Rehabilitation Research Project (DRRP) and Field Initiated Project (FIP) programs. The review covered:

Since this was a pilot process, data were also collected to assess the feasibility of the process design and implementation.

Findings and Recommendations

The panel provided frank evaluations and a substantial list of recommendations to NIDRR in three areas: the Technology portfolio performance, NIDRR management, and the APAER process. In general, the panel expressed concern about the lack of apparently high quality accomplishments described in the accomplishment "nuggets" submitted by the grantees. However, the panel indicated that these findings may be more reflective of difficulties with the APAER pilot process, rather than the actual performance of the grantees, and recommended that NIDRR obtain more accurate information from the grantees. Therefore, care must be taken in interpreting and applying these findings.

Portfolio Performance. Panelists identified and discussed 49 outputs and 26 outcomes. While a number of exciting accomplishments were identified in each cluster area, the panel agreed that overall, there were not enough high-quality research and development outputs and outcomes that advance scientific knowledge, considering NIDRR's level of investment. The panel noted the lack of sufficient evidence supporting the claims made in the reports it examined. Among the high quality accomplishments identified, the strongest were contributions to policy and practice improvements. The Information Technology/Telecommunications cluster of awards was acknowledged as the strongest area in stimulating changes in policy and practice through the development of standards and regulations. The Environmental Access and Sensory/Communication areas also included some key accomplishments in policy and practice improvements.

Similarly, in the area of knowledge translation, the panel agreed that there were not enough high-quality consumer-oriented products being produced or new devices or technologies being transferred to industry. The Information Technology/Telecommunications area was cited as strong in product development and transfer. The grantees in that cluster had achieved a good alignment with industry resulting in advances in accessible information technologies. In other clusters, there were an array of new products, but the potential for commercialization was unclear from the available information.

On measures related to building capacity in the field, such as use of multidisciplinary teams and research training, the panel was unable to make definitive judgments of adequacy. The panel was uncertain about the level of multidisciplinary research being conducted among grantees and suggested a need for additional details about staff and consultants. Also, the panel was uncertain if there were an adequate number of awards to individuals from diverse backgrounds or institutions serving underrepresented populations. However, the panel recommended that NIDRR improve dissemination of funding opportunities to diverse populations to increase the number of applications from this group.

Management of the Portfolio. The panel assessed the structure and relevance of the portfolio. Panel members tended to be uncertain about the adequacy of funding and believed that NIDRR's budget and grant amounts limit what NIDRR and its grantees can accomplish independent of collaborations with other agencies or industries. The majority of panelists did not believe that there were a sufficient number of awards that integrated education research and training.

The panel generally agreed that the current portfolio topics were relevant and appropriate, but not cutting-edge. However, they recommended areas to add to or strengthen in the portfolio: technologies for aging, mobility concerns such as balance and falls, product effectiveness research, applications of nanotechnologies, and virtual reality. The panel acknowledged the dilemma regarding the balance of cutting-edge, innovative work with more direct problem-solving research. There was a general feeling that perhaps some smaller percentage of NIDRR's efforts should focus on cutting-edge innovations, with the majority of the work targeting the applications of mainstream technologies and the utilization of technologies by individuals with disabilities. The panel recommended that NIDRR work with an advisory group to reconfigure some of its funding mechanisms and reconsider the role played by the RERCs. (Note: NIDRR has already begun this process.)

The panel also assessed NIDRR management activities. The panel offered recommendations for streamlining the NIDRR bureaucracy, reconsidering the role of the project officer, and improving NIDRR's information dissemination. The panel suggested that NIDRR reduce administrative requirements on grantees and become more nimble in working with grantees to apply the most up-to-date technologies. The panel felt that the role of NIDRR staff could be enhanced by assigning project responsibilities according to scientific affiliations, and supporting them in staying current by allowing them to attend leading conferences in the field and make site visits. Information about NIDRR's research could be improved, for example, by keeping an up-to-date Web site and providing publications that do not need to be vetted. The panel also saw a need for NIDRR to be more actively engaged in outreach to consumers, researchers, other agencies, and industry.

APAER Pilot Process. The panel expressed a number of technical difficulties with the pilot process. There was limited information in many individual grant reports, the terminology used in the performance measures was complicated, the scoring process was interpreted differently in different clusters, and some information was provided too late or was inaccessible. Conceptually, the panel was concerned that reviewing projects only once every three years might miss important discoveries and advances. The panel recommended that APAER:


Annual Portfolio Assessment Expert Review
Technology Portfolio Pilot
Panel Summary Report

The National Institute on Disability and Rehabilitation Research (NIDRR) conducted its Annual Portfolio Assessment Expert Review (APAER) Process Pilot for the Technology Portfolio on October 5-6, 2005, in Arlington, VA. This summary report presents a brief description of the APAER process and the findings and recommendations of the expert panel.

Section 1: Overview of the APAER Process

The APAER process was developed by NIDRR to assess its progress in meeting Federal performance requirements under the Government Performance and Results Act (GPRA) and the Program Assessment Reporting Tool (PART), and to capture progress of its grantees using a three-year cycle, with one-third of NIDRR's portfolio reviewed every three years. A team of experts reviewed NIDRR's Technology Portfolio as a pilot of this new process. This first year is a baseline year for the technology portfolio. Through this pilot, NIDRR intends to gather data to compare its baseline performance with results at the end of a specified time period in 2013.

