Asthma Home Visit Collaboration
CSFA Number: 482-00-2349
Agency Name
Department Of Public Health (482)
Agency Contact
Nikki Woolverton
217-557-2931
nikki.woolverton@illinois.gov
Short Description
The Home Visiting Collaborative (HVC) grant program aligns with CDC initiative, Controlling Childhood Asthma Reducing Emergencies (CCARE). Activities are designed to improve childhood asthma outcomes and prevent childhood hospitalizations and emergency department visits. Recipients of the award will strengthen infrastructure and implement evidence-based strategies across multiple sectors through six EXHALE strategies:
• 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.

As home visiting programs are in a unique position to deliver EXHALE strategies as a package, programs will work in partnership to create the HVC. Each grantee will have its own service area and clients, however, the HVC will serve as a learning community where successes, challenges, opportunities for expansion, policy, reimbursement, and quality improvement (QI) initiatives can be discussed.
Programs will leverage partners to expand their reach in existing communities and seek expansion into new communities. Grantees should actively seek referral sources and partnerships throughout the grant period. Referral sources may include, but are not limited to, hospitals, health systems, health care providers, schools, community-based organizations, community health workers, and child care centers. Partnerships may also include, but are not limited to, housing, transportation, truancy, and home weatherization.
Within the HVC, both CHW and health care provider ECHO models will be implemented to increase capacity, especially in areas with limited access to care, and provide best practices while also addressing disparities. Through the ECHOs, extensive education will be provided to home visiting staff, and clinical providers will be provided with the most current National Asthma Education Prevention Program (NAEPP) Guidelines and asthma QI initiatives. Both ECHOs will provide methods to enhance team-based care.
Subject Area
Healthcare
Program Function
Health
Enabling Legislation
NA
Objectives and Goals
The Home Visiting Collaborative (HVC) grant program aligns with CDC initiative, Controlling Childhood Asthma Reducing Emergencies (CCARE). Activities are designed to improve childhood asthma outcomes and prevent childhood hospitalizations and emergency department visits. Recipients of the award will strengthen infrastructure and implement evidence-based strategies across multiple sectors through six EXHALE strategies:
• 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.

Summary of EXHALE Strategies
For more information on the EXHALE Technical Package, please visit https://www.cdc.gov/asthma/pdfs/EXHALE_technical_package-508.pdf.

Grantees will implement at least one activity in each of the six EXHALE strategies as a coordinated package. In the following years, grantees will implement and expand EXHALE strategies and activities as outlined below, taking into consideration the critical social and cultural context of individuals with asthma and their communities. The EXHALE package outlines opportunities for many different sectors to participate in implement EXHALE strategies and activities on pages 31-33.
Types of Assistance
Project Grants
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.

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.
• Equipment in excess of 5 percent of the grant award.
• 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
Eligibility Requirements
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.
Eligible Applicants
Nonprofit Organizations; Government Organizations;
Application and Award Processing
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.

This work will occur between September 1, 2019 and August 31, 2020. The applicant must submit a project plan that describes how the award will be executed. The project plan should include necessary detail to enable the agency to manage the grant agreement activity against planned project performance.

Applications will be reviewed for content, work plan activities, budget proposals and required application supplemental material. This grant is competitive. The anticipated award notice is December 2019.
Assistance Consideration
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.

In order to charge indirect costs to a grant, the applicant organization must have an annually negotiated indirect cost rate agreement (NICRA). There are three types of NICRAs: a) Federally Negotiated Rate. Organizations that receive direct federal funding may have an indirect cost rate that was negotiated with the Federal Cognizant Agency. Illinois will accept the federally negotiated rate. The organization must provide a copy of the federal NICRA. b) State Negotiated Rate. The organization must negotiate an indirect cost rate with the State of Illinois if they do not have Federally Negotiated Rate or elect to use the De Minimis Rate. The indirect cost rate proposal must be submitted to the State of Illinois within 90 days of the notice of award. c) De Minimis Rate. An organization that has never received a Federally Negotiated Rate may elect a de minimis rate of 10% of modified total direct cost (MTDC). Once established, the de minimis rate may be used indefinitely. The State of Illinois must verify the calculation of the MTDC annually in order to accept the de minimis rate.

Indirect Costs are limited to 10% of the total award, unless the applicant provides a copy of a current Federally Negotiated Rate Indirect Cost Agreement.
Post Assistance Requirements
The grantee is required to submit quarterly progress reports based on 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: December 15, 2019
2nd Quarter Report due by: March15, 2020
3rd Quarter Report due by: June 15, 2020
4th Quarter Report due by: September 15, 2020
Regulations, Guidelines, Literature
NA
Funding By Fiscal Year
FY 2020 : $151,000
Federal Funding
Notice of Funding Opportunities
Agency IDAward RangeApplication Range
DetailsNANot Applicable12/19/2019 - 01/31/2020 : 5:00pm
None