Learning Well, Inc. Evaluation Report Academic Year Robert M. Saywell, Jr., PhD, MPH Terrell W. Zollinger, DrPH Jessica M. Coffing, MPH, CCRP

Evaluation Team Robert M. Saywell, Jr, PhD, MPH Co-Principal Investigator Terrell W. Zollinger, DrPH Co-Principal Investigator Jessica M. Coffing, MPH, CCRP Research Staff

Learning Well Mission Statement To improve the health, well-being and school performance of students in Marion County through improved access to integrated preventative and primary health care services provided by collaborative partnerships.

LEARNING WELL DESCRIPTION: ACADEMIC YEAR

Data Sources De-identified Welligent Electronic Health Records Administrative Data Department of Education Website STATS Indiana: County Profiles

Clinics Supported by Learning Well: Nurse Practitioner Model Clinics 54 Basic Health Services Model Clinics  52 RN  2 RN with RN or LPN 61 Total Clinics 4 of the clinics were Outreach facilities

61 Learning Well Schools:

Access Rates: Over one-third (35.9%) of IPS students had access to a Learning Well school-based clinic. Nearly one-fifth (19.2%) of all Marion County children (ages 5-17) had access to a Learning Well school-based clinic. Over one-half (59.4%) of students in Learning Well schools visited the school-based clinics. Over two-thirds (70.7%) of students in Learning Well schools qualified for free or reduced lunches.

Learning Well Clinics by Provider Partners

Learning Well Types of Clinics

Students Receiving Services: ,363 Students HAD 95,527 Visits WITH 283,982 Services Provided

Gender of Clinic Users:

Race/Ethnicity of Clinic Users:

Complexity of Clinic Visits:

Top Services Provided: Medications (129,669 – 45.7%) Acute Care Procedures (72,151 – 25.4%) Health Promotion Counseling (57,754 – 20.3%) Screening (3,794 – 1.3%) Vitals Check (2,823 – 1.0%) Adolescent Risk Assessment (2,174 – 0.8%) Labs (1,368 – 0.5%) Referrals (1,160 – 0.4%)

Top Four Health Promotions Procedures and Health Promotion Counseling Services Acute Care Procedures (72,151– 25.4%) 1.Temperature (31,459 – 43.6%) 2.Cold Pack (13,421 – 18.6%) 3.Wound Cleaning/Bandaging (7,643 – 10.6%) 4.Pulse (3,698– 5.1%) Health Promotion Counseling (57,754 – 20.3%) 1.Health (31,960– 55.3%) 2.Nutrition (13,845 – 24.0%) 3.Hygiene (8,088 – 14.0%) 4.Behavioral (2,933 – 5.1%)

Top Four Laboratory Services and Referrals Laboratory Services (1,368– 0.5%) 1.STIs (477 – 34.9%) 2.Pregnancy Urine Test (299 – 21.9%) 3.Wet Mount – Saline (124 – 9.1%) 4.Urinalysis Dip (121 – 8.8%) Referrals (1,160 – 0.4%) 1.Primary Care (667 – 57.5%) 2.Other (145 – 12.5%) 3.Dental (87 – 7.5%) 4.Vision (84 – 7.2%)

Learning Well History Academic Years

Learning Well Schools:

Individual Students

Total Clinical Visits

Clinical Services Provided

Summary Part I The number of Learning Well clinics has decreased; however, it continues to have a strong presence in Marion County. Over 18,000 students in 61 schools were served in This is three times more students and schools served than in the school year. For the sixth consecutive school year, Learning Well has provided over 90,000 clinic visits. Since 2008, Learning Well has provided over 10 percent more services despite a decrease in the number of participating schools.

Summary Part II Learning Well served nearly 20 percent of all students in Marion County during the school year. Over half of the students in schools with Learning Well clinics visited it at least once in the school year. Over two-thirds of the students in Learning Well schools qualified for free or reduced lunches.