The extent to which employees are passionate about their work and committed to the organization (engagement) and the choice by an employee to stay with an organization instead of seeking employment elsewhere (retention).
Toolkit

Onboarding

The process of bringing a new employee into the organization.

Patient-Centered Medical Home (PCMH) Status

Definition

The patient-centered medical home (PCMH) is a provider-based model for care coordination that can be implemented within a primary care practice. The PCMH, as defined by the Agency for Healthcare Research and Quality (AHRQ) and the Patient-Centered Primary Care Collaborative, is a model for providing patient care that is comprehensive, patient-centered, coordinated, accessible, and high quality.

Definition

ICD-11

Allowable
Payment Bundling (PB)/Prospective Payment System (PPS)

Updated June 2025

Activities that support ICD-11 readiness and/or implementation are allowable. This includes, but is not limited to:

Computer software upgrades to support a future transition to ICD-11Computer hardware that improves quality, efficiencies, and/or codingSocial Drivers of Health and Population Health training to use Z-Codes 
Efficiency or QI training to minimize ICD-11 transition impacts on patients and staffRevenue Cycle Management trainingUpdating ICD-10 software or hardware
ICD-11 system and/or coding training (individual hospitals or state-wide)ICD-11 Implementation

ICD-10 billing & coding trainings to reduce errors and improve reimbursements

Transition to an online coding system that automatically makes ICD-11 available when appropriate

Upgrading or implementing telehealth software and hardware to take advantage of new/updated ICD codes for telehealth/telemedical services.

Trainings that update and computerize hospital policies and procedures to prepare for ICD-11

 

Note: This category is consistently under review, and we encourage SHIP Coordinators to email SHIP-TA@ruralcenter.org and copy your PO with questions or concerns.

See also: Subscription, Recurring Payment, Training (Hardware/Software/Services)

Allowable investment

Medicare Beneficiary Quality Improvement Project (MBQIP)

PO Pre-Approval
Value-Based Purchasing (VBP) Investment

Updated September 2023

Allowable MBQIP activities include vendor fees for HCAHPS surveys.

Note: This category is consistently under review, and we encourage SHIP Coordinators to email SHIP-TA@ruralcenter.org and copy your SHIP Project Officer with questions or concerns.

See also: HCAHPS Surveys, Surveys and Assessments

Requires project officer pre-approval.

Conferences

PO Pre-Approval
Accountable Care Organization (ACO)
Payment Bundling (PB)/Prospective Payment System (PPS)
Value-Based Purchasing (VBP) Investment

Updated September 2023

Conferences may be allowable for hospital staff if most of the training sessions are within SHIP allowable investment categories. Costs for CMEs or CEUs or travel associated with the conference are unallowable. Project Officer approval is required for attendance. Please email the conference agenda along with session titles and corresponding SHIP categories to your Project Officer and ship-ta@ruralcenter.org.

Requires project officer pre-approval.

Doug Siwek

SHIP Coordinator, Michigan
Siwekdou@msu.edu
(517) 884-0561

Doug has served as Michigan's SHIP Coordinator since 2023.

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Gail Van Buren

Flex Coordinator; SHIP Coordinator, Wyoming
gail.vanburen@wyo.gov
(307) 777-8902

Gail has served as Wyoming's Flex and SHIP Coordinator since 2023.

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Brandon Rivenbark

Flex Coordinator; SHIP Coordinator, Virginia
brandon.rivenbark@vdh.virginia.gov
(804) 835-2618

Brandon has served as Virginia's Flex and SHIP Coordinator since 2023.

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David Rivera

Rural Health Specialist; SHIP Coordinator, Texas
david.rivera@texasagriculture.gov
(512) 785-0374

David has served with Texas' SHIP and Flex Program since 2023. 

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