Learning Well, Inc.Evaluation Report

Academic Year 2010-2011

Terrell W. Zollinger, DrPHRobert M. Saywell, Jr., PhD, MPHJennifer L. CusterJessica M. Coffing, MPH

Evaluation Team

• Terrell W. Zollinger, DrPHPrincipal Investigator

• Robert M. Saywell, Jr, PhD, MPHCo-Investigator

• Jennifer L. Custer, BAProject 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 2010-2011

Data Sources

• Welligent Electronic Health Record

• Administrative Data

• STATS Indiana: County Profiles

Clinics Supported by Learning Well: 2010-2011

• 14 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: 2010-2011

Access Rates: 2010-2011

• 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 WellTypes of Clinics

Students Receiving Services: 2010-2011

26,106 Students

HAD

131,392 Visits

WITH

325,799 Services Provided

Gender of Clinic Users: 2010-2011

n=20,985 (percentage based on available demographic information)

Female Male

Race/Ethnicity of Clinic Users: 2010-2011

n=14,485 (percentage based on available demographic information)

Complexity of Clinic Visits: 2010-2011

n=87,495 (percentage based on available demographic information)

Top Services Provided: 2010-2011

• 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 HISTORYACADEMIC YEARS 2001-2011

Learning Well Schools: 2001-2011

Individual Students:2001-2011

Total Clinical Visits: 2001-2011

Clinical Services Provided: 2001-2011

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 2010-2011 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 2011-2012 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