1. 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

2. 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.

3. LEARNING WELL DESCRIPTION: ACADEMIC YEAR 2011-2012

4. Data Sources Welligent Electronic Health Records Administrative Data Department of Education STATS Indiana: County Profiles

5. Clinics Supported by Learning Well: 2011-2012 12 Nurse Practitioner Model Clinics 57 Basic Health Services Model Clinics  46 RN Clinics  4 RN/MA Clinics  7 LPN or MA Clinics 3 Outreach Clinics 72 Total Clinics

6. 72 Learning Well Schools: 2011-212

7. Access Rates: 2011-2012 Four in 10 (41.1%) IPS students had access to a Learning Well school-based clinic. Nearly one-fourth (24.0%) of all Marion County children (ages 5-17) had access to a Learning Well school-based clinic. Two-thirds (65.5%) of students in Learning Well schools visited the school-based clinics.

8. Learning Well Clinics by Provider Partners

10. Learning Well Types of Clinics

12. Students Receiving Services: 2011-2012 28,448 Students HAD 312,337 Visits WITH 390,170 Services Provided

13. Gender of Clinic Users: 2011-2012

14. Race/Ethnicity of Clinic Users: 2011-2012

15. Complexity of Clinic Visits: 2011-2012

16. Top Services Provided: 2011-2012 Medications (148,448 – 28.2%) Acute Care Procedures (112,983 – 21.5%) Health Promotion Counseling (86,085 – 16.4%) Other Procedures (17,554 – 3.3%) Screening (11,201 – 2.1%) Labs (2,905 – 0.6%) Referrals (2,778 – 0.5%) Preventive/Risk Factor Counseling (1,529 – 0.3%)

17. Top Four Health Promotions Procedures and Health Promotion Counseling Services Acute Care Procedures (112,983 – 21.5%) 1.Temperature (43,904 – 38.9%) 2.Cold Pack (19,811 – 17.5%) 3.Wound Cleaning/Bandaging (10,699 – 9.5%) 4.Pulse (8,995 – 8.0%) Health Promotion Counseling (86,085 – 16.4%) 1.Health (52,222 – 60.7%) 2.Nutrition (15,975 – 18.6%) 3.Hygiene (11,349 – 13.2%) 4.Behavioral (4,957 – 5.8%)

18. Top Four Laboratory Services and Referrals Laboratory Services (2,905 – 0.6%) 1.STIs (787 – 27.1%) 2.Urinalysis Dip (670 – 23.1%) 3.Pregnancy Urine Test (544 – 18.7%) 4.Rapid Strep Test (249 – 8.6%) Referrals (2,778 – 0.5%) 1.Primary Care (1,953 – 70.3%) 2.Vision (191 – 6.9%) 3.Other (175 – 6.3%) 4.Dental (159 – 5.7%)

19. Learning Well History Academic Years 2001-2012

20. Learning Well Schools: 2001-2012

21. Individual Students 2001-2012

22. Total Clinical Visits 2001-2012

23. Clinical Services Provided 2001-2012

24. Summary Part I Learning Well continues its presence in Marion County Over 28,000 students in 72 schools were served in FY 2012. This is eight times more students and schools served than in FY 2002 There was a 30% increase in clinic visits over the last five years There was a 50% increase in clinic services provided since FY 2007

25. Summary Part II Nearly one-fourth of the children in Marion County had access to a Learning Well clinic Two-thirds of children in schools with Learning Well clinics visited it at least once in the 2011-2012 school year Students received various types of health care including counseling and screening