Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 590 - UNDERSERVED HEALTH CARE PROVIDER WORKFORCE CODE › Subpart B - GRANTS TO FAMILY PRACTICE RESIDENCY PROGRAMS › Section 590.130 - Application for Grants

Current through Register Vol. 48, No. 28, July 12, 2024
a)
				Applications shall be in writing and describe the applicant's proposed methods
				to achieve the goals specified in the Department's request for proposals (see
				Section
				590.120).
b) Applicants will have 60 calendar days to
				submit applications for grant funding. The 60-calendar-day timeframe begins on
				the publication date of the notice. Applications received after the
				60-calendar-day timeframe will not be processed and reviewed.
c) Applications shall be in two formats - one
				for new projects and one for the subsequent years of a continuing project.
1) New project applications shall include:
A) The legal name of the applicant;
B) The name and title of all of the
				applicant's officers and managers;
C) The applicant's legal address and
				telephone number;
D) A general
				description of the applicant, including its business and business
				experience;
E) The project
				director's name, phone number and e-mail address;
F) A detailed description of the project for
				which grant funds are requested, including a summary statement of the
				applicant's plan of action to address the goals described in the Department's
				request for proposals;
G) A
				description of the geographic area or special population group to be served by
				the applicant's project, a statement of the special needs of the area or group
				(e.g., lack of health care providers, high incidence of disease, economic
				barriers to care) and an explanation of the manner in which the proposed
				project would meet those needs;
H)
				A statement of objective, measurable and relevant objectives the applicant
				proposes to achieve in the first year of the project as well as its longer term
				goals, including appropriate measuring metrics together with proposed objective
				measurement criteria;
I) A detailed
				work plan and time table for achievement of the objectives;
J) An evaluation plan that will document the
				project's progress in meeting the particular needs of the geographic area or
				special population group described in subsection (c)(1)(G);
K) A description of the medical student or
				resident involvement in the project, including numbers participating, level of
				training, amount of academic time involved, medical supervision, and whether
				involvement will be a required or an optional experience for the student or
				resident;
L) A description of the
				educational benefits the project would offer students or residents, which would
				not be available to them without the project;
M) A detailed description of the project's
				relationship to other activities and goals of the school or the residency
				program;
N) A detailed budget with
				narrative explanation of the request, including cost estimates of developing,
				constructing, operating or completing the project; and
O) For residency program applicants, a
				summary report, for the most recent five-year period, of the percentage of its
				graduates who have established practices in HPSAs in Illinois and, if
				available, a count of those who have established practices in underserved areas
				of Illinois.