Coordinated Approach to Reducing Childhood Asthma Disparities
CSFA Number: 482-00-2585
Agency Name
Department Of Public Health (482)
Agency Identification
IDPH: Office of Health Promotion
Agency Contact
Nikki Woolverton
(217) 557-2931
nikki.woolverton@illinois.gov
Short Description
The purpose of the Coordinated Approach to Reducing Childhood Asthma Disparities award is to improve the reach, quality, effectiveness, and sustainability of asthma control services and to reduce asthma morbidity, mortality, and disparities by implementing evidence-based strategies in schools and across multiple sectors. Activities align with the Centers for Disease Control (CDC) initiative, Controlling Childhood Asthma Reducing Emergencies (CCARE), EXHALE Technical Package, and the Community Preventive Services Task Force school-based asthma intervention recommendations, which focus on key levers to improve childhood asthma outcomes. Activities are designed to improve childhood asthma outcomes and prevent childhood hospitalizations and emergency department visits. Evidence indicates a multi-component approach to controlling asthma is more effective than individual strategies applied in isolation. Recipients of the award will strengthen infrastructure and implement evidence-based strategies in Chicago and Cook County schools and across multiple sectors through six EXHALE strategies as identified in the CDC EXHALE Technical Package and selected for their potential of having the greatest collective impact on controlling asthma: • 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); • Achievement of guidelines-based medical management; • Linkages and coordination of care; and • Environmental policies or best practices to reduce indoor and outdoor asthma triggers Through the grant award, the recipient will establish or enhance partnerships with Chicago and Cook County schools and prioritize linkages between partners and across settings while promoting guidelines-based medical management and expanding asthma self-management education. The recipient should also expand access to home visits for asthma trigger reduction and support environmental best practices to reduce exposure to indoor and outdoor asthma triggers in order to achieve the greatest public health impact. The award recipient will ensure implementation of the six EXHALE strategies as a coordinated package taking into consideration the critical social and cultural context of individuals with asthma and their communities. The recipient will mobilize partners to plan, implement, and sustain strategies designed to expand the reach of asthma control services, particularly among target audiences with significant disparities in asthma health outcomes. The recipient will identify priority populations and goals common among partners representing multiple sectors, such as schools, health care providers, community-based organizations, community health workers, and asthma home visiting programs. Information and resources will be shared for collective impact, expansion of services, and reduction of the duplication of effort.
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 for your organization and any sub-grants awarded. 5. Submit annual performance measures for your organization and any sub-grants awarded. 6. Participate in asthma evaluation activities. 7. Conduct an assessment of partnering schools. The assessment should include a brief pediatric screening to identify asthma prevalence within the school, school stakeholder interviews to identify needs, and an assessment of the physical environment to identify asthma triggers. 8. Incorporate EXHALE strategies within grant activities. • Education on asthma self-management education o Provide evidence-based AS-ME to students with asthma. AS-ME must be based on National Asthma Education Prevention Program Expert Panel Report guidelines, a minimum of two sessions, and must include basic pathophysiology, correct usage of medications, monitoring symptoms, avoiding triggers, and return demonstration. o Provide asthma education to caregivers of students with asthma. Caregivers may include parents and other family members, guardians, school staff, or those who care for children with asthma. • eXtinguishing smoking and exposure to second-hand smoke o Provide tobacco cessation resources to students with asthma who use tobacco products and/or their caregivers who use tobacco products. • Home visits for trigger reduction o For children with poorly controlled asthma, referrals to more resource-intensive services, such as home visits may be provided. Not all children will require this level of intervention. • Achievement of guidelines-based care o Use evidence-based processes for program quality improvement activities and care coordination. o Facilitate training and education of those who care for children with asthma, including inhaler technique. o Encourage and aid in facilitating shared treatment decision making among those with asthma and health care providers. • Linkages and coordination of care across settings o Facilitate coordination of care among schools, community-based organizations, and health care providers. o Encourage linkages within and across the health care system and community services to address student and caregiver medical and social needs and provide referrals when necessary. o Develop mechanisms consistent with privacy regulations for bi-directionally sharing of information between schools, health care providers, and community-based organizations for coordinating care for those with asthma. • Environmental policies or best practices to reduce indoor and outdoor asthma triggers o Provide an assessment within partner schools to identify asthma triggers and offer education or referrals for assistance with remediation or adoption of best practices.
Prime Recipient
Yes
UGA Program Terms
07/01/2024 - 06/30/2025
Eligible Applicants
Nonprofit Organizations;
Applicant Eligibility
The grant will provide funding for an organization able to implement the required EXHALE strategies as a coordinated package. 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, https://gata.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 UEI (Unique Identity ID) 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.
Beneficiary Eligibility
N/A
Types of Assistance
Project Grants
Subject / Service Area
Education
Credentials / Documentation
N/A
Preapplication Coordination
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. Eligible applicants include non-profit entities in Illinois with experience in school-based asthma interventions and capable of implementing EXHALE strategies as a coordinated package. Applicants must demonstrate the ability to provide services in Chicago and Cook County. Strong applicants will demonstrate ability to expand services to other areas of the state. 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.
Application Procedures
Applicants will utilize the IDPH EGRAMS database to submit their grant application. https://idphgrants.com/ Please utilize the instructional guide. https://idphgrants.com/admin/ViewAppDocs.aspx?fnam=EGrAMS%20Instructional%20Guide%20-%20Initiate%20Grant%20App%20YBD.pdf
Criteria Selecting Proposals
Grants will be reviewed and graded based on a 100-point scoring rubric. The categories are as follows: • Scope of Work: 45 points - (Applicant capacity and experience; Community need; Plan for outreach and collaboration; Target audience clearly defined; Proposed implementation approach; Plan provided with detailed activities) • Work Plan: 15 points – (Activities, outcomes and measurements are provided and aligned with program requirements; Information provided in the SMART format) • Budget: 5 points - (Budget reasonable and justified) • Health Equity: 35 points
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
Applications must be received by the close of business (5:00 pm) on 04/26/2024. After review, the anticipated award announcement is June 2024.
Range of Approval or Disapproval Time
After review, the anticipated award announcement is June 2024.
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.
Renewals
N/A
Formula Matching Requirements
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.
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 30; 2nd Quarter Report due by: January 30; 3rd Quarter Report due by: April 30; 4th Quarter Report due by: July 30
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
733.48230.1900.0100
Obligations
$514,000
Range and Average of Financial Assistance
$514,000
Program Accomplishments
N/A
Regulations, Guidelines, and Literature
N/A
Regional or Local Assistance Location
Chicago
Headquarters Office
Springfield
Program Website
idphgrants.com
Example Projects
N/A
Published Date
4/7/2022
Funding By Fiscal Year
FY 2022 : $514,000
FY 2023 : $514,000
FY 2024 : $51,400
FY 2025 : $514,000
Federal Funding
None
Notice of Funding Opportunities
Agency IDAward RangeApplication Range
Agency IDGrantee NameStart DateEnd DateAmount
53283005MRespiratory Health Association07/01/202406/30/2025514,000