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

Evaluation Team Terrell W. Zollinger, DrPH Principal Investigator Robert M. Saywell, Jr, PhD, MPH Co-Investigator Jennifer L. Custer, BA Project Manager Jessica M. Coffing, MPH 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 Welligent Electronic Health Record Administrative Data STATS Indiana: County Profiles

Clinics Supported by Learning Well: Nurse Practitioner Model Clinics 59 Basic Health Services Model Clinics  47 RN Clinics  4 RN/MA Clinics  8 LPN or MA Clinics 19 Outreach Clinics 92 Total Clinics

92 Learning Well Schools:

Access Rates: Four in 10 (41.4%) IPS students* had access to a Learning Well school-based clinic Over one-third (34.5%) of all Marion County children (ages 5-17) had access to a Learning Well school-based clinic Almost half (48.8%) of students in Learning Well schools visited the school- based clinics *IPS data is from 2009 –2010 school year

Learning Well Clinics by Provider Partners

Learning Well Types of Clinics

Students Receiving Services: ,106 Students HAD 131,392 Visits WITH 325,799 Services Provided

Gender of Clinic Users: n=20,985 (percentage based on available demographic information) FemaleMale

Race/Ethnicity of Clinic Users: n=14,485 (percentage based on available demographic information)

Complexity of Clinic Visits: n=87,495 (percentage based on available demographic information)

Top Services Provided: Health Care and Counseling (163,315 – 50.1%) Medications (114,706 – 35.2%) Screenings and Assessments (21,241 – 6.5%) Procedures (15,284 – 4.7%) Mental and Behavioral Health Counseling (3,649 – 1.2%) Referrals (2,712 – 0.8%) Labs (2,661 – 0.8%) Preventive and Risk Factor Counseling (1,701 – 0.5%) n=325,799 (treatment activities)

Top Three Health Care and Health Promotions Counseling Services Health Care (107,673 – 33.0%) – Temperature (42,019 – 39.0%) – Cold Pack (18,082 – 16.8%) – Wound Cleaning/Bandaging (10,416 – 9.7%) Health Promotions Counseling (58,951 – 18.1%) – Health (34,169 – 58.0%) – Nutrition (11,878 – 20.1%) – Hygiene (7,980 – 13.5%)

Top Three Referrals and Top Four Laboratory Services Referrals (2,712 – 0.8%) – Primary Care (1,811 – 66.8%) – Dental (250 – 9.2%) – Vision (201 – 7.4%) Laboratory Services (2,661 – 0.8%) – STDs (685 – 25.7%) – Urinalysis Dip (631 – 23.7%) – Pregnancy Urine Test (466 – 17.5%) – Rapid Strep Test (355 – 13.3%)

LEARNING WELL HISTORY ACADEMIC YEARS

Learning Well Schools:

Individual Students:

Total Clinical Visits:

Clinical Services Provided:

Summary, part I Learning Well continues to expand its presence in Marion County schools providing care: To over 26,106 students in FY 2011, up from 17,411 students in 5 years (FY 2006), 49.9% increase In 92 schools in FY 2011, up from 52 in 5 years (FY 2006), 76.9% increase At 131,392 visits in FY 2011, up from 83,363 in FY 2006, 63% increase Though 325,799 services in FY 2011, up from 205,384 in FY 2006, 58.6% increase

Summary, part II Over one-third of the children in Marion County had access to a Learning Well clinic Almost half of children in schools with Learning Well clinics visited it at least once in the school year Students received various types of health care including counseling and screening

Evaluation Plans Continue to improve the quality of the data used for evaluation Repeat the annual Learning Well evaluation for the school year Share the results of the Learning Well clinic studies with other program directors and researchers Needs assessment manuscript to be submitted to a national peer-reviewed journal Developing an academic outcomes study in collaboration with Paul Kaiser, Beech Grove Schools