Opportunity Information: Apply for HRSA 24 072
The Ryan White HIV/AIDS Program Implementation for HIV Clinical Quality Improvement grant (HRSA-24-072) is a discretionary HRSA HIV/AIDS Bureau cooperative agreement focused on helping Ryan White HIV/AIDS Program (RWHAP) Part A through Part D recipients build practical, working capacity to run clinical quality improvement (QI) projects. The central idea is to expand hands-on skills and confidence in QI for jurisdictions and organizations that have little or no prior experience, so they can move beyond basic compliance and into sustained, data-driven improvement that strengthens HIV care and outcomes across their service systems.
This opportunity is tightly connected to HRSA HABs Clinical Quality Management (CQM) Policy Clarification Notice 15-02 (PCN 15-02), which explains that a complete CQM program has three parts: infrastructure, performance measurement, and quality improvement. This specific award is meant to concentrate on the quality improvement part of that framework. In practice, that means the funded recipient will deliver training and technical assistance (T/TA) that helps RWHAP recipients actually run QI cycles, apply proven improvement methods, and show measurable results. The work is also expected to align with other core Ryan White policies, including PCN 16-02 on eligible individuals and allowable uses of funds, along with other HAB policy notices and program letters.
HRSA lays out several concrete objectives for the funded project. First, it must strengthen Part A-D recipients understanding of QI principles, methodologies, tools, and techniques, with an emphasis on skills development rather than only high-level education. Second, it must develop and share practical QI resources that recipients can use to design, implement, document, and monitor QI activities. Third, it must promote long-term, sustainable adoption of QI approaches so improvements continue after the technical assistance ends. Fourth, it must ensure all activities are implemented in alignment with the Ryan White statute and HAB CQM policy expectations.
The NOFO is also clear about what it considers real QI work. Recipients should be supported to use a defined improvement approach (for example, the Model for Improvement or Lean), carry out QI in an organized and systematic way, and quantify results in a manner that demonstrates impact on health outcomes. Documentation is not optional: all QI activities should be recorded so they can be tracked, replicated, and learned from. In addition, HRSA expects that at any given time, QI activities are actively occurring within at least one funded RWHAP service category, reinforcing that QI is embedded in service delivery rather than treated as a separate administrative exercise.
A key design requirement for the T/TA model is that it must fit the realities of how RWHAP programs are structured. Some recipients deliver services directly, while others manage networks of contracted providers and subrecipients. The cooperative agreement should be able to support both environments, including the challenges of implementing QI across multiple sites, ensuring consistent measurement, and sustaining change when service delivery is distributed across partners. Because effective QI depends on good data, the NOFO emphasizes that performance measure data should guide the selection, monitoring, and sustainability of QI projects. HRSA encourages recipients to use RWHAP performance measures locally to identify gaps along the HIV care continuum, assess program effectiveness, and target improvement where outcomes are lagging.
Equity and disparities are built into the expectations for this work. Applicants are instructed to consider the barriers and disparities faced by key populations highlighted in the National HIV/AIDS Strategy 2022-2025 and the Ending the HIV Epidemic in the U.S. initiative. In other words, the T/TA should help recipients use QI methods not just to raise averages, but to close gaps in outcomes for populations experiencing worse HIV-related health results, by applying data-driven improvement to the specific points in care where disparities show up.
Eligibility is broad and includes public and private nonprofit entities that operate at a regional or national level on HIV issues, including state and local governments, academic institutions, local health departments, community-based organizations, nonprofit hospitals and outpatient clinics, and Indian Tribes and tribal organizations. The full eligibility list in the notice includes various government entities, public and private institutions of higher education, federally recognized tribal governments and other tribal organizations, and nonprofits with or without 501(c)(3) status.
Administratively, this is a cooperative agreement, meaning HRSA expects substantial federal involvement during the project period, typically through collaboration, guidance, and structured deliverables tied to the T/TA mission. For FY 2024, HRSA anticipated a single award, with an award ceiling of $1,750,000. The opportunity was posted on 2023-11-21 with an original application closing date of 2024-01-23, under CFDA (Assistance Listing) 93.145.Apply for HRSA 24 072
- The Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Ryan White HIV/AIDS Program Implementation for HIV Clinical Quality Improvement" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.145.
- This funding opportunity was created on 2023-11-21.
- Applicants must submit their applications by 2024-01-23. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $1,750,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501 (c) (3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education, Private institutions of higher education, Others.
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Frequently Asked Questions (FAQs)
What is the Ryan White HIV/AIDS Program Implementation for HIV Clinical Quality Improvement grant (HRSA-24-072)?
HRSA-24-072 is a discretionary HRSA HIV/AIDS Bureau (HAB) cooperative agreement designed to help Ryan White HIV/AIDS Program (RWHAP) Part A through Part D recipients build real, working capacity to run HIV clinical quality improvement (QI) projects. The emphasis is on hands-on skills, practical application, and measurable improvement in HIV care and outcomes across service systems.
What is the main purpose of this opportunity?
The central aim is to expand practical QI skills and confidence for jurisdictions and organizations with little or no prior QI experience. The goal is to help recipients move beyond basic compliance and toward sustained, data-driven improvement that strengthens HIV clinical care and outcomes.
