IDPH: Office of Health Care Regulations

The Illinois Department of Public Health’s Office of Health Care Regulation, Division of Health Care Facilities and Programs (OHCR/HCF&P) ensures regulatory compliance for State and Federal programs among participating facilities that include Hospitals. The Center for Medicare and Medicaid Services (CMS) implemented a Hospital without Walls program, to provide services in locations beyond their existing walls. CMS developed a waiver initiative- Acute Hospital Care at Home Program (HAH), to provide approved hospitals the flexibilities to treat eligible patients in their homes, who require at least daily rounding by a physician and a medical team monitoring their care needs on an ongoing basis. CMS’s (HAH) was part of their strategy to increase hospital capacity during the COVID-19 pandemic, free up bed space for COVID patients, and reduce the immediate need for long-term care placement. So far, IDPH’s only role has been to provide approval to hospitals to participate in CMS’ waiver program. This program will allow the funded hospitals to implement and provide educational support for the patient’s family and caregivers. Moreover, the program will connect caregivers with supports and systems necessary to prevent future admissions and long-term care placement.

Caregiver Advise, Record and Enable Act, 210 ILCS 91

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The Illinois Department of Public Health’s Office of Health Care Regulation, Division of Health Care Facilities and Programs (OHCR/HCF&P) ensures regulatory compliance for State and Federal programs among participating facilities that include Hospitals. The Center for Medicare and Medicaid Services (CMS) implemented a Hospital without Walls program, to provide services in locations beyond their existing walls. CMS developed a waiver initiative- Acute Hospital Care at Home Program (HAH), to provide approved hospitals the flexibilities to treat eligible patients in their homes, who require at least daily rounding by a physician and a medical team monitoring their care needs on an ongoing basis. CMS’s (HAH) was part of their strategy to increase hospital capacity during the COVID-19 pandemic, free up bed space for COVID patients, and reduce the immediate need for long-term care placement. So far, IDPH’s only role has been to provide approval to hospitals to participate in CMS’ waiver program. This program will allow the funded hospitals to implement and provide educational support for the patient’s family and caregivers. Moreover, the program will connect caregivers with supports and systems necessary to prevent future admissions and long-term care placement. • Improve overall quality of care for patients, by assessing the home environment and caregiver support and ensuring that resources meet the needs of the caregiver and patient; • Support family and caregiver in navigating the healthcare and long-term care support systems to improve caregiver knowledge, access to services, individual counseling, support groups, and respite care; • Assist in educating family and caregivers with accessing community supports, including but not limited to nutrition, education, and quality healthcare resources; • A proposed budget projecting and estimating cost of proposal; • Implement the utilization of the TCARE Support System (Tailored Caregiver Assessment and Referral) or other evidence-based caregiver program to educate and support family caregivers; and • Include compliance with the Caregiver Advise, Record and Enable Act, 210 ILCS 91.

Yes

1. A detailed Grant Project Proposal (Scope of Work) that demonstrates the need for the program to support the patients served, to improve patient and caregiver satisfaction and to reduce readmissions to hospitals or placement in a long-term care re facility through family and caregiver education. The plan must detail coordination of continued care services with community care programs and other supports applicable to the patient or caregiver. The proposal will describe what the organization requires to complete the work. 2. A developed plan that outlines sustainability of the HAH and improvement and management of patient outcomes by providing caregiver education. 3. A developed plan that (a) identifies the educational tools and resources for the patient’s caregiver needs post discharge, especially in light of the COVID-19 pandemic; and (b) outlines plans to address the needs through the implementation of educational programs for family and or caregivers. 4. Demonstration of developing or continuing partnerships with key stakeholders such as other healthcare providers and community resources to assist the patient and caregiver to manage and improve health and well-being.

Government Organizations; Nonprofit Organizations; For-Profit Organizations; Small Businesses; Individuals; Education Organizations; Public Housing Organizations; Other;

Hospital with CMS approved waiver for HAH effective 11/2020. You can find the waiver here: https://qualitynet.cms.gov/acute-hospital-care-at-home.

The Illinois Department of Public Health’s Office of Health Care Regulation, Division of Health Care Facilities and Programs (OHCR/HCF&P) ensures regulatory compliance for State and Federal programs among participating facilities that include Hospitals. The Center for Medicare and Medicaid Services (CMS) implemented a Hospital without Walls program, to provide services in locations beyond their existing walls. CMS developed a waiver initiative- Acute Hospital Care at Home Program (HAH), to provide approved hospitals the flexibilities to treat eligible patients in their homes, who require at least daily rounding by a physician and a medical team monitoring their care needs on an ongoing basis. CMS’s (HAH) was part of their strategy to increase hospital capacity during the COVID-19 pandemic, free up bed space for COVID patients, and reduce the immediate need for long-term care placement. So far, IDPH’s only role has been to provide approval to hospitals to participate in CMS’ waiver program. This program will allow the funded hospitals to implement and provide educational support for the patient’s family and caregivers. Moreover, the program will connect caregivers with supports and systems necessary to prevent future admissions and long-term care placement.

