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 2011-2012

Data Sources

• Welligent Electronic Health Records

• Administrative Data

• Department of Education

• STATS Indiana: County Profiles

Clinics Supported by Learning Well: 2011-2012

• 12 Nurse Practitioner Model Clinics• 57 Basic Health Services Model

Clinics 46 RN Clinics 4 RN/MA Clinics 7 LPN or MA Clinics

• 3 Outreach Clinics• 72 Total Clinics

72 Learning Well Schools:2011-212

High Schools23.6%

Middle Schools42.3%

Elementary Schools34.1%

Access Rates: 2011-2012

• Four in 10 (41.1%) IPS students had access to a Learning Well school-based clinic.

• Nearly one-fourth (24.0%) of all Marion County children (ages 5-17) had access to a Learning Well school-based clinic.

• Two-thirds (65.5%) of students in Learning Well schools visited the school-based clinics.

Learning Well Clinicsby Provider Partners

Learning Well Types of Clinics

Students Receiving Services:2011-2012

28,448 Students

HAD

312,337 Visits

WITH

390,170 Services Provided

Gender of Clinic Users:2011-2012

Male48.4%

Fe-male51.6%

Race/Ethnicity of Clinic Users:2011-2012

Native American4.9%

Asian or Pacific Is-lander1.5%

Black, not of Hispanic Origin24.1%

Hispanic22.6%

Multiracial9.4%

Native Hawaiian or Other Pacific Islander

1.6%

White, Not of Hispanic Origin34.5%

Other1.4%

Complexity of Clinic Visits:2011-2012

High/Extensive1.3%

Moderate8.3%

Minor Low90.4%

Top Services Provided:2011-2012

• Medications (148,448 – 28.2%)

• Acute Care Procedures (112,983 – 21.5%)

• Health Promotion Counseling (86,085 – 16.4%)

• Other Procedures (17,554 – 3.3%)

• Screening (11,201 – 2.1%)

• Labs (2,905 – 0.6%)

• Referrals (2,778 – 0.5%)

• Preventive/Risk Factor Counseling (1,529 – 0.3%)

Top Four Health Promotions Procedures and Health Promotion

Counseling ServicesAcute Care Procedures (112,983 – 21.5%)

1. Temperature (43,904 – 38.9%)

2. Cold Pack (19,811 – 17.5%)

3. Wound Cleaning/Bandaging (10,699 – 9.5%)

4. Pulse (8,995 – 8.0%)

Health Promotion Counseling (86,085 – 16.4%)

5. Health (52,222 – 60.7%)

6. Nutrition (15,975 – 18.6%)

7. Hygiene (11,349 – 13.2%)

8. Behavioral (4,957 – 5.8%)

Top Four Laboratory Services and

ReferralsLaboratory Services (2,905 – 0.6%)

1. STIs (787 – 27.1%)

2. Urinalysis Dip (670 – 23.1%)

3. Pregnancy Urine Test (544 – 18.7%)

4. Rapid Strep Test (249 – 8.6%)

Referrals (2,778 – 0.5%)

5. Primary Care (1,953 – 70.3%)

6. Vision (191 – 6.9%)

7. Other (175 – 6.3%)

8. Dental (159 – 5.7%)

Learning Well HistoryAcademic Years 2001-2012

Learning Well Schools:2001-2012

2001-2002 2002-2003 2003-2004 2004-2005 2005-2006 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 2011-20120

10

20

30

40

50

60

70

80

90

100

9

16 16

36

50 52

7783

87 89

72

2001-2002

2002-2003

2003-2004

2004-2005

2005-2006

2006-2007

2007-2008

2008-2009

2009-2010

2010-2011

2011-2012

-

5,000

10,000

15,000

20,000

25,000

30,000

3,039

7,500 6,108

12,056

16,282 17,411

19,898

22,708 23,139

26,106 28,448

Individual Students2001-2012

Total Clinical Visits2001-2012

2001-2002

2002-2003

2003-2004

2004-2005

2005-2006

2006-2007

2007-2008

2008-2009

2009-2010

2010-2011

2011-2012

-

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

5,351

18,951 17,662

43,625

68,156

83,363

104,412

128,024 136,869

131,392 312,337

Clinical Services Provided2001-2012

2001-2002 2002-2003 2003-2004 2004-2005 2005-2006 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 -

50,000

100,000

150,000

200,000

250,000

300,000

350,000

400,000

450,000

10,292 31,602

53,862 74,910

122,319

205,384

237,033 257,759

287,075

325,799

390,170

Summary Part I

• Learning Well continues its presence in Marion County

• Over 28,000 students in 72 schools were served in FY 2012. This is eight times more students and schools served than in FY 2002

• There was a 30% increase in clinic visits over the last five years

• There was a 50% increase in clinic services provided since FY 2007

Summary Part II

• Nearly one-fourth of the children in Marion County had access to a Learning Well clinic

• Two-thirds of children in schools with Learning Well clinics visited it at least once in the 2011-2012 school year

• Students received various types of health care including counseling and screening