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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.
