QI Templates


Ryan White Part B Quality Management Program Standards outline the quality management expectations for Part B-funded providers. The Program Standards are applicable to all HIV service providers that receive Ryan White HIV/AIDS Program Part B funding in New York State and reflect the AIDS Institute and federal quality management expectations.

The following QI templates have been created to assist Part B providers to meet the quality management expectations.

QI Templates
Name Details Link
Part B Annual QI Project Submission Form To be submitted at the beginning of each year by each service provider to outline their QI project; reviewed by the contract manager and QM team Link
Part B QI Project Update Template To be used by service providers during their presentations at least three (3) times a year during their quarterly QI Sharing Sessions Link
Part B QI Project Annual Storyboard Template To be submitted at the end of each year by each service provider; reviewed by the contract manager and QM team Link
Part B QI Project Review Tool To be completed by contract manager, QM team, and/or assigned faculty to assess the quality of the QI project and provide feedback Link
Part B Contract Manager Monitoring Tool To be used by contract manager during routine monitoring calls with Part B subrecipients Link
Part B Organizational Assessment Tool To be used annually to assess the Part B subrecipient quality management program; in the year of the contract monitoring visit, the contract manager will assess the program using this tool and in the alternate years, the Part B provider will self-report their assessment findings and discuss them with their contract managers Link
Part B Quality Management Plan Review Tool To be used by the contract managers annually to review the Part B subrecipient quality management plan; further assistance is available by the Part B Quality Management Team Link
If you are a provider and have any questions, please reach out to your contract manager and/or email us at AIQM@health.ny.gov.