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SHIP (Small Rural Hospital Improvement Program)

Impact

Since the program began (2002) each of North Dakota’s 35 eligible small rural hospitals has received an average of $9,000 each year. To date, the total impact to North Dakota is $2 million. The Annual SHIP Report for 2007-2008 is now available.

Purposes

  • Reduce medical errors and support quality improvement (QI) efforts;
  • Strengthen privacy of patient information by training staff and by using more secure information systems that are required by the Health Insurance Portability and Accountability Act (HIPAA) of 1996; and
  • Pay for costs to carry out Medicare’s prospective payment system (PPS), which uses financial incentives to encourage hospitals to develop more cost-efficient management of medical care.

Grant Awards

Twenty-nine direct hospital awards of $9,237, for a total of $267,873, were distributed as follows:

  • QI activities — 77%
  • HIPAA activities — 23%
  • PPS activities — 0%

Uses and Outcomes of Awards

Quality Improvement Activities
Twenty-five hospitals used the funds to:
  • fund scholarships for hospital staff to attend national health quality conferences,
  • increase the effectiveness of physicians, nurses, and other health professionals through the shared use of electronic medical records,
  • train nurses in advanced cardiac life support,
  • provide automated external defibrillator response kits to hospitals and emergency rooms,
  • install wireless call or panic buttons in rooms, and
  • purchase variable density mattresses to help prevent pressure ulcers.

HIPAA Activities
Fifteen hospitals used the funds to:

  • train staff on privacy requirements,
  • increase the security of electronically stored patient information,
  • upgrade to more secure and powerful computers, and
  • purchase more robust identity-protection software.