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Welcome - Texas Organization of Rural & Community Hospitals

Registration is Now Open for TORCH Leadership Management Institute (TLMI)

Calling Our Rural Leaders!

We are once again excited to host the 2018 TORCH Leadership Conference & Retreat at the beautiful Horseshoe Bay. This is one of our favorite events and we hope you will consider joining us this year.

Registration Information:

All hospital and clinic members can register for TLMI by clicking here.

Sponsorship Information:

There are a limited number of sponsorships available for this event. Please contact Rose Valenzuela at (512) 873-0045 or via email at if you are a corporate partner interested in sponsoring this event.

Hotel Rooms:

A block of rooms at a discounted rate of $159/night are reserved for conference attendees. Please make sure to secure your lodging for the event before the August 29, 2018 deadline to receive this discounted rate. You can reserve your room online by clicking here.

Conference Agenda:

A copy of the conference agenda will be posted soon.

TLMI Leadership Awards:

We're also seeking nominations and applications for the following opportunities:

TLMI Leadership Culture Award - Know a high-performing team, department or a healthcare organization? Nominate them! This award recognizes an accomplished team or culture that has worked successfully together to help their organization, patients and the community they serve. Click here for the application.

TLMI Essence of Leadership Award - This award recognizes an individual who has demonstrated outstanding leadership, service and contribution in healthcare, and who has made a significant impact in his or her organization and community. Click here for the application.


UC/Presumptive Eligibility--This might be the most important thing we do this summer. We need all of our CEOs/CFOs engaged on this topic.

  • HHSC’s modelling isn’t complete, but the picture is becoming clearer (presentation from last week attached):
  • o The new rule will become effective this September, and we are getting fair treatment (thanks to Terry Scroggins and Mike Easley for carrying our message in workgroup meetings).

  • The proposed rule will use our preferred definition of rural, and
  • The proposed rule won’t dilute rural hospital UC payments by ambulance, dental, physician, or excess DSH payments…we get 100% of 2017 S-10 cost, but
  • Pool sizing is critical:
  • o The state’s modelling is based on 2016 actual with an estimated 55% increase for 2017, but still shows >$200mm in rural UC harm (so we need to capture even more), and

    o Future year UC payments will be the limited to 2017 pool size, so

    o We are all in this together. One rural hospital’s failure to fully capture charity care cost this year becomes everyone’s problem next year.

    We are setting up informational sessions on this topic. Please click here to attend.

    You can also download a copy of our webinar from July 20, 2018 on this topic here.

    If you would like a copy of the state proposed rule, click here.

    For more information on UC or Paro, please click here or contact the TORCH office at (512) 873-0045.

    Thank you to everyone who made it out to 2018 Critical Access Conference!

    Conference Presentations:

    C. Dunlap-Opiod Presentation

    G. West-The Revenue Cycle Backbone

    James Robbins-Rural Hospital Renaissance

    Q Ngo-CAH Financial & Operational Improvement Opportunities

    R. Llewellyn-Critical Access Hospitals Important Opportunities in a Challenging Environment

    S. Govind-Texas Section 1115 Uncompensated Care Waiver Update

    S. Harvey-Swing Bed presentation

    S. Harvey-Swing Bed Forms

    S. Harvey-Swing Bed TORCH 2018

    T. Engledow-SORH-Legislative and Programmatic Updates

    That’s A Wrap – TORCH 2018 Annual Conference

    With over 700 people in attendance, this remains one of the largest rural health conferences nationwide and it would not be possible without the support of our member hospitals, endorsed and corporate partners, vendors and other rural stakeholders. We truly appreciate each and every one of you and the contribution you make to helping to advance rural healthcare in Texas. If you would like copies of any of the presentations from the meeting, you can access them below. And as always, we hope you will join us back in the Big-D for our 2019 TORCH Annual Conference and Tradeshow April 10-12.

    2018 Conference Presentations:

    Tuesday April 10th

    Alan Morgan - A National Rural Perspective


    Lisa Kirsch - Medicaid VBP Impact on Providers

    Wednesday April 11th

    Brandon Durbin - TORCH Reimbursement

    Debra Whitley - Reimbursement and Finance

    Dr. Saurin Patel - Implementing a Successful Rural Telemedicine Program

    Dusty Thompson - Core Strength

    Matthew Stoudt - Virtual Medicine Real Impact

    Nora Belcher - Telemedicine’s Time Has Come Riding the Wave of the Future

    Quang Ngo, Vicki Pascasio - TORCH,TMSI

    Thursday April 12th

    Bill Auxier - Rural Strong Begins with You

    Kevin Reed, Jennifer Claymon - Legal Arguments, Advice and Analysis for Rural Hospitals

    25 Things To Know About Rural Hospitals

    TORCH has prepared a quick fact sheet of the top 25 things to know about rural hospitals. Please click here to download the brief whitepaper.

    Texas Rural Hospital Map

    Click here to see a map of the rural hospitals throughout the state.

    CAH Texas Network Map 2017



    ACA Open Enrollment: If You Are Low-Income
    Hospital-owned Nursing Homes See Higher Reimbursement Rates from Medicaid
    Why Hospitals Need Better Data Science
    Short On Staff: Nursing Crisis Strains U.S. Hospitals
    Gone To Texas: Migration
    West Texas' Rural Values 'Under Assault' Lawmaker Says
    Happy National Rural Health Day from TORCH!


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    2018 TORCH Annual Conference and Trade Show
    April 10th-12th, 2018
    Hyatt Regency Dallas, Dallas, TX
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