P R O G R A M A G E N D A

Hosted by

Texas Organization of Rural & Community Hospitals

TORCH is pleased to host the 2015 Texas Critical Access Hospital Conference and Trade Show. There are 80 CAHs in Texas. This is the only educational and networking event of its kind for Texas CAHs, so

don’t miss this unique opportunity to attend, stay current on key issues relevant to CAHs and network with industry professionals!

HOTEL INFORMATIONThe 2015 CAH Conference will be held at the Grand Hyatt San Antonio, 600 E. Market St., San Antonio, TX, 78205. The conference block room special rate is $149/night for (single/double). Reserve your room before

June 10, 2015 for this special rate. Call the hotel directly for reservations at (888) 421-1442 or book your room online at: https://resweb.passkey.

com/go/torch2015.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number H54RH26521, Medicare Rural Hospital Flexibility Grant Program. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.

JUNE 2512:00 pm – 1:00 pmRegistration and Exhibit Hall Opens

1:00 pm – 1:10 pm Welcome and Introduction Honorable Sid Miller, Commissioner of Agriculture, Austin, TX Linda Rasor, RN, FACHE, CEO, Castro County Hospital District, Dimmit, TX TORCH Chair, David Pearson, MPA, FACHE, President/CEO, TORCH, Austin, TX

1:10 pm – 2:00 pmCharacteristics of a Top Performing CAHRalph Llewellyn, CPA, CHFP, Partner, Director for Critical Access Hospitals, Eide Bailley, LLP, Fargo, NDOperating a Critical Access Hospital (CAH) comes with its challenges. These challenges include volumes, physician relationships, labor management, access to resources and constant threats to alter the reimbursement program. While the challenges can at times be insurmountable, some CAHs have developed successful strategies to provide for financial success. Fortunately, these same strategies can be successfully adopted by other CAHs. Come learn about these strategies and how you can change the financial performance of your organization.

2:00 pm – 3:00 pmStrategic Revenue Cycle Issues Every CAHs Must KnowRobin Bradbury, President and Founder, Resolution Consulting, Inc., Louisville , CONumerous rural hospitals have closed since 2010, and each year many more hospitals continue to lose millions upon millions of dollars. In this presentation, hear from a recognized industry expert, as he discusses key revenue cycle, charge capture and reimbursement issues in this challenging environment. Don’t let anything slip through the cracks!

3:00 pm – 3:30 pmNetworking and Refreshment Break in the Exhibit Hall

3:30 pm – 4:40 pmLegislative/Advocacy Update: A Session to RememberDavid Pearson, MPA, FACHE, President/CEO, TORCH, Austin, TXThis session will provide the latest news from the advocacy front for Texas Critical Access Hospitals. With the close of the latest state legislative session and significant new health policy being adopted at the federal level as well, it is a good time to recap what passed, what did not, and what you should prepare as new laws go into effect September 1st. We will cover the most pressing changes for CAHs, the unfinished business and what you can do to continue to advocate on behalf of your CAH and your community.

4:40 pm – 5:30 pmMedicare Rural Hospital Flexibility (Flex) Program: State and Federal Priorities and Updates Brad Denton, Director, Texas State Office of Rural Health (SORH), Texas Department of Agriculture (TDA), Austin, TX Julie Ketelsen, MPH, Program Specialist, SORH, TDA, Austin, TX Lorena Valdez, MPH, Program Specialist, SORH, TDA, Austin, TXIt is an exciting time for the State Office of Rural Health! During this session, program staff will provide an overview of current and future activities that are funded through federal and state grants. Collaborative efforts between State Office of Rural Health staff and partnering organizations have proven to be successful in making a positive impact on Texas Critical Access Hospitals regarding quality and financial and operational outlook. This session provides the perfect opportunity to learn more about the current and future State Office of Rural Health funding priorities.

5:30 pm – 6:30 pmNetworking Reception in the Exhibit Hall

2 0 1 5 C A H C o n f e r e n c e & T r a d e S h o w A g e n d a

2 0 1 5 C A H C o n f e r e n c e & T r a d e S h o w A g e n d a

JUNE 26 7:30 am – 8:30 am Breakfast in the Exhibit Hall

8:30 am – 9:30 amTop 10 Strategic Opportunities for Revenue GenerationDeborah Whitley, CPA, Managing Director, BKD, LLP, Dallas, TXWith today’s market and payment systems in transition, it is vital that hospitals understand how to maximize their revenue opportunities. In this session, learn about some of the most promising opportunities for revenue generation for CAHs, for both inpatient and outpatient settings. Understand the anatomy of a charge, prevent revenue leakage and revenue integrity can be achieved through operational efficiency, compliance and legitimate reimbursement with the proper processes, tools and expertise.

