1. Learning Well Evaluation Academic Year 2009-2010 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, Dr.P.H Principal Investigator Robert M. Saywell, Jr, PhD, MPH Co-Investigator Jennifer L. Custer, BA Project Manager

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 2009-2010

5. Data Sources Welligent Electronic Health Record Administrative Data Indiana Department of Education website STATS Indiana: County Profiles

6. Clinics Supported by Learning Well: 2009-2010 14 Nurse Practitioner Model Clinics 54 Basic Health Services Model Clinics  42 RN Clinics  4 RN/MA Clinics  8 LPN or MA Clinics 19 Outreach Clinics 87 Total Clinics

7. 87 Learning Well Schools: 2009-2010

8. Access Rates: 2009-2010 Four in 10 (41.4%) IPS students had access to a Learning Well school-based clinic Over one-third (33.2%) of all Marion County children (ages 5-17) had access to a Learning Well school-based clinic Four in 10 (44.9%) 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: 2009-2010 23,139 Students 136,869 Visits 287,075 Services Provided

14. Gender of Clinic Users: 2009-2010 n=21,594 (percentage based on available demographic information)

15. Race/Ethnicity of Clinic Users: 2009-2010 n=11,990 (percentage based on available demographic information)

16. Complexity of Clinic Visits: 2009-2010 n=79,500 (percentage based on available demographic information)

17. Top Services Provided: 2009-2010 Health Care and Counseling (141,219) Medications (97,705) Screenings and Assessments (18,511) Procedures (13,422) Referrals (3,115) Labs (2,557) Mental and Behavioral Health Counseling (616) Preventive and Risk Factor Counseling (598) n=259,798 (treatment activities)

18. Top Three Health Care and Health Promotions Counseling Visits Health Care (101,220) – Temperature (42,472) – Cold Pack (15,878) – Wound Cleaning/Bandaging (9,874) Health Promotions Counseling (40,001) – Health (23,851) – Nutrition (6,125) – Hygiene (5,359)

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 2001-2010

21. Learning Well Schools: 2001-2010

22. Individual Students: 2001-2010

23. Total Clinical Visits: 2001-2010

24. Clinical Services Provided: 2001-2010

25. Summary Learning Well continues to expand its presence in Marion County schools providing care to over 23,000 students in 87 schools in FY 2010 Over one-third of the children in Marion County had access to a Learning Well clinic Over 40% of children in schools with Learning Well clinics visited it at least once in the 2009- 2010 school year. Students received various types of health care including counseling and screening

26. Evaluation Plans Examine ways to measure the impact of the clinics on academic outcomes Estimate the return on investment of Learning Well clinics for the community and the funders Continue to improve the quality of the data used for evaluation Repeat the annual Learning Well evaluation for the 2010-2011 school year Share the results of the Learning Well clinic studies with other program directors and researchers