Learning Well, Inc.

Evaluation ReportAcademic Year 2013-2014

Robert M. Saywell, Jr., PhD, MPHTerrell W. Zollinger, DrPHJessica 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 2013-2014

Data Sources

• De-identified Welligent Electronic Health Records

• Administrative Data

• Department of Education Website - www.doe.in.gov

• STATS Indiana: County Profiles - www.stats.indiana.edu

Clinics Supported by Learning Well: 2013-2014

• 7 Practitioner Model Clinics

• 46 Basic Health Services Model Clinics– 15 LPN– 14 RN – 11 MA– 2 NP– 2 RN with LPN– 1 RN with MA– 1 NP with MA

• 7 of the clinics were Outreach facilities

• 60 Total schools receiving clinic services

60 Learning Well Schools:2013-2014

High Schools25.7%

Middle Schools29.7%

Elementary Schools44.6%

Access Rates: 2013-2014• Nearly one-third (32.4%) of IPS students had access to a Learning Well

school-based clinic.

• Nearly one-fifth (17.5%) of all Marion County children (ages 5-17) had access to a Learning Well school-based clinic.

• Half (49.5%) of students in Learning Well schools visited the school-based clinics.

• Almost three-fourths (74.5%) of students in Learning Well schools qualified for free or reduced lunches.

Learning Well Clinics

by Provider Partners

Types of Learning Well Clinics

Students Receiving Services:2013-2014

13,993 Students

HAD

184,227 Visits

WITH

193,302 Services Provided

Gender of Clinic Users:2013-2014

Male46.9%

Female53.1%

Race/Ethnicity of Clinic Users:2013-2014

American Indian5.9%

Asian or Pacific Islander2.0%

Black, not of Hispanic Origin28.0%

Hispanic23.5%

Multiracial9.0%

Native Hawaiian or Other Pacific Islander

1.4%

White, Not of Hispanic Origin26.5%

Other3.8%

Complexity of Clinic Visits:2013-2014

High/Ex-tensive0.9%

Moderate9.4%

Minor/Low89.7%

Top Services Provided:2013-2014• Medications (98,253 – 50.8%)

• Acute Care Procedures (48,879 – 25.3%)

• Health Promotion Counseling (87,561 – 20.0%)

• Adolescent Risk Assessment (2,558 – 1.3%)

• Early and Periodic Screening, Diagnostic and Treatment (EPSDT) (1,605 – 0.8%)

• Labs (1,219 – 0.6%)

• Other (872 – 0.5%)

• Referrals (774 – 0.4%)

Top Four Acute Care Procedures and Health Promotion Counseling Services:Acute Care Procedures (48,879)

1. Temperature (18,282 – 37.4%)

2. Cold Pack (9,047 – 18.5%)

3. Wound Cleaning/Bandaging (5,252 – 10.7%)

4. Pulse (3,982 – 8.1%)

Health Promotion Counseling (38,682)

5. Health (21,096 – 54.5%)

6. Nutrition (8,732 – 22.6%)

7. Hygiene (6,597 – 17.1%)

8. Behavioral (1,406 – 3.6%)

Top Four Laboratory Services and Referrals:Laboratory Services (1,219)

1. Sexually Transmitted Infection (482 – 39.5%)

2. Pregnancy Urine Test (221 – 18.1%)

3. Wet Mount – Saline (117 – 9.6%)

4. Blood Draw (96 – 7.9%)

Referrals (774)

5. Primary Care (370 – 47.8%)

6. Other (120 – 15.5%)

7. Dental (101 – 13.0%)

8. Vision (74 – 9.6%)

Learning Well History

ACADEMIC YEAR 2001-2014

Learning Well Schools:2001-2014

2001-2002 2002-2003 2003-2004 2004-2005 2005-2006 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 2012-2013 2013-20140

10

20

30

40

50

60

70

80

90

100

9

16 16

36

5052

77

8387

89

72

61 60

Individual Students2001-2014

2001-2002 2002-2003 2003-2004 2004-2005 2005-2006 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 2012-2013 2013-2014 -

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 25,253

19,104

13,993

Total Clinical Visits2001-2014

2001-2002 2002-2003 2003-2004 2004-2005 2005-2006 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 2012-2013 2013-2014 -

50,000

100,000

150,000

200,000

250,000

300,000

350,000

5,351 18,951 18,770

76,429

123,573

150,978

180,409

241,751

265,152

292,448

310,880

238,829

184,227

Clinical Services Provided2001-2014

2001-2002

2002-2003

2003-2004

2004-2005

2005-2006

2006-2007

2007-2008

2008-2009

2009-2010

2010-2011

2011-2012

2012-2013

2013-2014

-

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

285,495

193,302

Summary Part I• Due to a reduction of funding, there has been a decline in the number

of schools and students served, clinic visits, and services provided by Learning Well school-based health clinics.

• Nearly 20 percent of all students in Marion County were served by Learning Well clinics during the 2013-2014 school year.

• Learning Well provided nearly 200,000 clinic services, in the 2013-2014 school year, despite a decrease in the number of participating schools.

• Half of the students in schools with Learning Well clinics visited it at least once in the 2013-2014 school year.

• Nearly three-fourths of the students in Learning Well schools qualified for free or reduced lunches.

Summary Part II• For almost a decade Learning Well clinics were present in 50

or more schools (2005 -2014).

• From the school years 2007 to 2013, Learning Well clinics served an average of 22,700 students.

• For the seventh consecutive school year, Learning Well has provided over 180,000 clinic visits.