Opportunity Information: Apply for HRSA 19 020

The Small Rural Hospital Improvement Program (SHIP) is a discretionary grant opportunity from the U.S. Department of Health and Human Services (HHS), administered by the Health Resources and Services Administration (HRSA). It is designed to help eligible small rural hospitals strengthen their ability to succeed under value-based payment models and modern quality-of-care expectations. In practical terms, the program provides funding support so rural hospitals can make targeted investments that improve performance, reporting, and care coordination in an increasingly outcomes-driven health care environment.

A central focus of SHIP is helping small rural hospitals meet value-based payment and care goals by funding purchases and activities that directly support those goals. The notice highlights support for hardware, software, and training, reflecting the reality that many rural facilities need both technology upgrades and staff capacity-building to keep up with evolving federal and payer requirements. Rather than paying for general operating expenses, SHIP is oriented toward discrete improvements that can move a hospital forward in areas tied to quality, efficiency, and measurable patient outcomes.

The opportunity also emphasizes enabling rural hospitals to become part of larger care and payment structures, particularly accountable care organizations (ACOs). SHIP funds can help a small rural hospital become or join an ACO so it can participate in shared savings programs, where providers may earn financial rewards for reducing costs while meeting quality standards. For many small rural hospitals, joining an ACO can require new data-sharing capabilities, care management workflows, and staff training; SHIP is positioned as a way to offset those barriers and make participation more realistic.

On the health information technology side, SHIP supports investments in health IT hardware and software, as well as related equipment and training, to help hospitals carry out quality improvement activities. The notice specifically points to advancing patient care information and promoting interoperability, which generally means improving the capture, use, and exchange of clinical data so that information follows the patient across settings. It also references payment bundling (bundled payments), a payment approach that ties reimbursement to an episode of care rather than separate line-item services, which often requires stronger internal tracking, reporting, and coordination across departments and partner providers.

From the source details provided, this funding opportunity is identified as "Small Rural Hospital Improvement Program (SHIP)" with Funding Opportunity Number HRSA 19 020 and falls under the Health activity category with CFDA number 93.301. The agency anticipated making 46 awards. The opportunity was created on October 1, 2018, with an original application closing date of January 3, 2019. The listing shows an award ceiling of 0, which typically indicates that a specific maximum per award was not stated in that particular data field or was handled elsewhere in the full announcement. Eligibility is summarized broadly as "Others," with the expectation that the full notice would clarify which rural hospitals qualify and under what criteria.

  • The Department of Health and Human Services, Health Resources and Services Administration in the health sector is offering a public funding opportunity titled "Small Rural Hospital Improvement Program (SHIP)" and is now available to receive applicants.
  • Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.301.
  • This funding opportunity was created on Oct 01, 2018.
  • Applicants must submit their applications by Jan 03, 2019. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
  • The number of recipients for this funding is limited to 46 candidate(s).
  • Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
Apply for HRSA 19 020

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