The goal and challenge to NIDRR with APAER were to establish an integrated and methodologically sound portfolio assessment and expert review process that would:

1.1 APAER Purpose

The APAER is intended to provide NIDRR with a programmatic level, independent assessment of:

1.2 Pilot Objectives and Design Challenges

The specific objectives of the 2005 APAER pilots were to test:

In designing and conducting this pilot, NIDRR experienced a number of challenges. The key challenges follow.

1.3 Procedures

NIDRR's annual and long-term performance measures served as the basis of the process. Key design features and steps in the process are summarized below.

1.3.1 Portfolio Composition

For APAER, NIDRR grouped eligible awards into portfolios according to the applicable outcome arena of the Logic Model presented in its 2005 Long-Range Plan. For the research and development arena, NIDRR further subdivided these awards into six domains according to its Long-Range Plan. The criteria for inclusion of an award in the Technology portfolio were: technology-related focus; active in 2004 and had completed at least one full year of work; and, one of the following eligible program funding mechanisms--Rehabilitation Engineering Research Center (RERC), Disability and Rehabilitation Research Project (DRRP), or Field Initiated Project (FIP).

For the Technology portfolio pilot, NIDRR identified 61 eligible awards. To facilitate the review process and reduce reviewer burden, NIDRR categorized the awards into five relatively similar sized clusters: (1) Sensory/Communication, (2) Mobility/Manipulation, (3) Information Technology/Telecommunications, (4) Environmental Access, and (5) Cross-Cutting awards.

1.3.2 Inputs to the Process

NIDRR developed an online supplemental information form for grantees to report retrospectively on outputs and outcomes between 2002-2004 with data corresponding to selected GPRA performance measures. Grantees had six weeks to complete the form, including submitting electronic documentation of outputs and outcomes to the extent possible. They provided information on the multidisciplinary teams of investigators, study descriptions, a roster of fellows/trainees and doctoral students, journal publications, and nominations of two "best" accomplishment nuggets in scientific publications, short-term outcomes with evidence, and intermediate outcomes with evidence. NIDRR requested that participating grantees provide feedback on this process.

Individual award reports, developed by grantees as they completed their online data entry, served as the basis for the individual level review. Panel members received electronic copies of these reports one week prior to the APAER meeting. Immediately prior to the APAER meeting, panel members also received an additional listing with links to available publications. These links enabled reviewers to review publications that grantees had reported, but not submitted, with their supplemental information. NIDRR provided copies of these publications at the APAER meeting.

To help prepare panelists for the review, NIDRR also circulated to panel members a background report describing the APAER process, providing information about NIDRR and the technology domain, and reporting the aggregate data from the individual grantee awards. The aggregate data included information on funding mechanisms (20% of the portfolio were RERCs, 20% were DRRPS, and 37% were FIPs; there were no RRTCs); years of operation (the average was 3.4 years); number of awards with at least one previous cycle (41% of the grantees who provided reports); study samples; trainees by discipline; number of journal publications by funding mechanism; number of articles published (a total of 96); number of nuggets grantees reported as publications (46) by funding mechanism; number of short term nuggets reported (42); and number of intermediate nuggets (33). This information was designed to give the panel a broad overview of NIDRR and a general sense of the accomplishments of the Technology portfolio.

Additionally, NIDRR provided panel members with a supplemental report to help them assess NIDRR management. This report contained information on NIDRR published funding priorities for a sample year, 2003; a compilation of 60 comments from consumers related to technology needs; an overview of the NIDRR peer review process; selection criteria for each type of funding mechanism; data on peer review scoring for FY 2003 competitions; information on the timeliness of the process; and panel characteristics.

Reviewers accessed programmatic and logistical information as it became available through a Web site designed for this purpose. (http://www.neweditions.net/APAER2005/)

1.3.3 Panel Composition

NIDRR developed guidelines for panel composition to ensure appropriate representation and expertise. The main criteria were:

Seventeen reviewers--eight researchers, two university administrators, two clinician researchers, two representatives of consumer organizations, and three industry representatives--participated on the Technology panel. The expertise of the researchers included the social sciences, aging, prosthetics and orthotics, transportation, sensory disabilities, accessibility, and engineering.

1.3.4 Assessment Process

Panel members participated in two types of assessments: assessment of individual grantee performance and a portfolio level assessment. By reviewing the individual grant reports, panel members obtained necessary background information to assist them in judging the overall quality, relevance, and performance results of NIDRR's entire Technology portfolio. For APAER, NIDRR intended this information to assist panelists in their review of the overall portfolio, rather than the performance of individual grantees.

