TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER g: GRANTS TO DENTAL AND MEDICAL STUDENTS
PART 590 FAMILY PRACTICE RESIDENCY CODE
SECTION 590.130 APPLICATION FOR GRANTS


 

Section 590.130 Application for Grants

 

a) The Department shall prepare and distribute applications to eligible applicants (see Section 590.100).

 

b) Applications shall describe the applicant's proposed methods to achieve the goals specified in the Department's request for proposals (see Section 590.120).

 

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 the applicant's officers and managers;

 

C) The applicant's legal address;

 

D) A general description of the applicant, including its business and business experience;

 

E) The applicant's telephone number, fax number, federal employer identification number (FEIN), DUNS number, and Illinois Department of Human Rights number;

 

F) The project director's name and e-mail address;

 

G) A 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;

 

H) 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;

 

I) A statement of 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;

 

J) A work plan and time table for achievement of the objectives;

 

K) 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)(H);

 

L) A description of the medical student or family practice resident involvement in the project, including numbers participating, level of training, amount of academic time involved, and whether involvement will be a required or an optional experience for the student or resident;

 

M) A description of the educational benefits the project would offer students or residents, which would not be available to them without the project;

 

N) A description of the project's relationship to other activities and goals of the school or the residency program;

 

O) A detailed budget with narrative explanation of the request, including cost estimates of developing, constructing, operating or completing the project; and

 

P) 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 designated shortage areas in Illinois and, if available, a count of those who have established practices in underserved areas of Illinois.

 

2) Continuing project applications shall include:

 

A) The legal name of the applicant;

 

B) The name and title of the applicant's chief officers and key employees;

 

C) The applicant's legal address;

 

D) A general description of the applicant, including its business and business experience;

 

E) The applicant's telephone number, fax number, FEIN and DUNS number;

 

F) The project director's name and e-mail address;

 

G) A progress report on the prior project year's activities, including accomplishments in meeting all stated objectives, impact on the needs of the area or population group served, amount of student and/or resident involvement, and educational benefits achieved;

 

H) A summary statement of all changes in the plan of action;

 

I) A description of all changes in the geographic area or special population group being served;

 

J) A statement of measurable objectives for the new project year, measured with previously identified metrics;

 

K) A work plan and time table to meet the objectives;

 

L) An evaluation plan for the new objectives, including appropriate measuring metrics;

 

M) A detailed budget with a narrative description, including cost estimates of developing, constructing, operating or completing the project; and

 

N) For residency program applicants, a report on the practice locations of the most recent graduates.

 

(Source: Amended at 35 Ill. Reg. 14089, effective August 4, 2011)