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.
Expenses incurred by hospital staff to travel to meetings or training such as mileage, food, per diem, lodging, and airfare do not qualify as a SHIP allowable investment.
Travel and lodging fees for contractors to get to a SHIP training can be covered. The hospital or network should request an invoice with all related training fees (including time, travel, and lodging) bundled as one single deliverable.
NOTE: SHIP Guidance doesn't approve travel for hospitals and state offices.
Costs associated with hiring, retaining, or relocating travel nurses or travel nurse services.
Costs associated with the purchase, maintenance, or operation of any hospital vehicle.
Quality improvement training such as the IHI Plan-Do-Study-Act (PDSA), Root Cause Analysis (RCA), TeamSTEPPS, Lean Process planning, Community Care Coordination and Chronic Care Management, CMS Abstraction & Reporting Tool, and other efficiency and quality improvement trainings are allowable investments.
Systems performance training, including adopting a framework approach to transition to value-based system planning, is an allowable investment.
Any training that updates and computerizes hospital policies and procedures, assessment and maintenance of ICD-10, and hardware/software investments that improve quality, efficiencies, and coding are allowable investments.
Any training to support coding and reimbursement, documentation, or documentation improvements that result in increased coding compliance are allowable.
Training for debt and charity, and training to improve charity care processes and develop policy guidelines for S-10 Cost Reporting 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.