Individual grantee assessment. The panel received instructions for scoring the individual reports using the Scoring Form for Individual Awards and Accomplishment Nuggets, with an example of a completed form. Using this form, three panel members independently reviewed each report. They were instructed to identify the best nuggets in the report, based on scoring, and select one nugget at each of three levels: (1) short-term outcomes, (2) intermediate outcomes, and (3) scientific accomplishments. Each panelist scored between seven and nine grant reports prior to the two-day meeting. At the on-site cluster meeting, NIDRR instructed panelists to:

  1. Discuss individually identified nuggets to generate an inventory of agreed upon accomplishment nuggets.

  2. Give the nugget a brief title to describe it.

  3. Establish whether the accomplishment nugget was an output or outcome.

  4. For outputs, indicate the type and the stage of knowledge development.

  5. Provide a rationale or justification for the rating.

NIDRR asked panelists to rate nuggets on a scale of 1-3, with "1" being a minor contribution and "3" being an outstanding contribution. They used a rating of "0" for "unable to determine." For these ratings, NIDRR instructed panel members to:

Portfolio level review. NIDRR developed a set of questions to address: the performance of the portfolio based on NIDRR's GPRA measures and PART requirements; NIDRR management activities; and the APAER process itself. These questions guided the APAER portfolio level review.

1.3.5 Meeting Agenda

The panel met for two full days, with panelists divided into cluster review groups on the afternoon of Day 1.

The panel meeting was facilitated by Dr. Duncan Moore, a professor of Optical Engineering, Biomedical Engineering, and Business Administration in the William E. Simon Graduate School of Business Administration at the University of Rochester and former Associate Director for Technology in the White House Office of Science and Technology Policy. On Day 2, Dr. Susan Daniels, an independent consultant and former Deputy Commissioner for Disability and Income Security Programs at the Social Security Administration assisted as a "process facilitator." Contract staff provided technical assistance to the panel and logistical support.

NIDRR staff participated as presenters, cluster liaisons, and observers. As cluster liaisons, NIDRR staff were available in each room to facilitate the process, primarily by reminding panel members of their charge and the recommended steps to follow. No NIDRR staff were present during the final closing session of the meeting.

The meeting opened with introductions and presentations by NIDRR staff. Steven Tingus, Director of NIDRR, provided opening remarks. Dr. Richard Melia, Director of the Research Sciences Division, gave an overview of NIDRR's mission, three primary goals, and highlights from NIDRR's new Long-Range Plan.

Ruth Brannon, Associate Director of the Research Sciences Division, presented background information on NIDRR's Technology portfolio and research directions. She also described the funding mechanisms, average funding levels, and historical detail on total funding for the technology domain. Since 1995, this amount has tripled from about $11 million in 1995 to $32 million in 2004. During that time, the budget for the RERCs increased from $11 million to a high of $20 million in 2002, with $18 million budgeted for 2004. The budget for the FIPS also increased from $876,000 in 1996 to $3.7 million in 2004.

Ms. Brannon welcomed feedback on portfolio issues, including NIDRR's role in translating innovations to services and products that reflect the needs and concerns of individuals with disabilities, including those with specific needs (e.g. aging with disabilities), developing evaluation tools, and targeting scientific discoveries in areas such as the brain-computer interface, bions, and smart homes.

Dr. Margaret Campbell, Coordinator of Evaluation, reviewed the concept of the 2005 pilot, its relationship to PART, and how APAER was designed. She explained the procedures for the meeting, presented definitions for accomplishments, outputs, and outcomes, and clarified NIDRR's expectations of the panel.

Section 2: Portfolio Performance

2.1 Cluster Level Results

After meeting separately, each cluster reported its findings to the entire panel, including the number of outputs, examples of the best accomplishment nuggets, and impressions of the quality of these outputs. The aggregated data from these reports follow.

2.1.1 Results

The APAER technology panel examined reports from 91% of the awardees in the Technology portfolio. In the five cluster meetings, panelists identified and discussed a total of 49 outputs and 26 outcomes. Forty-five percent of the total technology awards reviewed were RERCs, 35% were FIPs, and 20% were DRRPs. Panelists did not identify any accomplishment nuggets for an average of almost one-quarter of the awards reviewed; of the remainder of the awards, an average of two nuggets per award were reviewed in the five cluster level meetings.

The aggregated data for the number, type and quality rating of nuggets for each cluster and averages across clusters are displayed in Table 1. For the awards, 16% of the scores reported by individual reviewers were rated as "0," unable to determine; the most frequently reported score was a "2" (making or likely to make a substantial contribution). Overall, only 11% of the individual scores suggested that an awardee was making or highly likely to make an outstanding contribution (a score of "3"). The Environmental Cluster, the group with the highest percentage of RERCs (77%), reported the highest scores, with individual reviewers rating an accomplishment as a "3" 45% of the time. In sharp contrast, the Cross-Cutting Cluster did not identify any accomplishments as "making or highly likely to make an outstanding contribution."

