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Community Health Centers Face Federal Funding Cuts



         BY DANIEL CASCIATO                                Hartley remains hopeful  we employ come from the community  important to maintain teaching health
                                                         however since there has  and we serve the people in the communi-  center programs throughout the nation.
          Community health cen-                          been bipartisan support  ty. That employment in the community  They are training our next generation of
        ters across the country will                     for community health cen-  will be greatly affected.”        professionals and this is a program that
        continue   to  pressure                          ters in the past. For     In addition to loss of jobs, federal cuts  we think is essential for the continued
        Congress to reauthorize                          instance, under President  could also lead to a loss of business for  and superior provision of healthcare
        funding as the funding                           George Bush Jr., the     vendors. As an economic incubator for  services in America.”
        cliff remains unsettled.                         administration wanted to  the community, CHI has long purchased  Closing any community health center
          Health Centers, such as                        double the number of peo-  services from businesses in the commu-  simply cannot be an option, stresses
        Community Health of                              ple served by community  nities that it serves. While CHI has a $70  Hartley. If any center closes, the people
        South Florida (CHI), serve                       health centers in his first  million budget, its economic impact on  in the community will go to the closest
        the working poor, unin-                          term.                    the community is estimated to be about  hospital emergency room for care.
        sured   and   homeless                             “In his second term as  $125 million a year.                 “If that happens, it will be at a greater
        around the state. If no                          president, President Bush  “We are also providing health educa-  cost than what we provide in our com-
        new funding is authorized   Brodes H. Hartley    proposed to place a com-  tion to the community,” Hartley adds.  munity health centers,” says Hartley.
        by early December, feder-                        munity health center in  “We try to educate the next generation of  “People who receive their routine care in
        ally qualified health centers could lose  every poor county in America,” says  healthcare professionals through our  community health centers have a lower
        up to 70 percent of their 2018 funding if  Hartley. “That support continued with  affiliations with the educational institu-  overall cost of healthcare because they
        Congress doesn't act to pass legislation to  President Obama, who wanted to double  tions including Florida International  use emergency rooms less and go to the
        help them. Further delays are also hin-  the number of people cared for by com-  University,  University  of  Miami,  hospital less.”
        dering 2018 planning for many health  munity health centers from 20 million to  University of Florida, and Miami-Dade  Hartley urges members of the commu-
        centers.                             40 million. We are very confident, even  College, Florida Atlantic University, and  nity to call on their Congressman and
          “With this large degree of uncertainty,  with the uncertainty now, that in the  other institutions.”        other legislators to try to gain support for
        it’s very difficult for us to plan,” says  final analysis, we will get the support  Students from these institutions often  the continued funding of community
        Brodes H. Hartley, Jr., President and CEO  that we need for community health cen-  gain clinical experiences in nursing,  health centers.
        of CHI.                              ters.”                               nursing assistance, pharmacy, physical  “I’m hopeful that there will be a posi-
          Community health centers have taken  So what happens if 70% of the funding  therapy, and family medicine. Currently,  tive outcome and when the dust is finally
        a prominent role in providing health care  is lost?                       there are 31 physicians in CHI’s residen-  settled at the Congressional level, we will
        across the country. Today, there are more  Hartley notes that CHI is fortunate that  cy program right now. There are 60 com-  have an extension of the funding for
        than 1,400 community health centers  it does have multiple sources of funding  munity health centers like CHI which  community health centers,” he says. “I
        across the nation providing primary care  to prevent them from closing its doors,  have been designated as teaching centers  still believe people of goodwill will not
        to nearly 26 million people. It’s the  unlike those health centers who are  across the country. Those programs  allow for the closure of community
        largest network of primary healthcare  funded 100% by federal dollars.    would be in jeopardy if the funding cliff  health centers in this country.”
        providers in the country and it plays a  However, he points out that it will be  is not resolved.
        prominent role in the delivery of quality  affected in others ways.        “We have a shortage of healthcare pro-   For more information on Community
        healthcare services, especially to the  “We are an employer in the communi-  fessionals in America, especially primary        Health of South Florida,
        uninsured and underserved populations.  ties that we serve,” he says. “The people  care physicians,” says Hartley. “It’s      visit www.chisouthfl.org.












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        South Florida Hospital News                                                              southfloridahospitalnews.com                                                       November 2017                            7
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