1. Learning Well Evaluation Academic Year 2008-2009 Indiana University Bowen Research Center Terrell W. Zollinger, DrPH Robert M. Saywell, Jr., PhD, MPH Jennifer L. Custer, BA

2. Evaluation Team Terrell W. Zollinger, DrPH Principal Investigator Robert M. Saywell, Jr., PhD, MPH Co-Investigator Jennifer L. Custer, BA Project Manager Sarah L. Aktepy, MS, LPN; Shannon L. Cooper, BA; Srujana V. Kunapareddy, BA 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 2008-2009

5. Data Sources Welligent electronic health record Administrative data Indiana Department of Education STATS Indiana: County Profiles

6. Clinics Supported by Learning Well: 2008-2009 14 nurse practitioner model clinics 50 basic health services model clinics – 41 RN clinics – 9 LPN or MA clinics 19 outreach clinics 83 total clinics

7. 83 Learning Well Schools: 2008-2009

8. Access Rates: 2008-2009 Four in 10 (39.9%) of IPS students had access to a Learning Well school-based clinic One-third (30.7%) of all Marion County children (ages 5-17) had access to a Learning Well school- based clinic Half (51.9%) of the students in Learning Well schools visited the school-based clinics

9. Learning Well: Clinics by Provider Partners

11. Learning Well: Types of Clinics

13. Students Receiving Services: 2008-2009 25,846 students 127,896 visits 257,759 services provided

14. Gender of Clinic Users: 2008-2009 n=24,845 (percentage based on available demographic information)

15. Race/Ethnicity of Clinic Users: 2008-2009 n=12,764 (percentage based on available demographic information)

16. Complexity of Clinic Visits: 2008-2009 n=57,770 (percentage based on available visit information)

17. Top Services Provided: 2008-2009 Health care and counseling (124,169) Medications (83,157) Screenings and assessments (20,061) Procedures (11,916) Referrals (2,591) Labs (2,566) Preventive and risk factor counseling (1,115) Mental and behavioral health counseling (994) n=257,759 (total services provided)

18. Top Three Health Care and Health Promotions Counseling Visits Health Care (87,469) – Temperature (32,558) – Cold Pack (15,435) – Wound Cleaning/Bandaging (8,978) Health Promotions Counseling (36,700) – Health (15,220) – Nutrition (7,048) – Hygiene (5,957)

19. Top Three Referrals and Laboratory Services Referrals (2,591) – Primary Care (1,700) – Vision (187) – Dental (166) Laboratory Services (2,566) – Pregnancy Urine Test (552) – Rapid Strep Test (507) – Urinalysis Dip (266)

20. LEARNING WELL HISTORY: ACADEMIC YEARS 2001-2009

21. Learning Well Schools: 2001-2009

22. Individual Students: 2001-2009

23. Total Clinical Visits: 2001-2009

24. Clinical Services Provided: 2001-2009

25. Needs Assessment Report To obtain input from various stakeholders to insure that Learning Well is meeting the health needs of students in participating schools Stakeholders participating the Learning Well Needs Assessment Report included: – Governing board members – School partner superintendents – Health care partner representatives – Principals, teachers and clinic staff – Parents of students utilizing clinics

26. Needs Assessment Report: Major Findings Overwhelming positive accolades and support for: – Learning Well, as an organization – The administrative staff – The health care staff Recommendations to provide additional services in the areas of: – Behavioral health – Reproductive health – Oral health – Vision health

27. Plans for 2009-2010 Achieve national publicity for Learning Well via national publications Conduct a strategic planning process – Incorporating the results of the Needs Assessment Report – Incorporating innovative output and outcome measures Conduct cost analysis of the operational aspects of Learning Well school-based clinics