U24HD113146
Cooperative Agreement  
Overview
                Grant Description
              
              
                Achieving Maternal Equity and Transforming Health Through Implementation Science and Training (AMETHIST@PENN) - Project Summary (Abstract)
Achieving Maternal Equity and Transforming Health Through Implementation Science and Training (AMETHIST@PENN) The NIH Implementing a Maternal Health and Pregnancy Outcomes Vision for Everyone (IMPROVE) initiative aims to reduce maternal mortality, improve pregnancy, perinatal and postpartum care, and to address the factors that have led to severe disparities in outcomes for marginalized groups.
The University of Pennsylvania (Penn) proposes creating the Achieving Maternal Equity and Transforming Health Through Implementation Science and Training (AMETHIST@PENN) Implementation Science Hub to support IMPROVE Maternal Health Research Centers of Excellence (COEs) and other IMPROVE investigators, and to coordinate with NIH staff scientists, project staff, and the Data Innovation and Coordinating Hub.
AMETHIST@PENN will be led by MPIs Meghan Lane Fall, MD, MSHP, and Rebecca Hamm, MD, MSCE, who bring complementary and necessary strengths in Implementation Science (IS) and Maternal Health. Dr. Lane-Fall is Executive Director of the Penn Implementation Science Center at the Leonard Davis Institute of Health Economics (PISCE@LDI). She is an internationally recognized acute care IS expert with an independent IS research program. She has 8 years of experience as a collaborator and consultant advising investigators on: selection of IS theories, models, and frameworks, including those focused on equity; implementation mapping and strategy selection; implementation outcome selection; data integration across multiple types and sources; and advanced analytic procedures to elucidate change mechanisms.
Dr. Hamm is a Maternal Fetal Medicine specialist who has established herself nationally as a researcher at the crossroads of obstetrics and IS. Together they will orchestrate the work of AMETHIST@PENN, leading an interdisciplinary, interprofessional group of more than 45 scientists and community partners. The AMETHIST@PENN Hub will comprise five cores, each with two co-leads and 2-4 core investigators: 1) Administration, Leadership, and Evaluation; 2) Equity, Community and Stakeholder Engagement (with an Equity Advisory and Oversight Board to advise and hold investigators accountable for incorporating equity into their research); 3) Design, Methods, and Analysis (including a consultant panel with methods, equity, and clinical subpanels to meet the anticipated consultation and technical assistance needs of the COEs); 4) Policy, Dissemination, and Communication (with skills building in messaging and media training); and 5) Training and Capacity Building (featuring an innovative academic-community partner training program and a comprehensive mentored research experience for both new and established investigators).
In addition to establishing and administering the Hub, a research aim includes prospective mixed methods research on IS investigators, community partners, and institutions to characterize predictors of project-based implementation success and multilevel barriers to and facilitators of the conduct of maternal health IS research. The AMETHIST@PENN Hub will advance public health and maternal health equity by facilitating rigorous implementation research that centers the needs and perspectives of patients, communities, and health disparity populations.
            Achieving Maternal Equity and Transforming Health Through Implementation Science and Training (AMETHIST@PENN) The NIH Implementing a Maternal Health and Pregnancy Outcomes Vision for Everyone (IMPROVE) initiative aims to reduce maternal mortality, improve pregnancy, perinatal and postpartum care, and to address the factors that have led to severe disparities in outcomes for marginalized groups.
The University of Pennsylvania (Penn) proposes creating the Achieving Maternal Equity and Transforming Health Through Implementation Science and Training (AMETHIST@PENN) Implementation Science Hub to support IMPROVE Maternal Health Research Centers of Excellence (COEs) and other IMPROVE investigators, and to coordinate with NIH staff scientists, project staff, and the Data Innovation and Coordinating Hub.
AMETHIST@PENN will be led by MPIs Meghan Lane Fall, MD, MSHP, and Rebecca Hamm, MD, MSCE, who bring complementary and necessary strengths in Implementation Science (IS) and Maternal Health. Dr. Lane-Fall is Executive Director of the Penn Implementation Science Center at the Leonard Davis Institute of Health Economics (PISCE@LDI). She is an internationally recognized acute care IS expert with an independent IS research program. She has 8 years of experience as a collaborator and consultant advising investigators on: selection of IS theories, models, and frameworks, including those focused on equity; implementation mapping and strategy selection; implementation outcome selection; data integration across multiple types and sources; and advanced analytic procedures to elucidate change mechanisms.
Dr. Hamm is a Maternal Fetal Medicine specialist who has established herself nationally as a researcher at the crossroads of obstetrics and IS. Together they will orchestrate the work of AMETHIST@PENN, leading an interdisciplinary, interprofessional group of more than 45 scientists and community partners. The AMETHIST@PENN Hub will comprise five cores, each with two co-leads and 2-4 core investigators: 1) Administration, Leadership, and Evaluation; 2) Equity, Community and Stakeholder Engagement (with an Equity Advisory and Oversight Board to advise and hold investigators accountable for incorporating equity into their research); 3) Design, Methods, and Analysis (including a consultant panel with methods, equity, and clinical subpanels to meet the anticipated consultation and technical assistance needs of the COEs); 4) Policy, Dissemination, and Communication (with skills building in messaging and media training); and 5) Training and Capacity Building (featuring an innovative academic-community partner training program and a comprehensive mentored research experience for both new and established investigators).
In addition to establishing and administering the Hub, a research aim includes prospective mixed methods research on IS investigators, community partners, and institutions to characterize predictors of project-based implementation success and multilevel barriers to and facilitators of the conduct of maternal health IS research. The AMETHIST@PENN Hub will advance public health and maternal health equity by facilitating rigorous implementation research that centers the needs and perspectives of patients, communities, and health disparity populations.
                Funding Goals
              
