IDPH: Office of Health Promotion

The Home Visiting Collaborative (HVC) grant program aligns with CDC initiative, Controlling Childhood Asthma Reducing Emergencies (CCARE) and EXHALE Technical Package. Activities are designed to improve childhood asthma outcomes and prevent childhood hospitalizations and emergency department visits. Recipients of the award will strengthen infrastructure and implement evidence-based strategies across multiple sectors through six EXHALE strategies: • Education on asthma self-management; • eXtinguishing smoking and exposure to second-hand smoke; • Home visits for trigger reduction and asthma self-management education (AS-ME) utilizing community health workers; • Achievement of guidelines-based medical management; • Linkages and coordination of care; and • Environmental policies or best practices to reduce indoor and outdoor asthma triggers. Summary of EXHALE Strategies For more information on the EXHALE Technical Package, please visit https://www.cdc.gov/asthma/pdfs/EXHALE_technical_package-508.pdf. Grantees will implement EXHALE strategies as a coordinated package, taking into consideration the critical social and cultural context of individuals with asthma and their communities. The EXHALE package outlines opportunities for many different sectors to participate in implement EXHALE strategies and activities on pages 31-33. As home visiting programs are in a unique position to deliver EXHALE strategies as a package, programs will work in partnership to create the HVC. Each grantee will have its own service area and clients, however, the HVC will serve as a learning community where successes, challenges, opportunities for expansion, policy, reimbursement, and quality improvement (QI) initiatives can be discussed. Programs will leverage partners to expand their reach in existing communities and seek expansion into new communities. Grantees should actively seek referral sources and partnerships throughout the grant period. Referral sources may include, but are not limited to, hospitals, health systems, health care providers, schools, community-based organizations, community health workers, and child care centers. Partnerships may also include, but are not limited to, housing, transportation, truancy, and home weatherization.

93.070

Department of Public Health Powers and Duties Law, 20 ILCS 2310/2310-25

N/A

Performance Measures 1. Meet, at a minimum, quarterly and as needed, with the Illinois Asthma Program via conference call to discuss HVC activities and progress. 2. Select and participate on at least one of the Illinois Asthma Partnership (IAP) workgroups. 3. Participate in annual in-person IAP meetings. 4. Report on National Asthma Program performance measures as part of quarterly progress reports and annual CDC performance measures. 5. Identify patients in need of asthma home assessments. Develop partnerships with local providers and health systems in identifying patients with poorly controlled asthma. 6. Train home visiting staff in asthma self-management education. HVC programs will explore other partners able to deliver asthma self-management education, such as certified asthma educators or community health workers (CHWs), and how to incorporate those partners into training. 7. Incorporate EXHALE strategies as part of the HVC. • Asthma Self-Management Education: Intensive AS-ME, using evidence-based programs, will be provided to clients. Home visitors will also include return demonstrations and assess asthma control measures. Strategize how AS-ME could be expanded to other settings, including clinics, schools, child care centers, work places, and pharmacies. • Tobacco Cessation and Secondhand Smoke Exposure: Provide referrals to tobacco cessation programs as needed for HVC clients. Track initiation and completion rates in cessation interventions. • Home Visits: Develop written trigger reduction plan/report for patients, and with appropriate consent, share the plan/report with the referral source and primary care physician. Conduct follow up visit(s) with the patient to support compliance. Ensure visits and trigger reduction plans are culturally appropriate and tailored to participants. • Guidelines-Based care: Use evidence-based processes for quality improvement activities, including audit and feedback, decision support tools, and care coordination. Facilitate training of health care providers to provide team-based care for clients. Encourage shared treatment decision-making among patients and health care providers. • Linkages and Coordination of Care: Encourage health care provider organizations, schools, and community organizations to emphasize coordinated care. Encourage linkages within and across the health care system and community services (i.e., medical and/or social) to address client needs. Strategize how bidirectional sharing of information among health care providers and social service programs could occur consistent with privacy regulations. Develop new or strengthen partnerships between asthma service providers and local, state, or regional organizations that address social determinants of health (i.e., transportation, integrated pest management, home weatherization, tenant advocacy). • Environmental Policies or Best Practices: Utilize air technology to measure indoor air quality. Encourage local adoption of clean diesel technology. Collaborate with partners that encourage home energy efficiency and home weatherization. Partner with the Asthma and Tobacco Programs to develop and implement smoke-free policies in HVC service areas.

