Nevada Small Rural Hospital Improvement Program (SHIP)

Nevada State Office of Rural Health

The Small Rural Hospital Improvement Program (SHIP) was first authorized by the Social Security Act, which helps small rural hospitals meet the costs of implementing data systems. The implementation of these data systems will meet requirements of the Medicare Prospective Payment System (PPS). Funding for this program was first provided by the Labor/HHS Appropriations Act for FY 2002 in which conference report language expanded the purpose of this grant program which helps small rural hospitals comply with provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and reduces medical errors while supporting quality improvement.

In 2002, the Nevada Office of Rural Health established Nevada SHIP Program. Over the past decade, Nevada SHIP Program has primarily been implemented through a subcontract with Nevada Rural Hospital Partners, the state's rural hospital association. To maximize purchasing power through economies of scale, eligible rural hospitals are encouraged to form networks and pool grant funds for the purchase of goods and services, or to pool SHIP funds through participation in other networks that support delivery system reforms. For the past decade, Nevada has adopted a consortium approach to the utilization of SHIP grant dollars and pooled grant funds through an annual subcontract with Nevada Rural Hospital Partners.

During the current fiscal year beginning June 1, 2018 (FY 18), the Nevada SHIP Program will utilize $132,000 in grant funding for network-oriented activities to:

  • Improve Nevada rural hospitals' access to shared financial and program management expertise at NRHP,
  • Improve rural hospitals' access to shared quality improvement support at NRHP,
  • Support rural hospitals' access to the incident management system overseen by NRHP,
  • Support the Nevada Rural Hospital Quarterly (QI) Network, including network members' participation in quarterly network meetings and the annual Western Region Flex Conference,
  • Support CAH reporting to the Medicare Beneficiary Quality Improvement Project (MBQIP) and the utilization of MBQIP data by SHIP hospitals for quality improvement,
  • Support rural hospitals' access to HCAHPS vendor support and software, and
  • Shared consortium and program coordination, consultation, facilitation, and administration at NRHP.

Current grant-supported activities extend best practices and technical assistance that have been developed by the Nevada SHIP Program over the past thirteen years in collaboration with Nevada Rural Hospital Partners and other statewide rural health care partners.

Since 2003, the Nevada State Office of Rural Health has received $2.0 million dollars in grant funding from the Health Resources and Services Administration (HRSA) to support SHIP-eligible hospitals and consortium activities in Nevada. To date, the Nevada SHIP Program's principal subcontractor, Nevada Rural Hospital Partners has received $1.8 million in funding through the SHIP grant. Through SHIP funding and in coordination with the Nevada Flex Program, Nevada has been able to establish an effective, statewide technical assistance center for Nevada's rural and frontier hospitals and their respective communities.

Thirteen rural and frontier hospitals in Nevada currently receive support and technical assistance from this program:

  • Banner Churchill Community Hospital (Fallon)
  • Battle Mountain General Hospital
  • Boulder City Hospital
  • Carson Valley Medical Center (Gardnerville)
  • Desert View Hospital (Pahrump)
  • Grover C. Dils Medical Center (Caliente)
  • Humboldt General Hospital (Winnemucca)
  • Incline Village Community Hospital
  • Mesa View Regional Hospital (Mesquite)
  • Mount Grant General Hospital (Hawthorne)
  • Pershing General Hospital (Lovelock)
  • South Lyon Medical Center (Yerington)
  • William Bee Ririe Hospital (Ely)

For additional information on Nevada SHIP and current SHIP grant-supported activities in Nevada, please contact Program Coordinator, Laima Etchegoyhen, MPH