Tuberculosis Outreach Toward Elimination
CSFA Number: 482-00-2173
Agency Name
Department Of Public Health (482)
Agency Contact
Janette Candido
217-785-5371
janette.candido@illinois.gov
Short Description
Tuberculosis (TB) in Illinois disproportionately affects minorities and those born outside the United States. In 2017, about 75% of the Illinois reported cases were born outside of the US, which does not include the number of TB disease cases who were second generation immigrants, travel outside of the US, or had relations and employment that required travel to countries with high TB incidence. In the last five years, Illinois experienced TB outbreaks in congregate settings and identified communities with higher risk of developing TB disease. In addition, efforts to reach communities require knowledge of cultural differences, disease and social stigma, and community structures. The decline of TB cases has plateaued in the past several years in Illinois and the United States. Experts recommend addressing the issue of TB infection to restart the acceleration of TB rate decline toward TB elimination. Targeted testing is ideal but is dependent on the acceptance of evaluation and treatment activities by communities with high risk of developing TB disease.

The Tuberculosis Outreach Toward Elimination (TOTE) program provides funding for within at-risk populations as reported in the Illinois National Electronic Disease Surveillance Systems (I-NEDSS). Additional grant-funded activities will include referrals for screening or targeted testing events within their chosen priority population in collaboration with local TB programs or IDPH. Applicants are encouraged to propose the screening activities and include them in their budget proposal.

To encourage a diverse set of applications to serve all prioritized populations, additional points will be awarded to applicant organizations proposing to serve multiple prioritized populations. Although HIV/AIDS is a risk-factor for TB, this population is already covered by other IDPH grants and programs and are therefore not a primary population of interest for this grant. However, targeting of HIV/AIDS individuals in combination with the prioritized population is encouraged.
Subject Area
Healthcare
Program Function
Health
Enabling Legislation
20ILCS 231/2310-25 and 30, Civil Administration Code of Illinois
Objectives and Goals
The Tuberculosis Outreach Toward Elimination (TOTE) program provides funding for within at-risk populations as reported in the Illinois National Electronic Disease Surveillance Systems (I-NEDSS). Additional grant-funded activities will include referrals for screening or targeted testing events within their chosen priority population in collaboration with local TB programs or IDPH. Applicants are encouraged to propose the screening activities and include them in their budget proposal.

To encourage a diverse set of applications to serve all prioritized populations, additional points will be awarded to applicant organizations proposing to serve multiple prioritized populations. Although HIV/AIDS is a risk-factor for TB, this population is already covered by other IDPH grants and programs and are therefore not a primary population of interest for this grant. However, targeting of HIV/AIDS individuals in combination with the prioritized population is encouraged.
Types of Assistance
Project Grants
Uses and Restrictions
Under the Tuberculosis Cooperative Agreement with the Centers for Disease Prevention and Control (CDC). Federal Grant number: U52PS004672.
Total funds available: $100,000
Number of awards: 4
Grant start date: July 1, 2019

The Tuberculosis Outreach Toward Elimination (TOTE) Grant 2019 is a one-year grant cycle competitively awarded with the option of 2 years of non-competitive renewal applications.
Total available funds for the initial competitive grant year (12-month period) and subsequent renewal period (24-month period) shall be $300,000.00 of which $100,000.00 shall be awarded each grant year (12-month period).
Funding for the subsequent renewal grant years shall be contingent upon applicant performance evaluation conducted by the Illinois Department of Public Health.

This grant is funded through Federal or Federal pass-through funding. The grant term will be from July 1, 2019 through June 30, 2020. Available funds for the three years will be an estimated total of $300,000.00 of which $100,000.00 will be awarded each State Fiscal Year (SFY) of the three-year funding cycle: SFY2019, SFY2020, and SFY2021. Funding in SFY2019 and SFY2020 will be contingent upon applicant performance evaluations conducted by the Department following each year of the grant term and upon funding appropriation and allocation for each year of the grant term.
Budget Period Length: 12 months per year

Project Period Length: 1-3 Years based on performance
Eligibility Requirements
Only organizations that serve Illinois residents are eligible to receive TOTE grant funds.

Eligible applicants must be local governmental entities or domestic corporations in good standing with the Illinois Secretary of State’s Office, Department of Business Services (https://www.cyberdriveillinois.com) and may be community-based organizations and/or local not-for-profit organizations that effectively engage in health education outreach and training activities.

Eligible applicants must comply with all applicable provisions of state and federal laws and regulations pertaining to nondiscrimination, sexual harassment and equal employment opportunity including, but not limited to: The Public Works Employment Discrimination Act (775 ILCS10/1 et seq.), The United States Civil Rights Act of 1964 (as amended) (42 USC 2000a-and 2000H-6), Section 504 of the Rehabilitation Act of 1973 (29 USC 794), The Americans with Disabilities Act of 1990 (42 USC 12101 et seq.), and The Age Discrimination Act (42 USC 6101 et seq.).

Applicants must have paid all due County, State and Federal Taxes or have an approved payment plan in place.

Applicant organizations may not be convicted of bribing or attempting to bribe an officer or employee of the State of Illinois or any other State, nor has made an admission on the record of having so bribed or attempted to bribe (30 ILCS 500/50-5).

If the applicant organization has been convicted of a felony, at least five years must have passed after the date of completion of the sentence for such felony, unless no person held responsible by a prosecutor’s office for the facts upon which the conviction was based continues to have any involvement with the business (30 ILCS 500/50-10).