Project Grants

Education

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Applicants should use the State of Illinois Electronic Grants Management System to submit their applications and supporting documents for review and consideration, accessible at www.idphgrants.com. This work will occur between September 2, 2022, to June 11, 2023. The applicant must submit a project plan that describes how the award will be executed. The project plan must include necessary detail to enable the Department to manage the grant agreement activity against planned project performance.

All applications will be scored using the weighted evaluation criteria below and the application’s attainment of the Health Equity based review components. (1) Need (10 points): identification of stakeholders, data, facts, and evidence that demonstrate how the proposed project will improve the knowledge, support, and resources for the acute to home caregiver; a. include which disparately impacted communities of patients and inequities are most affected by the project; (2) Capacity (10 points): the ability of a grant applicant to execute the proposed project according to program requirements; a. include the accountability and reporting capabilities of the applicant to ensure the caregiver education project yields best results; b. include tools and methodology the applicant will use to educate caregivers; (3) Quality (10 points): the totality of features and characteristics of the proposed project that indicates its ability to improve the caregiver knowledge, access to supports, and support of the acute to home population; a. include strategies and plans to incorporate and support workforce equity in the compilation, development, and execution of the project; b. include projected impact of the project’s deliverables to promulgate health equity for caregivers and acute to home patients; (4) Sustainability (5 points): the continuation of benefits from the project after it is completed. The probability of continued long-term benefits and the resilience to risk of the net benefit over time; a. include plans, methods, and metrics to be utilized to ensure health equity goals are met. (5) Duplication of Effort (5 points): the extent to which the objectives of the project does not duplicate existing requirements or other federal or state services; and where duplication of said project is outweighed by creating future improvement to support of caregivers, acute to home patients and outcomes; (6) Cost Effectiveness (5 points): productiveness relative to cost and ability to utilize and optimize resources, measure the results of strategies, objectives and outcomes where benefits are non-financial; (7) Feasibility (10 points): likelihood the project can be accomplished by the applicant within the proposed time and budget given their experience, expertise, and available resources; a. include projected timeline for major deliverables and milestones of the project; b. include strategy, methodology, and capabilities to be employed in order to ensure the greatest impact and reach of the project; and (8) Objectives (10 points): applicant shall list objectives that are specific, measurable, attainable, and realistic. a. include effective and clearly defined objectives which outline deliverables. Cost share requirements will not be considered as evaluation criteria. Health-Equity Based Review A significant portion of the application review will be based on how the application abides with the following areas: A) Addressing all components of the IDPH Health Equity Checklist B) Reference the Health Equity Definition C) Incorporation of key definitions from the IDPH Health Equity Checklist D) Reference to culturally and linguistically appropriate services E) Focus on the Social Determinants of Health

Applications must be received by the close of business (11:59 pm CST) on Sept 30, 2022. After review, the anticipated award announcement is October 2022.

Applications must be received by the close of business (11:59 pm CST) on Sept 30, 2022. After review, the anticipated award announcement is October 2022.

After review, the anticipated award announcement is October 2022

Appeals resolutions may be deferred pending a judicial or administrative determination when actions concerning the appeal have commenced in a court of administrative body.

No renewals will be awarded for this grant program.

5% or $1,000.00, whichever is less.

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Quarterly progress reports and a final report shall be submitted to the Department (schedule below). The Grantee shall keep adequate records relating to its administration of a project, particularly relating to all incurred costs. These records shall be available for audit by the Department and the State Auditor General. The Department reserves the right to conduct on-site visits with the purpose of reviewing or auditing a project. All records shall be retained in accordance with the State Records Act [5 ILCS 160]. Grantees are subject to the record retention requirements and auditing standards stipulated by GATU (see GATA Rules Section 7000.430(a) and Section 7000.90). 1st Quarter Report due by November 15, 2022 2nd Quarter Report due by February 15, 2023 3rd Quarter Report due by May 15, 2023 .

Must comply with state law and 2CFR200

Must comply with state law and 2CFR200

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063-48270-1900-0200

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Caregiver Advise, Record and Enable Act, 210 ILCS 91. CDC Crisis Response Cooperative Agreement: COVID-19 Public Health Workforce Supplemental Funding Guidance.

525 W Jefferson, 5th floor Springfield, IL 62761

525 W Jefferson, 5th floor Springfield, IL 62761

https://dph.illinois.gov/topics-services/health-care-regulation/nursing-homes/cmp-reinvestment-program.html

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9/16/2022

FY 2023 : $960,000