Asthma Care Quality Improvement
ACQI
CSFA Number: 482-00-2584
STATE AGENCY INFORMATION
Agency Name
Department Of Public Health (482)
Agency Identification
IDPH: Office of Health Promotion
Agency Contact
PROGRAM INFORMATION
Short Description
The purpose of the Asthma Care Quality Improvement Program is to improve the reach, quality, effectiveness, and sustainability of asthma control services and to reduce asthma morbidity, mortality, and disparities by implementing an asthma quality improvement program in health care clinics. Activities align with the Centers for Disease Control (CDC) initiative, Controlling Childhood Asthma Reducing Emergencies (CCARE), EXHALE Technical Package, and 6|18 Initiative related to Asthma Control. Activities are designed to improve childhood asthma outcomes and prevent childhood hospitalizations and emergency department visits. Through the grant award, the recipient will establish or enhance partnerships with health care centers, including school-based health centers, pulmonary clinics, and primary care clinics. The quality improvement program shall strengthen systems to support guidelines-based medical care, increase patient and caregiver knowledge about asthma self-management practices, increase linkages for coordinated care, and increase adoption and adherence to evidence-based practices and policies supportive of asthma control. Such practices may incorporate audit and feedback, decision support tools, care coordination, Plan Do Study Act, and other best practices. Education for clinic staff will also be provided through the quality improvement program. Such education will be based on National Asthma Education Prevention Program Expert Panel Report guidelines and include extensive training on patient self-assessment, asthma severity rating, asthma medications and devices, and spirometry.
Federal Authorization
N/A
Illinois Statue Authorization
Department of Public Health Powers and Duties Law, 20 ILCS 2310/2310-25
Illinois Administrative Rules Authorization
N/A
Objective
Required Activities 1. Meet, at a minimum, monthly, and as needed, with the Illinois Asthma Program via conference call to discuss program 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. Submit quarterly progress reports. 5. Submit annual performance measures. Performance measures are related to assessment of asthma severity rating, assessment of asthma control, use of spirometry, provision of asthma action plans, teaching or reviewing correct inhaler technique, provision of asthma self-management education, influenza vaccination, referrals to tobacco cessation services, and referrals to other home or community-based services, including home visiting programs. 6. Recruit a minimum of five partner health clinics, such as school-based health centers, pulmonary clinics, and primary care clinics, per cycle for participation in quality improvement program activities. 7. Provide mentoring and technical assistance to partner clinics. 8. Use effective, evidence-based processes for quality improvement activities (i.e., audit and feedback, decision support tools, emergency department protocols, care coordination, Plan Do Study Act, and other best practices). 9. Work with providers in using administrative and clinical data to identify patients with poorly controlled asthma and develop mechanisms for delivering necessary services. 10. Provide education to clinic staff on patient self-assessment, asthma severity rating, asthma medications and devices, and spirometry. 11. Participate in asthma evaluation activities.
UGA Program Terms
The purpose of the Asthma Care Quality Improvement Program is to improve the reach, quality, effectiveness, and sustainability of asthma control services and to reduce asthma morbidity, mortality, and disparities by implementing an asthma quality improvement program in health care clinics. Activities align with the Centers for Disease Control (CDC) initiative, Controlling Childhood Asthma Reducing Emergencies (CCARE), EXHALE Technical Package, and 6|18 Initiative related to Asthma Control. Activities are designed to improve childhood asthma outcomes and prevent childhood hospitalizations and emergency department visits. Through the grant award, the recipient will establish or enhance partnerships with health care centers, including school-based health centers, pulmonary clinics, and primary care clinics. The quality improvement program shall strengthen systems to support guidelines-based medical care, increase patient and caregiver knowledge about asthma self-management practices, increase linkages for coordinated care, and increase adoption and adherence to evidence-based practices and policies supportive of asthma control. Such practices may incorporate audit and feedback, decision support tools, care coordination, Plan Do Study Act, and other best practices. Education for clinic staff will also be provided through the quality improvement program. Such education will be based on National Asthma Education Prevention Program Expert Panel Report guidelines and include extensive training on patient self-assessment, asthma severity rating, asthma medications and devices, and spirometry.
Eligible Applicants
Nonprofit Organizations;
Applicant Eligibility
American Lung Association is the sole, eligible applicant for this grant.
Beneficiary Eligibility
health care clinics, patients with asthma
Types of Assistance
Non-competitive
Subject / Service Area
Healthcare
Credentials / Documentation
N/A
Preapplication Coordination
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.
Application Procedures
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.The state of Illinois is not obligated to make any State award as a result of the announcement, and funding is contingent upon approval and receipt of state funding for the Illinois Asthma Program. 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.
Criteria Selecting Proposals
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.
Award Procedures
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.
Deadlines
Application deadline is April 30th 2024 at 4:00 PM
Range of Approval or Disapproval Time
Applications must be received by the close of business (5:00 pm) on the application due date. After review, the anticipated award announcement is June 2023.
Appeals
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.
Uses and Restrictions
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
Reports
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: October 31; 2nd Quarter Report due by: January 31; 3rd Quarter Report due by: April 30; 4th Quarter Report due by: July 31
Audits
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.
Records
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.
Account Identification
733-48230-4900-0000
Range and Average of Financial Assistance
$94,000
Program Accomplishments
N/A
Regulations, Guidelines, and Literature
N/A
Regional or Local Assistance Location
Local
Headquarters Office
Springfield
Program Website
idphgrants.com
FUNDING INFORMATION
Funding By Fiscal Year
FY 2022 : $94,900
FY 2023 : $94,000
FY 2024 : $94,000
FY 2025 : $180,000
Federal Funding
None
Notice of Funding Opportunities
| Agency ID | Award Range | Application Range |
ACTIVE AWARDS
Agency ID | Grantee Name | Start Date | End Date | Amount |
53283001M | American Lung Association | 07/01/2024 | 06/30/2025 | 180,000 |