Which RWHAP parts are the focus of the technical assistance supported by this award?
This project is intended to support RWHAP Part A, Part B, Part C, and Part D recipients (Part A through Part D) in building and implementing clinical QI capacity.
How does this grant relate to HAB Clinical Quality Management (CQM) policy?
The opportunity is closely tied to HAB CQM Policy Clarification Notice (PCN) 15-02, which describes a complete CQM program as having three components: infrastructure, performance measurement, and quality improvement. This award is specifically meant to concentrate on the quality improvement component, helping recipients actively run QI cycles and demonstrate results.
Are there other Ryan White policies this work must align with?
Yes. The project is expected to align with core Ryan White policies, including PCN 16-02 (eligible individuals and allowable uses of funds), as well as other HAB policy notices and program letters referenced by HRSA expectations for RWHAP programming.
What are the main objectives HRSA expects the funded project to accomplish?
HRSA outlines several concrete objectives for the funded project: (1) strengthen Part A-D recipients understanding of QI principles, methodologies, tools, and techniques with a skills-development focus; (2) develop and share practical QI resources that recipients can use to design, implement, document, and monitor QI; (3) promote sustainable, long-term adoption of QI approaches beyond the period of technical assistance; and (4) ensure activities are implemented in alignment with the Ryan White statute and HAB CQM policy expectations.
What does HRSA consider "real" quality improvement (QI) work under this NOFO?
The NOFO emphasizes that QI should be organized, systematic, and based on a defined improvement approach (examples mentioned include the Model for Improvement or Lean). HRSA also expects results to be quantified to demonstrate impact on health outcomes, and QI activities to be documented so they can be tracked, replicated, and learned from.
Does the NOFO require a specific QI method (like Model for Improvement or Lean)?
The NOFO indicates that recipients should be supported to use a defined improvement approach, and provides examples such as the Model for Improvement or Lean. The key requirement is that the approach is defined and used systematically to produce measurable results.
Is documentation required for QI activities?
Yes. HRSA makes clear that documentation is not optional. QI activities should be recorded so they can be tracked over time and so lessons learned can support replication and broader improvement.
How should data be used in selecting and managing QI projects?
Performance measure data is expected to guide the selection, monitoring, and sustainability of QI projects. HRSA encourages recipients to use RWHAP performance measures locally to identify gaps along the HIV care continuum, assess program effectiveness, and target improvement efforts where outcomes are lagging.
Does HRSA expect QI to be embedded in service delivery?
Yes. The NOFO states that, at any given time, QI activities should be actively occurring within at least one funded RWHAP service category. This expectation reinforces that QI is part of how services are delivered, not a separate administrative exercise.
Who is the intended audience for the training and technical assistance (T/TA) delivered under this award?
The T/TA is intended for RWHAP Part A-D recipients, especially those with little or no prior experience in clinical quality improvement. The focus is on building practical capacity to run QI projects and sustain improvements.
What kinds of resources is the funded project expected to develop and share?
The project is expected to develop and share practical QI resources that RWHAP recipients can use to design, implement, document, and monitor QI activities. The NOFO emphasizes usability and real-world application rather than purely conceptual guidance.
How should the T/TA model address different RWHAP service delivery structures?
The T/TA model must fit the reality that some RWHAP recipients provide services directly, while others operate through networks of contracted providers and subrecipients. The cooperative agreement should support both environments, including challenges like multi-site implementation, consistent measurement, and sustaining change across distributed service systems.
How are equity and disparities incorporated into expectations for this project?
Equity is a clear expectation. Applicants are instructed to consider barriers and disparities faced by key populations highlighted in the National HIV/AIDS Strategy 2022-2025 and the Ending the HIV Epidemic in the U.S. initiative. The intent is to use QI methods not only to improve overall outcomes, but also to close outcome gaps where disparities appear along the HIV care continuum.
Which organizations are eligible to apply for HRSA-24-072?
Eligibility includes public and private nonprofit entities operating at a regional or national level on HIV issues. Examples listed include state and local governments, academic institutions, local health departments, community-based organizations, nonprofit hospitals and outpatient clinics, and Indian Tribes and tribal organizations. The notice also includes various government entities, public and private institutions of higher education, federally recognized tribal governments and other tribal organizations, and nonprofits with or without 501(c)(3) status.
Is this award a grant or a cooperative agreement, and what does that mean?
This opportunity is a cooperative agreement. HRSA indicates that this means substantial federal involvement is expected during the project period, typically through collaboration, guidance, and structured deliverables connected to the training and technical assistance mission.
How many awards did HRSA anticipate making for FY 2024?
For FY 2024, HRSA anticipated making a single award under this opportunity.
What is the funding ceiling for this opportunity?
The award ceiling listed for FY 2024 was $1,750,000.
What is the Assistance Listing (CFDA) number for this opportunity?
The opportunity is listed under Assistance Listing (CFDA) 93.145.
When was the opportunity posted and when was the application due?
The opportunity was posted on 2023-11-21, with an original application closing date of 2024-01-23.
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