Yes

The Home Visiting Collaborative (HVC) grant program aligns with CDC initiative, Controlling Childhood Asthma Reducing Emergencies (CCARE) and EXHALE Technical Package. Activities are designed to improve childhood asthma outcomes and prevent childhood hospitalizations and emergency department visits. Recipients of the award will strengthen infrastructure and implement evidence-based strategies across multiple sectors through six EXHALE strategies: • Education on asthma self-management; • eXtinguishing smoking and exposure to second-hand smoke; • Home visits for trigger reduction and asthma self-management education (AS-ME) utilizing community health workers; • Achievement of guidelines-based medical management; • Linkages and coordination of care; and • Environmental policies or best practices to reduce indoor and outdoor asthma triggers. Summary of EXHALE Strategies For more information on the EXHALE Technical Package, please visit https://www.cdc.gov/asthma/pdfs/EXHALE_technical_package-508.pdf. Grantees will implement EXHALE strategies as a coordinated package, taking into consideration the critical social and cultural context of individuals with asthma and their communities. The EXHALE package outlines opportunities for many different sectors to participate in implement EXHALE strategies and activities on pages 31-33. As home visiting programs are in a unique position to deliver EXHALE strategies as a package, programs will work in partnership to create the HVC. Each grantee will have its own service area and clients, however, the HVC will serve as a learning community where successes, challenges, opportunities for expansion, policy, reimbursement, and quality improvement (QI) initiatives can be discussed. Programs will leverage partners to expand their reach in existing communities and seek expansion into new communities. Grantees should actively seek referral sources and partnerships throughout the grant period. Referral sources may include, but are not limited to, hospitals, health systems, health care providers, schools, community-based organizations, community health workers, and child care centers. Partnerships may also include, but are not limited to, housing, transportation, truancy, and home weatherization.

Nonprofit Organizations;

Eligible applicants include non-profit entities in Illinois capable of implementing asthma home visiting services and EXHALE strategies as a coordinated package. Applicants must demonstrate the ability to provide services in Chicago. Strong applicants will document past success in providing asthma home visiting services. Applicants may apply for this grant but will not be eligible for a grant award until they are pre-qualified through the Grant Accountability and Transparency Act (GATA) Grantee portal, www.grants.illinois.gov. During pre-qualification, Dun and Bradstreet verifications are performed including a check of Debarred and Suspended status and good standing with the Secretary of State. The pre-qualification process also includes a financial and administrative risk assessment utilizing an Internal Controls Questionnaire. If applicable, the entity will be notified that it is ineligible for award as a result of the Dun and Bradstreet verification. The entity will be informed of corrective action needed to become eligible for a grant award.

children with asthma and caregivers

Project Grants

Healthcare

N/A

Regardless of the source of funding (federal pass-through or State), all grantees are required to register with the State of Illinois through the Grant Accountability and Transparency Act (GATA) website, www.grants.illinois.gov, complete a prequalification process, and be determined "qualified" as described in Section 7000.70. Registration and prequalification is required before an organization can apply for an award. The entity is "qualified" to be an awardee if it: 1) has an active DUNS number; 2) has an active SAM.gov account; 3) has an acceptable fiscal condition; 4) is in good standing with the Illinois Secretary of State, if the Illinois Secretary of State requires the entity's organization type to be registered. Governmental entities, school districts and select religious organizations are not required to be registered with the Illinois Secretary of State. Refer to the Illinois Secretary of State Business Services website: http://www. cyberdriveillinois.com/departments/business_services/home.html; 5) is not on the Illinois Stop Payment List; 6) is not on the SAM.gov Exclusion List; 7) is not on the Sanctioned Party List maintained by HFS.

Applicants may apply for this grant but will not be eligible for a grant award until they are pre-qualified through the Grant Accountability and Transparency Act (GATA) Grantee portal, www.grants.illinois.gov. During pre-qualification, Dun and Bradstreet verifications are performed including a check of Debarred and Suspended status and good standing with the Secretary of State. The pre-qualification process also includes a financial and administrative risk assessment utilizing an Internal Controls Questionnaire. If applicable, the entity will be notified that it is ineligible for award as a result of the Dun and Bradstreet verification. The entity will be informed of corrective action needed to become eligible for a grant award. Applications must be submitted via the Illinois Department of Public Health's Electronic Grants Administration and Management System (EGrAMS), accessible at idphgrants.com.

Grants will be reviewed and graded based on a 100-point scoring rubric. Applications will be reviewed for content, work plan activities, budget proposals and required application supplemental material. Applicants must use the health equity checklist questions to identify both the short and long-term impacts to health equity, health inequalities and health inequities of the proposed intervention strategy.

A Notice of State Award (NOSA) shall be issued to the finalists who have successfully completed all grant award requirements and have been selected to receive grant funding. The NOSA will specify the funding terms and specific conditions resulting from applicable pre-award risk assessments. The Illinois Department of Public Health (IDPH) is exempt from utilizing the standard NOSA issued on the GATA Grantee Portal completed by an authorized representative of the grantee organization and submitted to IDPH. A Notice of Denial shall be sent to the applicants not receiving awards.

