Friday, September 29, 2023
9/29/2023
The purpose of the Illinois Department of Public Health (IDPH) Asthma Program’s (Program) proposal is to strengthen existing infrastructure to expand the reach and sustainability of asthma control services and reduce asthma morbidity, mortality, and disparities by implementing evidence-based strategies. In collaboration with asthma partners, multi-component, coordinated approaches will be implemented in high-burden areas and will include the following 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. Proposed activities align with the CDC Initiative, Controlling Childhood Asthma Reducing Emergencies (CCARE) and are designed to improve childhood asthma outcomes and prevent childhood hospitalizations and emergency department visits. As home visiting programs are in a unique position to deliver EXHALE strategies as a package, the Program is proposing to strengthen existing home visiting programs by developing a Home Visiting Collaborative (HVC). The HVC will comprise of three intensive home visiting programs located in priority areas across the state which have been identified as high asthma burden, disparate populations. The HVC will serve as a learning community and will leverage traditional and non-traditional partners to strengthen programs and seek expansion. Within the HVC, both community health worker and health care provider Extension for Community Healthcare Outcomes (ECHO) models will be implemented to increase capacity and provide best practices while also addressing disparities. The Program will also collaborate with key partners in addressing statewide asthma initiatives, such as sharing the CDC 6|18 evidence-based preventive practices with State Medicaid Managed Care Organizations and health plans. These practices will complement EXHALE strategies by advocating for access to and reimbursement for asthma self-management education, home visiting, and elimination of barriers to asthma medications and devices. Using evidence-based strategies, cross-sector collaboration, and integrating CDC initiatives, IDPH seeks to meet all short, intermediate, and long-term outcomes identified by the CDC National Asthma Control Program. Short-term outcomes: (1) Expanded capacity to deliver or refer people with asthma to asthma self-management education (AS-ME). (2) Expanded access, referral to and delivery of coordinated services in high burden areas. (3) Improved systems that encourage team-based asthma care. (4) Use of data (surveillance and evaluation) for program improvement. Intermediate outcomes: (1) More people with asthma receive appropriate medical assessments, essential medications, and devices. (2) Established linkages and coordination across public health and health care systems. Long-term outcomes: (1) More people have well-controlled asthma, fewer asthma attacks, and fewer missed school or work days. (2) Fewer asthma-related ED visits, hospitalizations, and deaths.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
