Every year, a measureable portion of Children’s annual expenses fund community benefit programs and services that promote health and increase access to care. These services include financial assistance, the unreimbursed costs of Medicaid, community health programs and advocacy, medical professional education, and more. These costs are reported to the IRS on the Children's Minnesota 990.
Under the Affordable Care Act, tax-exempt hospitals like Children's are required to conduct a community health needs assessment (CHNA) every three years. This assessment identifies health needs in the community through review of secondary data and collection of primary data from community members and leaders.
As the advocacy team at Children’s Minnesota, it’s our job to bring health home through active community engagement and strong public policy advocacy. Our work is founded in the understanding that health is largely driven by factors outside of clinical care, a respect for community knowledge and a belief that every child deserves to be healthy and well. As a result, we work hard to influence federal, state and local public policy decisions and building relationships with organizations and people who share an interest in supporting children and families.
Children’s Minnesota can spearhead initiatives that advocate for children’s health and health care, but to get advocacy to really work, we need support from the whole community. That’s where you come in. You can be a voice for children.
From birth to age three, we have a remarkable opportunity to influence the entire trajectory of a child’s life. We know that 80 percent of brain development occurs by age three. In Minnesota, that means more than 200,000 children are in this critical stage of development.
Children's Minnesota’s work on health equity goes beyond the advocacy department. However, we are proud to be engaged in efforts geared toward ensuring every child is supported in his or her health and wellbeing. We are doing this in general ways through active relationship-building with communities of color as well as through more specific efforts. For example, Children’s hosts an American Indian Community Collaboration, which is driven by our American Indian liaison and guided through a co-leadership structure with members of the American Indian community. This work is focused on enhancing patient/family experience within our system, identifying and addressing specific disparities and fostering external relationships that can support health and wellbeing for American Indian children in their community and through their own cultural assets.
Health care is evolving and there is an increasing focus on ensuring high quality care delivered with the greatest value. Children's Minnesota has been a long-time partner in efforts to reform care delivery models.
As the state’s largest pediatric health care provider, Children's Minnesota trains the majority of pediatric primary and specialty care providers in the state. Every year, we train approximately 350 students, residents and fellows in a variety of pediatric specialties. With guidance from our expert clinicians, students learn about meeting the unique needs of children, from one-pound preemies to adolescents as they grow and change.
Medicaid (called “Medical Assistance” or “MA” in Minnesota) is the largest children's health program in the United States. It is a joint federal-state program that provides health coverage to certain categories of low-income people, including children, pregnant women, parents of eligible children and people with disabilities. It covers a broad range of health care services, including physician and hospital visits, well-child care, health screenings, and vision and dental care with few costs paid by the family. Nationally, children make up half of all Medicaid enrollees but account for less than 20 percent of the costs.