Table 1
Accomplishment Nuggets per Cluster

Cluster 1 Cluster 2 Cluster 3 Cluster 4 Cluster 5 Average
Sensory Mobility IT/Tele

Environ

Access1

Cross-Cutting
Composition of the Cluster
# of Grant Reports Reviewed 9 10 9 9 9 9.2
Total # of Grantees 11 11 11 9 9 10.2
Percentage Grantees Reporting and Reviewed 82% 91% 82% 100% 100% 91%
# of FIPs* 5 4 4 2 2 3.8
# of RERCs* 3 6 5 7 1 5
# of DRRPs* 1 0 2 0 6 1.4
Accomplishment Nuggets
Total # of Outputs 4 9 9 17 10 9.8
Total # of Outcomes 9 4 6 7 3 5.8
Range of # of Nuggets/ Award 0-4 0-4 0-4 0-4 0-4 0-4
Ave. # per Award 1.7 1.8 2.4 2.7 1.4 2
Percentage of Awards without nuggets 22% 30% 22% 22% 22% 24%
Scoring2
Individual scores of "0" 6% 0% 34% 20% 21% 16%
Individual scores of "1" 12% 25% 10% 10% 27% 17%
Individual scores of "2" 53% 54% 34% 25% 52% 43%
Individual scores of "3" 29% 22% 22% 45% 0% 11%
 

Ave. Score per

Nugget (1-3)3

1.9

2

2.2

2.4

1.7

2.04

1 The Environmental Access cluster matched nuggets to categories 1-5 on the individual scoring sheet with the multidisciplinary nugget eliminated for this review of outputs and outcomes.

2 Percentages reflect the percentage of scores

3 Scores of "O" - unable to determine - were not included

2.1.2 Inventory of Accomplishment Nuggets

Prior to the cluster level meeting, each panelist had identified up to two "best" nuggets each for short term outcomes, intermediate level outcomes, and scientific accomplishments. At the cluster level meetings, the panelists decided which of these nuggets merited joint review.

2.1.3 Cluster Level Reports to Panel

During the APAER panel assessment, highlights of findings and impressions from each cluster meeting were reported. Key areas of agreement from each cluster are summarized below.

Sensory/Communication Cluster. The group reported that awardees produced many policy outcomes. One example was Smith Kettlewell's impact on Social Security legislation. The RERCs tended to produce more nuggets than the FIPs or DRRPs.

Mobility/Manipulation. The group cited several projects with important outcomes, based on evidence of presentations at international conferences, publication of guidelines for clinicians, and product development. The cluster seemed to need more involvement by practicing clinicians and consumers to ensure its translation. The group suggested that NIDRR grantees focus more on translation of technologies than on inventing new technologies.

Information Technology/Telecommunications Access. The panelists concluded that through these projects, NIDRR has contributed significantly to the development of standards and regulations, an ongoing need as technology evolves. The group cited projects with evidence of corporate linkages; however, they believed the cluster could be more innovative by researching emerging technologies in the IT area, and considering higher-risk projects, perhaps through FIP/RERC partnerships. Publication accomplishments for AT appeared reasonable. It was uncertain if the number of publications on IT was adequate.

The group had discussed at some length how to attract graduate students, noting that the funding for graduate students was insufficient. They suggested that NIDRR consider how to bring researchers from other areas into disability settings, perhaps establishing an Advanced Rehabilitation Research Training (ARRT) project for this purpose.

Environmental Access. This cluster had a larger number of RERCs. Panelists noted that although these RERCs produced a fair number of outcomes and outputs, including some sustainable outcomes, it takes many years for a project to produce outcomes and they were concerned that the RERCs did not provide hard evidence to support their claims. Some multi-year RERCs had reported only one training; given the size of the grant, this was considered unacceptable. In general, they were uncertain how to rate the level of productivity in this cluster, and suggested a review mechanism to ensure a "return on investment." Perhaps projects could be monitored and given a warning with one year to improve.

The group also recommended engaging the private sector in developing customer-oriented publications, including publications for consumers, service providers and agencies. They indicated that it was crucial to identify customer needs and that the grantees must have a comprehensive understanding of them, particularly for human service applications. They also recommended that standards be developed to determine the usefulness of new technologies, especially regarding interoperability.

Crosscutting. The group was impressed with two of the nine reported accomplishments, including a model tracking system that was adopted by the Medicare program. The group had some concerns regarding how the accomplishments were divided into single or multiple nuggets for rating.

2.2 Portfolio Level Results

After the cluster reports, the moderator asked panelists to consider all of the information presented as they evaluated the portfolio as a whole in relationship to specific NIDRR long-term performance measures and the PART criteria for R&D investment for quality, relevance and performance. Using a nominal process to stimulate discussion, the facilitators guided a substantial and thoughtful review of the Technology portfolio. Panelists used response cards for "agree," "disagree," and "uncertain" to indicate their judgment for each question. These responses were not meant to serve as quantitative data, although in some instances the responses were counted as an indication of majority opinion. Key agreed upon points or themes are presented below. Comments that reflect one panelist's opinion are indicated as such.

NIDRR developed a series of questions to elicit feedback on the progress of the portfolio on selected GPRA long-term performance measures that relate to the NIDRR goals and objectives in capacity building, research and development and knowledge translation.

