Improving the Health of Americans Through Prevention and Management of Diabetes and Heart Disease and Stroke (1815 – Capricorn Module)
CSFA Number: 482-00-2061
Agency Name
Department Of Public Health (482)
Agency Contact
Debra Richards
Short Description
Work with Northwestern University's (NU) Chicago Area Patient-Centered Outcomes Research Network (CAPRICORN) system to develop and track clinical quality measures for patients with HTN.
Subject Area
Program Function
Enabling Legislation
Objectives and Goals
Northwestern University will develop a module for use in their CAPRICORN system to track hypertensive patients.
Types of Assistance
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.
• Not be used for research or clinical care.

NOTE: Grantee should prepare a budget that reflects expenses for the cited grant term. Use whole numbers and round to the nearest dollar. Once approved, the budget will be incorporated into the grant. Using the forms provided in this packet, submit additional information or justification as required in the allowable costs list section. Specifically, line items listed in the detailed budget must be explained on the budget forms. The grantee may divide employee work time among multiple staff directly involved in the Program development, implementation, and evaluation. The allocation of employee work time in the Program grant budget must reflect and be commensurate with program activities attributed to the specific program staff in the approved Scope of Work Plan. Program staff members that are funded 100% from the grant are expected to work solely on this grant program and may not be funded by other IDPH grant programs. Use Personnel Loading Chart found in the appendix to detail staff.

If the grantee is anticipating using sub- contractors /sub- grantees, those should be listed under the Contractual Cost section of the Budget Detail Template and the Contractual Services section of the grant application. For such sub-contractors and/or sub-grantees, justification should be of sufficient detail to document the items requested are essential to the achievement of the work plan activities. Complete Subcontractor Table found in the appendix to provide information for each subcontractor that will be used to provide services under this grant. If a vendor is to be determined, indicate so on the table.
Contractual Services are costs such as contractual employees, repair and maintenance of equipment, media development and placement, software for support of program objectives, among other costs. Payments (or pass-through) to subcontractors are to be shown in the Contractual Services section of the application (Section 5) as well as in the Budget Detail section. Complete Appendix A, List of Subcontractors, if subcontractors will be used under this grant.

The grantee acknowledges they must expend funds in accordance with the budget approved by the Department and in line with the line item categorical amounts approved in that budget. The grantee is required to submit quarterly documentation of actual expenditures incurred for conducting activities through use of the Department’s reimbursement certification form. If changes in the line items of the approved budget are necessary, the grantee must submit a Budget Adjustment Request in writing on Department forms for approval by the Department prior to making any of the requested expenditure changes. Documentation of actual expenditures incurred for the grant period must be submitted within 30 days after the close of the grant period (Wednesday, July 29, 2020). Any funds not documented and approved by the Department must be returned to the Department.
Allowable costs. Examples of allowable costs are listed below. This is not meant to be a complete list, but rather specific examples of items within each line item category.

Personal Services:
- Gross salaries paid to the agency employees directly involved in the provision of program services. All salaries are to be provided as in-kind need to be documented and noted on the budget sheet as such.
- Employer’s portion of fringe benefits actually paid on behalf of direct services employees. Examples include FICA (Social Security), life/health insurance, workers compensation insurance, unemployment insurance and pension/retirement benefits.
Contractual Services:
- Contractual employees (requires prior program approval).
- Postage, postal services, overnight mailing, or other carrier costs.
- Photocopies. If paid to a duplicating business, list the number of copies and the costs. If charged by copy on a leased photocopy machine, list cost per actual copy.
- Telecommunications. Allowable charges are monthly telephone service costs for land lines and installation, repair, parts and maintenance of telephones and other communication equipment.
- Payments or pass-throughs to subcontractors or sub grantees are to be shown in the Contractual Services section. All subcontracts or sub grants require an attached detail line item budget supporting the contractual amount.
- Printing. Any printing job, e.g., letterpress, offset printing, binding, lithographing services, must be requested as a prior approval item in the budget submission. This expense requires substantive documentation as to its relevance to the work plan before approval will be granted. The cost of the printing may not exceed $1,000 or 5 percent of the total budget, whichever is less.
- Auto travel mileage is no higher than 58 cents – the state reimbursement rate as of January 1, 2019.
- Rail transportation expenses.
- Lodging. The rate must be in accordance with Illinois Travel Control Board rate or justification must be provided.
- Per Diem.

- Office supplies.
- Educational and instructional materials and supplies, including booklets and reprinted pamphlets. The budget narrative must describe the connection between the purchase of these materials and approved work plan before it will be approved.
- Paper supplies.
- Envelopes and letterhead.

Eligible applicants may voluntarily identify indirect costs as a programmatic match, in order to allocate the entire grant award for direct costs.

Eligibility Requirements
Northwestern University is the only entity eligible for this grant.
Eligible Applicants
Application and Award Processing
Northwestern University is the only organization eligible for this grant funding opportunity in accordance with the Department's work plan under the Centers for Disease Control and Prevention funding opportunity DP18-1815.
Assistance Consideration
Post Assistance Requirements
Regulations, Guidelines, Literature
Funding By Fiscal Year
FY 2019 : $60,000
FY 2020 : $75,000
Federal Funding
Notice of Funding Opportunities
Agency IDGrantee NameStart DateEnd DateAmount
034892001HAdvocate North Side Health Network07/01/201906/30/2020375,000
03286008HNorthwestern University07/01/201906/30/202075,000