Learning Well Evaluation Academic Year 2008-2009 Indiana University Bowen Research Center

Learning Well EvaluationAcademic Year 2008-2009Indiana University Bowen Research Center

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

Evaluation Team

• Terrell W. Zollinger, DrPHPrincipal Investigator

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

• Jennifer L. Custer, BAProject Manager

• Sarah L. Aktepy, MS, LPN; Shannon L. Cooper, BA; Srujana V. Kunapareddy, BAResearch 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 2008-2009

Data Sources

• Welligent electronic health record

• Administrative data

• Indiana Department of Education

• STATS Indiana: County Profiles

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

83 Learning Well Schools: 2008-2009

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

Learning Well:Clinics by Provider Partners

Learning Well:Types of Clinics

Students Receiving Services: 2008-2009

25,846 students

127,896 visits

257,759 services provided

Gender of Clinic Users: 2008-2009

n=24,845 (percentage based on available demographic information)

Race/Ethnicity of Clinic Users:2008-2009

n=12,764 (percentage based on available demographic information)

Complexity of Clinic Visits: 2008-2009

n=57,770 (percentage based on available visit information)

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)

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)

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 HISTORY:ACADEMIC YEARS 2001-2009

Learning Well Schools:2001-2009

Individual Students:2001-2009

Total Clinical Visits:2001-2009

Clinical Services Provided:2001-2009

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

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

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