The first NIDRR strategic goal is to increase capacity to conduct and use high-quality and relevant disability and rehabilitation research. The following three questions address specific objectives for this area

Overall, are there an adequate number of awards in the Technology portfolio that include multidisciplinary teams of investigators from relevant fields and sub-fields to address stated objectives and increase capacity to solve problems in creative ways using state-of-the-art methods? (PM 7.1.1

Agreed. Among panelist who agreed, one commented that all the RERCs have a potpourri of expertise and both the DRRPS and RERCs typically have multidisciplinary teams. Also, data are needed on consultants. Panelists speculated that more disciplines may be involved but are not being paid as staff on the grant. Panelists suggested that the focus should be on whether the right team was in place for the nature of the project.

Disagreed. Panelists who disagreed indicated that the award reports lacked the needed information, and their clusters included only a few multidisciplinary projects. They suggested that more practicing clinicians were needed and recommended that multidisciplinary research be encouraged.

Uncertain. Those who were uncertain indicated that they needed more information to make an adequate assessment.

Overall, are there an adequate number of awards in the portfolio to diverse individuals, including first time NIDRR investigators and persons with disability, and to under-represented institutions to expand the field and increase capacity to conduct rigorous and consumer-responsive technology-related R&D? (PM 7.1.2)

Agreed. Among the few panelists who agreed, one indicated that the focus should be where the best work is done and how to attract the best researchers.

Disagreed. The eight panelists who disagreed indicated that NIDRR was not apprising minority institutions of funding opportunities well enough to encourage competitive applications. One panelist questioned the impact of knowledge transfer if information is not shared with a diverse audience.

Uncertain. Those who were uncertain about this question noted a lack of information on minority institutions and that diversity was needed to provide the appropriate technology to those who need it. The panelists also noted that although science can be done in the "best" place to do the work, it would be useful to know the number of applications NIDRR receives from minority institutions.

Discussion. The panel considered whether the number of applications from the targeted populations was adequate. One panelist suggested that even though not required by law to look at Experimental Programs to Stimulate Competitive Research (EPSCOR) states, it may be appropriate. These include states that historically receive the least amount of funding. NSF, for example, conducts workshops in rural states to elicit applications from states that receive the least amount of Federal funding.

does the Technology portfolio have an adequate number of awards that integrate research, education and training? (PM 8.1.2)

Agreed. A few panelists agreed that there were an adequate number of awards integrating research, education, and training. One panelist thought that there was a fair number of trainees in the environmental access cluster, but was skeptical about the results. Another indicated that the mobility cluster had a fair number of trainees.

Disagreed. Those who disagreed expressed concerns about the lack of integration with industry, uncertainty regarding the adequacy of the training mix, and the lack of an adequate number of graduate students.

Uncertain. Concerns of those who were uncertain centered on the lack of information provided by awardees to address this issue. They suggested that NIDRR encourage cross training of multidisciplinary groups, develop courses and approach training from a broader perspective to include pre-service as well as inservice training.

The second NIDRR strategic goal is to generate scientifically based knowledge, technologies, and applications to inform policy, change practice and improve outcomes. Two questions address objectives under this goal.

Overall, is the portfolio producing and publishing an adequate number of high-quality R&D outputs and outcomes to significantly advance knowledge and strengthen the scientific basis of technology-related applications? (PM 8.2.5)

Agreed. Two panelists agreed with this statement. One indicated that some of the grantees had other outcomes and outputs that were not reported in the materials reviewed, and that the portfolio should be modified, not completely refurbished. Another agreed, but suggested that more of the high quality publications were in the policy arena rather than in R&D.

Disagreed. Twelve panelists disagreed with this statement. They cited concerns that there seemed to be an inadequate number of high quality projects, and a focus on output rather than outcomes. They suggested site visits to understand accomplishments, and major gaps. One panelist noted a need to focus on other mobility needs than currently funded.

Uncertain. Those who were uncertain questioned the definitions of "adequate" and "high quality."

Overall, are the outputs and outcomes generated by the portfolio contributing to meaningful changes or improvements in technology-related policy, practice and/or system capacity? And, if so, what is the evidence to support this? (PM 8.2.1, 8.2.2, 8.2.3)

Agreed. All, with the exception of two panelists, agreed that there were outcomes and outputs contributing to policy and practice improvements, particularly in the IT area, with supporting evidence.

Disagreed. One panelist thought that there was room for improvement, since not all grantees showed evidence of meaningful changes in this area. Another added that while some projects were making good attempts at significant outcomes, none provided data that showed change in practices.

The third NIDRR strategic goal is to promote the effective use of scientific-based knowledge, technologies, and applications to inform disability and rehabilitation policy, improve practice, and enhance the lives of individuals with disabilities. The following two questions correspond to specific objectives in this area.

Overall, is the portfolio producing an adequate number of high quality and useful non-academic and/or consumer-oriented publications and products to significantly increase understanding and awareness among relevant stakeholders? (PM 7.2.1)

Disagreed. Almost all disagreed, with two undecided. The panel indicated that they did not see enough consumer-oriented products. They were concerned that products to affect policy could get lost, and there was no mention of the role and work of the RRTCs (Note: no RRTCs were in the Technology Portfolio.) The panel also expressed concerns about the quality of the products, including software products, since there was no proof provided to validate or verify quality.

Uncertain. One panelist could recall only one consumer-based publication in his cluster and was not familiar enough with the other clusters to rate their outcomes.

