Learning Well EvaluationAcademic Year 2009-2010

Indiana University Bowen Research Center

Terrell W. Zollinger, DrPHRobert M. Saywell, Jr., PhD, MPHJennifer L. Custer, BA

Evaluation Team

• Terrell W. Zollinger, Dr.P.HPrincipal Investigator

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

• Jennifer L. Custer, BAProject Manager

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 2009-2010

Data Sources

• Welligent Electronic Health Record

• Administrative Data

• Indiana Department of Education website

• STATS Indiana: County Profiles

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

87 Learning Well Schools: 2009-2010

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

Learning Well Clinics by Provider Partners

Learning WellTypes of Clinics

Students Receiving Services: 2009-2010

23,139 Students

136,869 Visits

287,075 Services Provided

Gender of Clinic Users: 2009-2010

n=21,594 (percentage based on available demographic information)

Race/Ethnicity of Clinic Users: 2009-2010

n=11,990 (percentage based on available demographic information)

Complexity of Clinic Visits: 2009-2010

n=79,500 (percentage based on available demographic information)

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)

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)

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)

LEARNING WELL HISTORYACADEMIC YEARS 2001-2010

Learning Well Schools: 2001-2010

Individual Students:2001-2010

Total Clinical Visits: 2001-2010

Clinical Services Provided: 2001-2010

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

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