1. Learning Well, Inc. Evaluation Report Academic Year 2012-2013 Robert M. Saywell, Jr., PhD, MPH Terrell W. Zollinger, DrPH Jessica M. Coffing, MPH, CCRP

2. 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

3. 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.

4. LEARNING WELL DESCRIPTION: ACADEMIC YEAR 2012-2013

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

6. Clinics Supported by Learning Well: 2011-2012 7 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

7. 61 Learning Well Schools: 2012-2013

8. Access Rates: 2012-2013 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.

9. Learning Well Clinics by Provider Partners

11. Learning Well Types of Clinics

13. Students Receiving Services: 2012-2013 18,363 Students HAD 95,527 Visits WITH 283,982 Services Provided

14. Gender of Clinic Users: 2012-2013

15. Race/Ethnicity of Clinic Users: 2012-2013

16. Complexity of Clinic Visits: 2012-2013

17. Top Services Provided: 2012-2013 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%)

18. 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%)

19. 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%)

20. Learning Well History Academic Years 2003-2013

21. Learning Well Schools: 2003-2013

22. Individual Students 2003-2013

23. Total Clinical Visits 2003-2013

24. Clinical Services Provided 2003-2013

25. 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 2013. This is three times more students and schools served than in the 2003-2004 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.

26. Summary Part II Learning Well served nearly 20 percent of all students in Marion County during the 2012-2013 school year. Over half of the students in schools with Learning Well clinics visited it at least once in the 2012-2013 school year. Over two-thirds of the students in Learning Well schools qualified for free or reduced lunches.