Overall, is the portfolio producing an adequate number of new or improved assistive and universally designed technologies, products, and/or devices that are transferred to industry for potential commercialization to contribute to meaningful improvements in access and/or system capacity? (PM 8.3.2)

Agreed. Of the four who agreed, one panelist noted the significance that all four of the IT/Telecom cluster group members agreed that those grantees were transferring findings to industry, including success in obtaining patents, although admittedly hard to do. The other clusters did not see that level of transfer.

Disagreed. Most of the panel disagreed. One panelist who disagreed commented that his cluster's grant reports were largely from RERCs, and that he was not confident in their commercialization.

Uncertain. Two panelists were uncertain. One panelist commented from personal experience and from the cluster he reviewed that there is a healthy list of products, but he was unaware of the quality or market cap. A good partnership with industry is needed to improve technology transfer and commercialization. One panelist was concerned about the sufficiency of market share for products, asking, and "if only one percent of the market will use it, where is the bang for the buck?"

Section 3. NIDRR Management of Portfolio

Assessments of NIDRR management were offered on the cluster and portfolio levels. At the cluster level, panelists made judgments about each cluster after reviewing, rating and discussing a set of individual grantee reports. The portfolio level assessment was based on reports from each cluster. Discussion focused on portfolio research directions and NIDRR management activities.

3.1 Portfolio Level Results

Facilitators led the group discussion using questions developed by NIDRR. Not all questions were addressed due to a lack of time. Group judgments are reported below for research directions and NIDRR management activities.

Overall, does the portfolio have an appropriate balance of awards in terms of size/funding level (i.e., RERCs vs. DRRPs & FIPs) and duration (5 vs. 3 yr. awards) to adequately address the Technology R&D agenda identified in NIDRR's 1999-2003 Long-Range Plan?

Reaction was split.

Agreed. Among those agreeing, panelists found difficulty understanding the term "adequate." However, they felt that RERC funding levels were generally adequate. One member suggested they were adequate in that grantees matched their budgets to available funding.

Disagreed. Among those who disagreed, there were two concerns. First, there was a sense that the large number of RERCs impacted the other areas that NIDRR can address. Second, the current level of funding does not translate into innovations in the technology arena or the application of technology to disability-related problems and needs. They suggested that since the amount of funding is not going to increase, NIDRR must focus funds to areas it wants to impact.

Uncertain. Panelists who were unable to determine the adequacy of funding recommended that NIDRR consider program effectiveness by comparing outcomes produced by each funding mechanism. A "sensitivity analysis" was also recommended to determine the preferred balance of grants at both the cluster and portfolio levels.

Overall, are the funding priorities and specific topics included in the Technology portfolio relevant to and/or aligned with the state-of-the-science in the relevant fields and sub-fields?

Agreed. The two panelists who agreed that the portfolio was relevant to the state of the science indicated that among the reports they found both projects focused on technology that they supported and some that they did not support. One panelist said that universities should be expected to excel in developing technologies and to be current with the state of the science.

Disagreed. Twelve disagreed and considered this question inappropriate. Panelists were concerned that technologies for persons with disabilities were not robust enough to be considered truly cutting-edge. However, after discussion they concluded that to connect to practice, technologies do not necessarily need to be at the cutting edge. They recommended that several projects use social scientists to keep up with state of the science.

Overall, are the funding priorities and specific topics included in the Technology portfolio relevant to and/or aligned with consumer needs?

For this question, the moderator conducted a general discussion, rather than polling for agreement/disagreement. The panel indicated that it is vital for NIDRR grantees to start by identifying consumer need, but not stop there. For projects addressing a broad range of issues and bringing products to the marketplace there may not be immediate consumer needs; however, consumer needs should be addressed later down the line.

Consumer needs are not static. The panel noted that the issue of persons aging with disability is extremely complex, and an area that NIDRR is beginning to examine. The panel recognized NIDRR's delicate balance in promoting original research versus outcomes, and noted the similarity to the patient-centered outcomes being reviewed in the medical arena. NIDRR may wish to consider the health services research venue and how to integrate technology to meet these needs.

Does the technology portfolio of awards adequately allow for emerging issues related to access and function?

Key group judgments on emerging issues from the discussion were:

Additional individual comments included:

Does the panel have recommendations in terms of improving the NIDRR technology portfolio?

Group judgments on improving the portfolio were:

3.1.1 Closing Discussion

During this final session, the panel discussed issues emerging from earlier discussions relating to a continuum of NIDRR interests, a process to identify critical gaps, and topics that should be discontinued. They also provided recommendations regarding NIDRR management of activities. NIDRR staff were not present.

How far along the input continuum should NIDRR take responsibility for measuring impact given its mission? In the parallel universe versus mainstream technology environment, how should NIDRR focus on improvement?

The panel discussed two examples that portray part of the dilemma in formulating a plan for measuring accomplishments:

The panel also considered the value of effectiveness studies and the need for mass customization and low-cost services. They asked if the IT vendors could provide a model for commercialization in other cluster areas such as mobility. The panel offered no recommendations.

