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Attachment 1

STANFORD UNIVERSITY
Office of the Associate Vice President for Research Administration

 

 

March 18, 1999

Ms. Diana Jaeger
National Institutes of Health
6701 Rockledge Drive
Suite 2188
Bethesda, MD 20892-7730

Dear Diana:

I understand that you had a meeting this past month with staff from the Department of Health and Human Services and the Veterans Administration (VA) regarding reimbursement for facility and administrative costs (F&A) on grants for activities taking place in VA facilities. I thought it might be helpful to provide some background on Stanford's interest in this particular matter. First of all, we want to continue to have Stanford University faculty who hold dual University/VA appointments and whose laboratories are located at our affiliated VA facility to apply for grants through the University. The opportunity to create or engage in cutting edge research is a main attraction for academicians at the Stanford University School of Medicine and the VA Palo Alto Health Care System is an integral component in this program. Further, the VA patient population is an important group for many clinical trials conducted by our faculty and, therefore, an important resource to NIH as well.

The principal reason that we are interested in having Stanford University continue to be the grantee institution is a programmatic one. We wish to ensure that all the faculty, regardless of where they have their clinical appointment or where they work, have access to equal support for their research activities. We want the faculty to pursue their research through the Medical School so the Dean and the Department Chairs have an understanding of and oversight over all of the research activity of the faculty, not just part of it. Further, by retaining administrative responsibility for these grants, we assure that a single standard is applied in the administration that supports this research, the protection for human subjects, and the humane care of animals. We want to minimize the perception that resources for those investigators and laboratories located on campus are different than or richer than those that are off campus.

When there is no support for VA facilities' costs, this becomes a real challenge. The VA is supporting the incremental facility costs associated with NIH supported grants of Stanford faculty working at the VA. And, clearly there are incremental costs associated with the conduct of research above and beyond the cost of clinical care in these facilities such as utilities, operations and maintenance, biosafety, etc. The costs are no different in that respect than if they were occurring in Stanford-owned facilities. As VA budgets shrink, so does the willingness and ability of VA administrators to continue to bear this burden. So, of course, we believe that in order to be equitable NIH should reimburse these facility and administrative costs on the same basis, without distinction for the fact that they are VA facilities.

I know that one of the stumbling blocks has been whether the VA is authorized to receive reimbursement for these incremental facility costs. I have been assured by colleagues here that they can. I presume that the VA staff in Washington can confirm that on behalf of all VA Hospitals.

So, we approach this issue with an interest in receiving a reasonable reimbursement to the VA for the incremental costs of research in their facilities through the Stanford F&A rate. We are developing an off-campus VA specific rate for those costs that we think are eligible for reimbursement. While we are interested in a university-based F&A rate of reimbursement, it probably would be comparable for those who are seeking to reimburse the VA for research conducted through their affiliated foundations. We might even be willing to entertain an "allowance" or a flat rate for the facility portion of the costs, e.g.15 percent. We would add such an allowance to our off-campus rate for administrative and library expenses for the total reimbursement.

I hope that this background helps in future discussions you may have on this issue. We will proceed with some exploratory discussions with the Office of Naval Research for inclusion of an off-campus VA specific rate for Stanford. In the meantime, note how fitting it is that I write to you on this subject on March 17! If I can provide any further information, please let me know.

Sincerely,

Geoffrey E. Grant
Associate Vice President for Research Administration

 

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