9:30 am – 10:30 amPopulation Health: Choreographing Success in Your Value-Driven JourneyMorgan Dunn, Vice President of Business Development, Pioneer Health Alliance, Magee, MSThe healthcare market is in transition and experimentation, with a fundamental reorientation of the payment system from fee-for-service to fee-for-value. Promise or peril—the stakes are high. How you choreograph and time your participation in this value-driven journey is critical to your future success. In this session, get the facts about trends, strategies, and options regarding ACOs. What does it mean to operate in a value-based/risk-based environment? What are the imperatives and capabilities required for success? A must-attend session for everyone!

10:30 am – 11:00 amPopulation Health Round Table DiscussionQuang Ngo, EVP, TORCH, Austin, TX David Pearson, MPA, FACHE, President/CEO, TORCH, Austin, TXIn this facilitated round table discussion, we will discuss key issues, challenges and respond to questions regarding population health. Come participate in a crucial conversation and hear how this may impact your facility, where things are heading, and how TORCH members and others are responding to this important issue.

11:00 am – 11:30 amBurn Care for Rural and Critical Access HospitalsAngel Martinez, Director of Patient Care Services, Shriners Hospital for Children, Galveston, TXThis session provides information on how Shriners Hospitals can provide burn care for rural and critical access hospitals. Participants will learn about clinical education opportunities, burn center referral criteria, preparation for transfer, transfer agreements/process, follow-up and partnering with local hospitals/doctors for continued care.

11:30 am – 12:00 pm Networking and Refreshment Break in the Exhibit Hall

12:00 pm – 1:00 pm Lunch

1:00 pm – 1:30 pm Dessert and Networking in the Exhibit Hall

1:30 pm – 2:30 pm CAH Financial & Operational Improvement Grant OpportunityQuang Ngo, EVP, TORCH, Austin, TX David Pearson, MPA, FACHE, President/CEO, TORCH, Austin, TXThe State Office of Rural Health (SORH) has contracted with TORCH to provide targeted financial and operation improvement services to Texas CAHs. In this session, learn about current and future grant-funded opportunities, including specific interventions and services, and targeted education and training support, and how you can benefit from financial resources, expertise and collaborations that are planned and allocated specifically to assist Texas CAHs for the next several years. Don’t miss out on this unique opportunity!

2:30 pm - 3:30 pmCAH Quality Improvement Grant Opportunity – Constructing and Using Healthcare MetricsShirley LaVergne, CMP, Senior Specialist, Quality & Patient Safety, Texas Hospital Association Foundation (THAF), Austin, TX Fernando Martinez, PhD, Consultant to THA, Austin, TXThe State Office of Rural Health has contracted with the Texas Hospital Association Foundation (THAF) to provide quality improvement support services to CAHs. This session will examine various reportable healthcare quality metrics to gain an understanding of how they are derived and used throughout the healthcare ecosystem.

SPECIAL BREAKOUT SESSION Thursday, 1:30 pm – 3:30 pm

Utilization of the Critical Access Hospital Swing Bed Program Suzy Harvey, RN-BC, RAC-CT, Supervising Consultant, BKD, LLP, Springfield, MO; Bob Lane, Senior Managing Consultant, BKD, LLPCMS continues to look for ways to cut Medicare spending and CAH Swing Beds are being scrutinized. This session will provide regulatory guidance to ensure Medicare compliance as well as operational strategies to effectively utilize your organization’s swing bed program. Understanding the processes to effectively utilize the Swing Bed program can make a big difference to your organization’s financial stability.

IMPORTANT DEADLINESExhibitor/Sponsor Application Deadline: June 5, 2015 | Hotel Reservation Deadline: June 10, 2015

2015 CRITICAL ACCESS HOSPITAL CONFERENCE & TRADESHOW June 25-26, 2015 | Grand Hyatt San Antonio | San Antonio, TX

PROGRAM AGENDA

CONTACT INFORMATION11675 Jollyville Road, Suite 300, Austin, TX 78759

P.O. Box 203878, Austin, TX 78720P: (512) 873-0045 I F: (512) 873-0046

For information about the conference program, contact Quang Ngo at quang@torchnet.org.

For registration information, contact Rose Valenzuela at rose@torchnet.org.

CONTINUING EDUCATION CREDITSA total of 8 hours of CE units for CPAs are available from the Texas State Board of Public Accountancy: sponsor #04763. No preparation required.

TORCH is authorized to award 8 hours of pre-approved ACHE Qualified Education credit for this program toward advancement or recertification in the American College of Healthcare Executives. Participants in this program wishing to have the continuing education hours applied toward ACHE Qualified Education credit should indicate their attendance when submitting application to the American College of Healthcare Executives for advancement or recertification.

SAVE THE DATE!NORTHWEST TEXAS HOSPITAL ASSOCIATION

ANNUAL CONVENTIONJuly 16-17, 2015

MCM Elegante Suites – Abilene, TX

RURAL HOSPITAL INFORMATION TECHNOLOGY CONFERENCE (HITCON) & EXHIBITION

October 8-9, 2015Grand Hyatt San Antonio, San Antonio, TX