Does NIDRR have a process to identify critical gaps?

One panelist suggested that NIDRR is in a tough bind, needing to be nimble and flexible, while articulating specific expectations and priorities. NIDRR is now planning for 2008, and it may be hard to shift priorities.

The panel recommended that NIDRR consider the feasibility of:

In considering the process to identify topics and trends, one panelist suggested that NIDRR hold a bidders' conference, similar to those held by DOD.

Because the portfolio is so broad, the panel urged NIDRR to consider:

Are there topics that should be discontinued?

The panel reported that they were unable to decide what topics should be discontinued from this process. The panel felt strongly that some redirection was needed and that it should be connected to the short-term strategic plan. The panel:

Additional individual comments were:

Does the panel have recommendations in terms of NIDRR management activities?

The panel offered the following comments and recommendations regarding the nature of NIDRR management activities. Major themes revolved around NIDRR communication and collaboration with the field, translating research and enhancing NIDRR project officer involvement in management.

The panel perceived that NIDRR had gone "underground." NIDRR does not get much publicity and does not communicate quickly with the field. It is difficult to find NIDRR information, even on its Web site. According to the panel, ongoing communication is needed between NIDRR and the field to provide current updates, and bring more visibility to the agency. The panel suggested that NIDRR reach out to consumers, researchers and industry with an inspiring vision, generating excitement, instead of responding to situations. NIDRR might consider using communication, perhaps electronic, that does not need to be vetted. The panel suggested NIDRR improve communications with grantees, be more directive and seek out grantees and collaborations. Similarly, the panel recommended that NIDRR improve communication and collaboration with agencies, including leveraging funding.

To improve the translation of research, the panel offered management recommendations:

The panel generally agreed that it would be a good management strategy to enhance the leadership role of the NIDRR project officer. First, it suggested NIDRR consider designating project officers by scientific area rather than by funding mechanisms. Second, it suggested NIDRR review how other agencies use project officers. For example, a rotating system for project officers, somewhat like NSF, might be useful. Or, consider how NIH project officers, who monitor a high number of awards, keep up with trends in the field. Finally, the panel suggested NIDRR encourage and fund project officer attendance at the top 10 conferences to stay current and "bring cross-fertilization."

One additional comment to renew efforts to attract more and adequately fund graduate students was offered by the panel. The panel was concerned with the lack of graduate students and noted a previous process (that NSF is now considering) whereby NIDRR funding followed the student, rather than the university.

3.2 Cluster Level Portfolio Feedback

While the focus of the cluster assessment was intended to be on portfolio performance, numerous comments were generated about research directions and NIDRR management activities. These comments reflect group judgments, not individual statements, and reflect general discussion by the APAER panel, as well as specific cluster reports.

Sensory/Communication Cluster. No comments.

Mobility/Manipulation. The cluster included a large number of grants in wheeled mobility and lower limb prosthetics, and not many in other areas of mobility and manipulation, with research priorities focused on external devices. The group suggested that NIDRR consider its role in supporting the development and dissemination of implantable joints and higher technology electronics. The group recommended that research areas be broader to cover additional important areas, including balance disorders, falls, and issues of disease and age-related conditions such as arthritis. A partnership with NIH could allow NIDRR to focus on getting new devices to the user.

Information Technology/Telecommunications Access. The team recommended that for this area NIDRR consider using the generic term being used in Europe and among the innovators, "ICT - Information and Communications Technology." The team encouraged NIDRR to develop ways to bring new technologies into the disability communities. They were concerned that certain technologies are not applied in a disability setting and that it will take 10 years for nanotechnology and other technologies to move into the disability community. Specifically, they recommended that NIDRR contact Mike Rocco at NSF regarding collaboration on nanotechnology. There were gaps in the portfolio, but the group did not have sufficient information to address them. For example, new materials including implantable materials were not seen in the cluster.

In general, the group felt that the disability community was not moving fast enough to influence this field and the emerging technology. The group was concerned about NIDRR's formulaic approach to implementing RERCs and DRRPs, given how quickly technologies change over the course of a five-year grant. The group felt that the grantees are meeting the specifics of their grant proposals, rather than taking advantage of new discoveries and opportunities. NIDRR should recognize the different approaches used in research versus development of innovative products, and encourage engineering methods.

Environmental Access. The group questioned whether NIDRR's funding structure allowed for new and exciting ideas and noted that in the past NIDRR awarded one-year innovation grants. In discussing the funding mechanisms, they speculated that (a) while a FIP might lead to a DRRP, it may not be optimal; (b) there may or may not be a flow into a RERC or an RRTC, (c) there appears that the number of DRRPs may be too few, and (d) the RERCs do not have the leeway to innovate over their five-year grant period if they want to honor their initial commitment, particularly with the number of partnerships that are part of the RERC model. They noted that NIDRR has not funded "virtual reality," and recommended that NIDRR realign Field Initiated Projects for high-risk endeavors. The team also encouraged NIDRR to play a role in understanding developments in nanotechnology, noting its potential to revolutionize science.

