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.