              
                TO CONDUCT AND SUPPORT LABORATORY RESEARCH, CLINICAL TRIALS, AND STUDIES WITH PEOPLE THAT EXPLORE HEALTH PROCESSES. NICHD RESEARCHERS EXAMINE GROWTH AND DEVELOPMENT, BIOLOGIC AND REPRODUCTIVE FUNCTIONS, BEHAVIOR PATTERNS, AND POPULATION DYNAMICS TO PROTECT AND MAINTAIN THE HEALTH OF ALL PEOPLE.  TO EXAMINE THE IMPACT OF DISABILITIES, DISEASES, AND DEFECTS ON THE LIVES OF INDIVIDUALS. WITH THIS INFORMATION, THE NICHD HOPES TO RESTORE, INCREASE, AND MAXIMIZE THE CAPABILITIES OF PEOPLE AFFECTED BY DISEASE AND INJURY.  TO SPONSOR TRAINING PROGRAMS FOR SCIENTISTS, DOCTORS, AND RESEARCHERS TO ENSURE THAT NICHD RESEARCH CAN CONTINUE. BY TRAINING THESE PROFESSIONALS IN THE LATEST RESEARCH METHODS AND TECHNOLOGIES, THE NICHD WILL BE ABLE TO CONDUCT ITS RESEARCH AND MAKE HEALTH RESEARCH PROGRESS UNTIL ALL CHILDREN, ADULTS, FAMILIES, AND POPULATIONS ENJOY GOOD HEALTH. THE MISSION OF THE NICHD IS TO ENSURE THAT EVERY PERSON IS BORN HEALTHY AND WANTED, THAT WOMEN SUFFER NO HARMFUL EFFECTS FROM REPRODUCTIVE PROCESSES, AND THAT ALL CHILDREN HAVE THE CHANCE TO ACHIEVE THEIR FULL POTENTIAL FOR HEALTHY AND PRODUCTIVE LIVES, FREE FROM DISEASE OR DISABILITY, AND TO ENSURE THE HEALTH, PRODUCTIVITY, INDEPENDENCE, AND WELL-BEING OF ALL PEOPLE THROUGH OPTIMAL REHABILITATION.
              
            
                  
                    Grant Program (CFDA)
                  
            
              
              
            
                
                Awarding / Funding Agency
                
              
              
            
                Place of Performance
              
              
                Philadelphia,  
                                
                Pennsylvania 
                
                
                191044865 
                
                
                
                United States 
            
                Geographic Scope
              
              
                Single Zip Code 
            
                Related Opportunity
              
              
            
                Analysis Notes
              
              
                
                Amendment Since initial award the total obligations have increased 214% from $2,749,745 to $8,629,719. 
                
              
            
            
            Trustees Of The University Of Pennsylvania was awarded
            
             AMETHIST@PENN: Maternal Health Equity Initiative    
            Cooperative Agreement U24HD113146
             worth $8,629,719
            from the National Institute of Child Health and Human Development in August 2023 with work to be completed primarily in Philadelphia Pennsylvania United States.
            The grant
             has a duration of 7 years and 
             was awarded through assistance program 93.865 Child Health and Human Development Extramural Research.
            
            
            The Cooperative Agreement was awarded through grant opportunity Maternal Health Research Centers of Excellence Implementation Science Hub/Resource Center (U24 Clinical Trial Optional).
            
          
        Status
          
          
            
            (Ongoing)
            
          
          
        
      Last Modified 8/20/25
Period of Performance
        8/15/23
           
            
            Start Date
          7/31/30
            
            End Date
          Funding Split
        $8.6M
            Federal Obligation
          $0.0
            Non-Federal Obligation
          $8.6M
            Total Obligated
          Activity Timeline
Transaction History
Modifications to U24HD113146
Additional Detail
            Award ID FAIN
          
          
            U24HD113146
          
        
            SAI Number
          
          
            U24HD113146-1448506113
          
        
            Award ID URI
          
          
            SAI UNAVAILABLE
          
        
            Awardee Classifications
          
          
            Private Institution Of Higher Education
          
        
            Awarding Office
          
          
            
            75NT00 NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development
            
          
        
            Funding Office
          
          
            
            75NT00 NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development
            
          
        
            Awardee UEI
          
          
            GM1XX56LEP58
          
        
            Awardee CAGE
          
          
            7G665
          
        
            Performance District
          
          
            
            PA-03
            
          
        
            Senators
          
          
            
            Robert Casey 
John Fetterman
            
          
        John Fetterman
Budget Funding
| Federal Account | Budget Subfunction | Object Class | Total | Percentage | 
|---|---|---|---|---|
| National Institute of Child Health and Human Development, National Institutes of Health, Health and Human Services (075-0844) | Health research and training | Grants, subsidies, and contributions (41.0) | $2,749,745 | 100% | 
Modified: 8/20/25
 
  
           
  