N/A

N/A

Merit-Based Review Appeal Process For competitive grants, only the evaluation process is subject to appeal. Evaluation scores or funding determinations/outcomes may not be contested and will not be considered by the Department's Appeals Review Officer. To submit an appeal, the appealing party must: o Submit the appeal in writing and in accordance with the grant application document through IDPH's Merit-Based Review Appeal Request Form available in the GATA section of the IDPH website (www.dph.illinois.gov/GATA). o Appeals must be received within 14 calendar days after the date that the grant award notice was published. o Appeals must include the following information: ? The name and address of the appealing party ? Identification of the grant ? A statement of reasons for the appeal ? If applicable, documents or exhibits to support statement of reason The IDPH Appeals Review Officer (ARO) will consider the grant-related appeals and make a recommendation to the appropriate Deputy Director as expeditiously as possible after receiving all relevant, requested information. o The ARO must review the submitted Appeal Request Form for completeness and acknowledge receipt of the appeal within 14 calendar days from the date the appeal was received. o The ARO will utilize an Appeal Review Tool to consider the integrity of the competitive grant process and the impact of the recommendation. o The appealing party must supply any additional information requested by the agency within the time period set in the request. o The ARO shall respond to the appeal within 60 days or supply a written explanation to the appealing party as to why additional time is required. Documentation of the appeal determination shall be sent to the appealing party and must include the following: o Standard description of the appeal review process and criteria o Review of the appeal o Appeal determination o Rationale for the determination In addition to providing the written determination, the grant-making office may do the following: o Document improvements to the evaluation process given the findings and re-review all submitted applications. o Document improvements to the evaluation process given the findings and implement improvements into the following year's grant evaluation process. o Provide written notice to the appealing party as to how the identified actions will be remedied. Appeals resolutions may be deferred pending a judicial or administrative determination when actions concerning the appeal have commenced in a court of administrative body.

N/A

Cost Sharing is not required. Eligible applicants may voluntarily identify indirect costs as a programmatic match, in order to allocate the entire grant award for direct costs.

Use of Funds. All grant funds must be used for the sole purposes set forth in the grant proposal and application and must be used in compliance with all applicable laws. Grant funds may not be used as matching funds for any other grant program. Use of grant funds for prohibited purposes may result in loss of grant award and/or place the grantee at risk for recouping of those funds used for the prohibited purpose. Expenditure reports must be submitted quarterly. To be reimbursable under the Department/Office of Health Promotion Grant Agreement, expenditures must meet the following general criteria: • Be necessary and reasonable for proper and efficient administration of the program and not be a general expense required to carry out the overall responsibilities of the applicant. • Be authorized or not prohibited under federal, state or local laws, or regulations. • Conform to any limitations or exclusions set forth in the applicable rules, program description, or grant agreement. • Be accorded consistent treatment through application of generally accepted accounting principles, appropriate to the circumstances. • Not be allocable to or included as a cost of any state or federally-financed program in either the current or a prior period. • Be net of all applicable credits. • Be specifically identified with the provision of a direct service or program activity. • Be an actual expenditure of funds in support of program activities, documented by check number, and/or internal ledger transfer of funds. Unallowable or prohibited uses of grant funds include, but are not limited to the following: • Political or religious purposes • Contributions or donations • Fundraising or legislative lobbying expenses • Conference registration fees • Payment of bad or non-program related debts, fines or penalties • Contribution to a contingency fund or provision for unforeseen events • Research • Incentives, including but not limited to t-shirts, bags, backpacks, hats, pencils, rulers, coloring books, stress balls, band-aid holders, mugs and cookware. • Entertainment, food, alcoholic beverages and gratuities • Membership fees, interest or financial payments, or other fines or penalties • Purchase or improvement of land or purchase, improvement or construction of a building • Lease of facility space. • Expenditures that may create conflict of interest or the perception of impropriety • Audit expenses • Exhibit fees of any kind • Subscription costs • Association dues • Expenses for credentialing (e.g., CHES certification, AE-C) • Airfare • Out of state travel costs

The grantee is required to submit quarterly progress reports on their work plan objectives. Failure to submit required reports in a timely manner will result in delays with approval of reimbursements. The grantee will ensure quarterly reports are submitted in the provided format as follows: 1st Quarter Report due by: December 30; 2nd Quarter Report due by: March 30; 3rd Quarter Report due by: June 30; 4th Quarter Report due by: September 30

Grantee shall be subject to the audit requirements contained in the Single Audit Act Amendments of 1996 (31 USC 7501-7507) and Subpart F of 2 CFR Part 200, and the audit rules and policies set forth by the Governor’s Office of Management and Budget. See 30 ILCS 708/65(c); 44 Ill. Admin. Code 7000.90.

Grantees are required to maintain grant accounting records for a minimum of 3 years after the end of a grant period. If any litigation, claim, negotiation, audit or other action involving the record has been started before the expiration of the 3-year period, the records shall be retained until completion of the action and resolution of all issues which arise from it, or until the end of the regular 3-year period, whichever is later. More detailed information regarding retention requirements is provided in 45 CFR Parts 74 and 92.

063-48230-4900-0200.

$116,000

$58,000

Asthma Home Visiting, asthma self-management education, trigger reduction, improved asthma control

N/A

N/A

Springfield

idphgrants.com

N/A

asthma health outcome monitoring, asthma trigger reduction, self-management education

6/4/2021

FY 2020 : $151,000
FY 2021 : $110,798
FY 2022 : $116,000
FY 2023 : $116,000
FY 2024 : $116,000