The group also concurred that the field needs more researchers and that NIDRR must take steps to attract graduate students, including students from other fields, with a 5-10 year trajectory. The group also recommended that NIDRR establish a national steering group to oversee the portfolio, a strategic plan for emerging technologies, and an advisory council to meet periodically to identify new technologies.

Crosscutting. The group recommended that NIDRR focus on sending information clearly and succinctly.

Section 4. Feedback on APAER Process

Assessments of the pilot APAER process were offered by panelists at both the cluster and portfolio levels. At the portfolio level, after reports back on each cluster, panelists were asked to assess the entire portfolio process. At the cluster level, panelists made judgments based on their experience reviewing, rating and discussing a set of individual awards.

4.1 Portfolio Level Results

During panel discussion, the following comments and recommendations on the APAER process highlighted the panel's concerns:

4.2 Cluster Level Comments

Several similar comments were made during reports from the various clusters. In general, the comments indicated that panel members sometimes had trouble accessing materials from grantees and difficulties with some of the links provided to publications. Moreover, they were troubled that grantees may not have had time to adequately complete the online report, or perhaps did not understand NIDRR's request. The panelists also found the amount of information on accomplishments provided by grantees to be inadequate and were disappointed to find that some grant reports did not have any nuggets. The panel recommended that NIDRR be more involved in helping grantees prepare reports prior to the APAER expert panel meeting.

Panelists also experienced several scoring dilemmas. The clusters tended to devise their own standards for rating grant reports as a "3", "2," or "1." They were also uncertain how to rate publications that were dated 2005, given the directive to focus on research and publications through 2004. They were concerned that sometimes NIDRR was not acknowledged in publications. Although they felt that meaningful changes were being made, they questioned whether these were adequate, and how to define "adequate." One group indicated that they would have preferred to have each team member review all 9 grants rather than only a portion of the grants for that cluster. They also suggested that the term "multidisciplinary" be reserved for projects with more than two disciplines per team. Another group reported that they could not adequately evaluate a cluster of miscellaneous projects due to the diverse nature of the projects. They found the discussion questions difficult to apply, so they proceeded with a discussion without using the questions.

The cluster groups also suggested that:

Section 5: Summary of Discussion

5.1 Implications for the Technology Portfolio

According to the APAER panelists, NIDRR may want to examine the structure, function and focus of the Technology portfolio to improve overall outcomes. NIDRR may want to explore how joint initiatives with other federal agencies can extend the impact of the somewhat limited funding that NIDRR has for research related to technologies for individuals with disabilities. The panelists suggested that, with the advice of a national advisory council, NIDRR may want to reconceptualize its role in the technology arena and decide, for example, to concentrate its efforts on developing modifications to mainstream technologies so that they are more usable by individuals with disabilities. Panelists also suggested that NIDRR may have a major role in encouraging collaborative research with graduate students from related fields so that there is more cross-fertilization of ideas and so that those in other disciplines begin to consider universal design of technology in their innovations.

Limitations of the Findings. Certain statements made by panel members may more accurately reflect either the limited information they received or their limited knowledge or perception of NIDRR, rather than the actual circumstances within NIDRR or NIDRR's operations. Some statements may be inaccurate or misleading and NIDRR will need to consider these factors in its response to the report. NIDRR staff addressed some in editor notes in the text of the report. Other examples of potentially misleading statements noted by NIDRR staff include:

While each of the above examples demonstrates misinformation about NIDRR, the perceptions of the panel members are important and suggest that, at a minimum, the need to supply reviewers with additional information about NIDRR to facilitate the review process. Moreover, the misinformation may point to areas for further consideration by NIDRR, such as increasing public awareness about its programs, changes in certain policies and procedures, or redirection of funding.

5.2 Implications for the APAER Process

In discussing the APAER process, the panel provided many recommendations to enhance the validity and efficiencies of NIDRR's process. These included a strong recommendation to increase the involvement of project officers in guiding grantees during the course of their grant implementation, as well as in preparation for the APAER review. Central themes that emerged from the panel in terms of the APAER process were to simplify the process, simplify and clarify the terminology used, and make sure that the reviewers had appropriate materials and adequate time to review them prior to coming together to consider the portfolio as a whole.

Limitations with the Technology Pilot. As mentioned earlier, NIDRR is one of a few federal research agencies conducting an annual portfolio-level performance review. The newness of this approach presented some difficulties that should be considered in evaluating the findings of this pilot. There was uncertainty about how to proceed, but decisions were made based on available data from other agency models, reporting requirements, and knowledge of NIDRR's needs. A number of difficulties with the process were identified in advance of the meeting and others were identified on-site, suggesting that caution be used in interpreting the findings. These difficulties included:

5.3 Grantee Comments

Grantees were given the opportunity to provide feedback on the supplemental information form and the online data collection process. Regarding the online data collection process, grantees seemed to concur that, conceptually, the separation of activities, outcomes, and outputs was useful and potentially powerful. However, grantees found that the amount of labor in completing the form was greater than anticipated and experienced some frustration in both attempting to understand directions and terminology, and navigating through the online form. Grantees also reported that they found it difficult to "nominate their best nuggets" and would have preferred to have the capability to add more data, rather than being restricted in how much data could be entered.