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.
Unused SHIP funds cannot be transferred to another participating hospital.
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.
Health Information Technology (HIT) Training for Value and ACOs is an allowable investment. SHIP covers hardware, software, and training; therefore, it would be beneficial to include risk assessments and/or training associated with cybersecurity. These are allowable investments.
Electronic health record (EHR) costs supportive of COVID-19 testing and mitigation.
Trainings that improve processes through adoption of best practices and transition to value-based payment strategies such as financial and operational improvements are allowable investments.
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.
Alterations and renovations that do not qualify as construction to update laboratories or other key spaces for safer and more efficient COVID-19 testing.
Laboratory supplies and equipment for COVID-19 testing.