Learning Well, Inc. Evaluation Report Academic Year 2012-2013 Robert M. Saywell, Jr., PhD, MPH Terrell W. Zollinger, DrPH Jessica M. Coffing, MPH, CCRP.

Learning Well, Inc.Evaluation Report

Academic Year 2012-2013

Robert M. Saywell, Jr., PhD, MPH

Terrell W. Zollinger, DrPH

Jessica M. Coffing, MPH, CCRP

Evaluation Team

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

• Terrell W. Zollinger, DrPHCo-Principal Investigator

• Jessica M. Coffing, MPH, CCRP 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 2012-2013

Data Sources

• De-identified Welligent Electronic Health Records

• Administrative Data

• Department of Education Website

• STATS Indiana: County Profiles

Clinics Supported by Learning Well: 2011-2012

• 7 Nurse Practitioner Model Clinics• 54 Basic Health Services Model

Clinics 52 RN 2 RN with RN or LPN

• 61 Total Clinics• 4 of the clinics were Outreach

facilities

61 Learning Well Schools:2012-2013

High Schools21.8%

Middle Schools43.6%

Ele-men-tary

Schools34.7%

Access Rates: 2012-2013

• Over one-third (35.9%) of IPS students had access to a Learning Well school-based clinic.

• Nearly one-fifth (19.2%) of all Marion County children (ages 5-17) had access to a Learning Well school-based clinic.

• Over one-half (59.4%) of students in Learning Well schools visited the school-based clinics.

• Over two-thirds (70.7%) of students in Learning Well schools qualified for free or reduced lunches.

Learning Well Clinicsby Provider Partners

Learning Well Types of Clinics

Students Receiving Services:2012-2013

18,363 Students

HAD

95,527 Visits

WITH

283,982 Services Provided

Gender of Clinic Users:2012-2013

Male47.4%

Female52.6%

Race/Ethnicity of Clinic Users:2012-2013

American Indian4.5%

Asian or Pacific Is-lander1.7%

Black, not of Hispanic Origin

24.5%

Hispanic22.5%

Multiracial8.6%

Native Hawaiian or Other Pacific Is-

lander1.4%

White, Not of Hispanic Origin22.9% Other

13.9%

Complexity of Clinic Visits:2012-2013

High/Extensive0.9% Moderate

14.6%

Minor/Low84.5%

Top Services Provided:2012-2013

• Medications (129,669 – 45.7%)

• Acute Care Procedures (72,151 – 25.4%)

• Health Promotion Counseling (57,754 – 20.3%)

• Screening (3,794 – 1.3%)

• Vitals Check (2,823 – 1.0%)

• Adolescent Risk Assessment (2,174 – 0.8%)

• Labs (1,368 – 0.5%)

• Referrals (1,160 – 0.4%)

Top Four Health Promotions Procedures and Health Promotion

Counseling ServicesAcute Care Procedures (72,151– 25.4%)

1. Temperature (31,459 – 43.6%)

2. Cold Pack (13,421 – 18.6%)

3. Wound Cleaning/Bandaging (7,643 – 10.6%)

4. Pulse (3,698– 5.1%)

Health Promotion Counseling (57,754 – 20.3%)

5. Health (31,960– 55.3%)

6. Nutrition (13,845 – 24.0%)

7. Hygiene (8,088 – 14.0%)

8. Behavioral (2,933 – 5.1%)

Top Four Laboratory Services and

ReferralsLaboratory Services (1,368– 0.5%)

1. STIs (477 – 34.9%)

2. Pregnancy Urine Test (299 – 21.9%)

3. Wet Mount – Saline (124 – 9.1%)

4. Urinalysis Dip (121 – 8.8%)

Referrals (1,160 – 0.4%)

5. Primary Care (667 – 57.5%)

6. Other (145 – 12.5%)

7. Dental (87 – 7.5%)

8. Vision (84 – 7.2%)

Learning Well HistoryAcademic Years 2003-2013

Learning Well Schools:2003-2013

2003-2004

2004-2005

2005-2006

2006-2007

2007-2008

2008-2009

2009-2010

2010-2011

2011-2012

2012-2013

0

10

20

30

40

50

60

70

80

90

100

16

36

50 52

7783

87 89

72

61

Individual Students2003-2013

2003-2004

2004-2005

2005-2006

2006-2007

2007-2008

2008-2009

2009-2010

2010-2011

2011-2012

2012-2013

-

5,000

10,000

15,000

20,000

25,000

30,000

6,108

12,056

16,282 17,411

19,898

22,708 23,139

26,106 25,253

18,363

Total Clinical Visits2003-2013

2003-2004

2004-2005

2005-2006

2006-2007

2007-2008

2008-2009

2009-2010

2010-2011

2011-2012

2012-2013

-

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

17,662

43,625

68,156

83,363

104,412

128,024 136,869

131,392 135,522

95,527

Clinical Services Provided2003-2013

2003-2004

2004-2005

2005-2006

2006-2007

2007-2008

2008-2009

2009-2010

2010-2011

2011-2012

2012-2013

-

50,000

100,000

150,000

200,000

250,000

300,000

350,000

400,000

450,000

53,862 74,910

122,319

205,384 237,033

257,759 287,075

325,799

390,170

283,982

Summary Part I

• The number of Learning Well clinics has decreased; however, it continues to have a strong presence in Marion County.

• Over 18,000 students in 61 schools were served in 2013. This is three times more students and schools served than in the 2003-2004 school year.

• For the sixth consecutive school year, Learning Well has provided over 90,000 clinic visits.

• Since 2008, Learning Well has provided over 10 percent more services despite a decrease in the number of participating schools.

Summary Part II

• Learning Well served nearly 20 percent of all students in Marion County during the 2012-2013 school year.

• Over half of the students in schools with Learning Well clinics visited it at least once in the 2012-2013 school year.

• Over two-thirds of the students in Learning Well schools qualified for free or reduced lunches.