Allowable Investments Search Tool
In general, SHIP allowable investments include activities to assist small rural hospitals with their quality improvement efforts and with their adaptation to changing payment systems through investments in hardware, software and related trainings. This includes aiding with value and quality improvement.
Unallowable investments include, but are not limited to, travel costs, hospital services, hospital staff salaries, or general supplies. Hospitals should contact their State Office of Rural Health (SORH) with questions regarding the appropriateness or fit of a certain activity or hardware/software purchase. For additional clarifications, refer to Frequently Asked Questions (FAQs).
This tool classifies a number of example investment activities as Allowable, Unallowable, or PO Pre-Approval. This is not a comprehensive list. It is only intended to provide examples of allowable SHIP activities.
Costs or fees associated with completing a Community Health Needs Assessment (CHNA) do not qualify as a SHIP Allowable Investment.
Updated: May 20222
SHIP funds cannot be used for financial assessments, therefore would not be allowable. See language under Use of Funds.
Education/training for provider-based rural health clinic quality improvement reporting, including patient satisfaction survey scores, is allowable.
Last Updated 12/10/2021
Educational training hardware and software to support the development and implementation of a disease registry for care coordination is allowable.
Many programs that were previously single purchase software are now cloud-based computer programs and the fee allows sharing with other providers. Language supporting this can be found at the Agency for Healthcare Research and Quality.
Please see ACO section C for additional resources.
Training hardware or software that supports the application and implementation of telehealth and/or telemedicine is an allowable investment.
Mobile language line workstations, iPads, and tablets can potentially be allowable SHIP investments if used by hospital staff to support operational efficiency and increase equitable patient satisfaction.
Note: These investments require Project Officer pre-approval. If a hospital is interested in this investment, the State SHIP coordinator should email their project officer with justification of how these services will support operational efficiency and increase equitable patient satisfaction.
Stethoscopes that are manual, Bluetooth enabled, or telehealth purposed are not an allowable use of SHIP funds.
Portable equipment (such as a portable x-ray machine) that is used to prevent patients from being moved throughout a facility and to mitigate the spread of COVID-19.
Costs associated with purchasing, maintaining, or operating ventilators or other similar equipment which allows for respiratory assistance (considered direct patient care).
A 340B Drug Pricing Program training intended to increase efficiency or quality improvement in support of Prospective Bundling and Prospective Payment Systems initiatives is an allowable investment.
Types of Remote pharmacy machines are an allowable SHIP hardware purchase for pharmacy services.
NOTE: Pharmacist services or medications are not allowable.
After hours pharmacy services software apps that help support remote pharmacy services are an allowable use of SHIP funds.
Note: Pharmacist services or medications are not allowable