If the applicant organization, or any officer, director, partner, or other managerial agent, has been convicted of a felony under the Sarbanes-Oxley Act of 2002, or a Class 3 or Class 2 felony under the Illinois Securities Law of 1953, at least 5 years have passed since the date of the conviction. (30 ILCS 500/50-10.5)
Eligible Applicants
Government Organizations; Nonprofit Organizations;
Application and Award Processing
SCOPE OF WORK:

A. Organizational Capacity and Experience – 10 point value

1. Does the applicant agency provide health education and health promotion; and demonstrates its current capability to organize and operate the proposed project effectively and efficiently? 3 point maximum
2. Does the application include a clear description of the applicant’s decision-making authority and structure, financial management experience, and provide evidence of its capacity for effective use of resources needed to conduct the project? 3 point maximum
3. Does the application describe the organization’s experience, expertise and previous accomplishments in working in infectious disease prevention, including specific information about previous partnerships and strategies used to address infectious disease prevention? 4 point maximum

B. Project Description Narrative - 50 point value

Introduction 10 point value

1. Are the priority population/s identified using accurate and up-to-date data and does it belong to the priority population listed in this guidance? 2 point maximum
2. Does the application describe strategies to recruit individuals and a clear description of the criteria for recruitment? 3 point maximum
3. Does the application identify cultural factors that create barriers to delivering prevention messages to and implementing prevention interventions with the target population; and are methods for TB education discussed? 3 point maximum
4. Is there an estimation, based on available data, on the expected number of individuals that would be reached by the service? 2 point maximum

Objective Setting - 20 point value

1. Does the application provide at least two objectives for the goal to provide education to priority population who are at high risk of developing TB disease? 3 point maximum
2. Does the application provide at least two objectives for the goal to improve acceptance of TB evaluation, management, infection control, and contact investigation activities among the priority population? 3 point maximum
3. Does the application provide at least two objectives for the goal to refer eligible individuals for screening using Interferon Gamma Release Assay (IGRA)? 3 point maximum
4. Does the application provide at least two objectives for the goal to ensure treatment of individuals diagnosed with TB disease and TB infection? 3 point maximum
5. Does the application provide at least two objectives for the goal to provide social support for those affected by TB? 3 point maximum
6. Does the application propose S.M.A.R.T objective for the required goals and has outcomes that address the purpose of this grant? 5 point maximum

Evaluation Plan – 5 point value
1. Does the application proposed S.M.A.R.T objective for evaluation and have outcomes that directly measure the evaluation objectives? 2 point maximum
2. Does the application provide detailed description of the evaluation activities and are they consistent with the stated outcomes of the evaluation? 3 point maximum

Project Management and Staffing - 15 point value
1. Are key staff clearly identified and their roles clearly defined? 2 point maximum
2. Does the applicant agency demonstrate experienced, strong project leadership, including executive sponsorship, governance structures and functions, decision-making processes, dedicated coordinator and point of contact for the project? 3 point maximum
3. Does the application demonstrate capacity to collect and report on performance measures to monitor progress? 3 point maximum
4. Are the staff qualifications/requirements (and recruitment strategies, if needed) stated and appropriate for the priority community? 2 point maximum
5. Does the application show project management structure and design that will enable accountability? 3 point maximum
6. Does the application include certificates and credentials for staff? 2 point maximum

C. Work Plan – 30 point value

1. Does the work plan appear logical with timelines for each milestones and activities? 3 point maximum
2. Does the application provide detailed descriptions of the activities and are they consistent with the stated purposes of the funding opportunity announcement? 3 point maximum
3. Does the application have a plan for staff training to ensure that the education program is in line with the IDPH and CDC’s recommendations and guidelines? 3 point maximum
4. Is cultural competency training and education for staff/members included in the work plan? 3 point maximum
5. Is there a clear description of how the program will be implemented; including a plan for obtaining implementation materials and training on the program? 3 point maximum
6. Does the application include a plan to refer individuals who are determined to be high risk of developing TB disease for screening? 5 point maximum
7. Does the application include a plan to refer individuals who are tested positive on TB screening for ruling out of TB disease? 5 point maximum
8. Does the application include a plan to refer individuals who are determined to have TB infection for treatment? 5 point maximum


D. Project Budget - 10 point value
1. Does the application provide a detailed budget and line item justification for all operating expenses that is consistent with the proposed program objectives and activities? 5 point maximum
2. Are the costs projected for the proposed activities and staffing level are reasonable? 3 point maximum
3. Is the Direct Administrative Cost less than or equal to 10% of the total funding request? 2 point maximum



2. Review and Selection Process
Applicants will be reviewed by reviewer team/s, there will be at least three individuals per team and would include at least one from outside the IDPH TB Program. The number of teams will depend on the number of applicants for review not to exceed three application reviews per team.

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.
Assistance Consideration
No matching funds are required.
Post Assistance Requirements
For each funded Program Year, the Grantee will submit Periodic Financial Reports (PFR), including reimbursement claims and Periodic Performance Reports (PPR) within 30 days after the last day of the reporting period.

An annual summary report of completed activities will also be submitted on or before 30 days after the end of the grant term.

Periodic Grant Reports are submitted via the IDPH Grants Management system, EGRAMS.
Regulations, Guidelines, Literature
N/A
Funding By Fiscal Year
FY 2019 : $100,000
FY 2020 : $100,000
Federal Funding
Notice of Funding Opportunities
None
None