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Learning Well Evaluation Year 6 Report 2006-2007

Learning Well Evaluation Year 6 Report 2006-2007. Evaluation Team. Terrell W. Zollinger, Dr.P.H. Epidemiologist & Biostatistician Robert M. Saywell, Jr., Ph.D., M.P.H. Health Economist Komal Kochhar, M.B.B.S., M.H.A. Clinician & Health Administrator Christina A. Mandzuk, B.S.E .

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Learning Well Evaluation Year 6 Report 2006-2007

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  1. Learning Well EvaluationYear 6 Report2006-2007

  2. Evaluation Team • Terrell W. Zollinger, Dr.P.H. • Epidemiologist & Biostatistician • Robert M. Saywell, Jr., Ph.D., M.P.H. • Health Economist • Komal Kochhar, M.B.B.S., M.H.A. • Clinician & Health Administrator • Christina A. Mandzuk, B.S.E. • Senior Research Assistant

  3. Data Sources • Clinic Services (Welligent) Student Surveys 205,384 (5,351 in 2001) 483 (104 in 2001) • Parent SurveysClinic Staff Surveys 118 (34 in 2001) 35 (6 in 2001) • School Faculty/Staff SurveysClinic Activity Logs 307 (134 in 2001) 342 (107 in 2001) • Students Provided with Clinic Services 20,967

  4. Overview • Learning Well Description and Trends • Clinical Services Provided in 2006-2007 • Achievement of Learning Well Objectives

  5. Clinics Supported by Learning Well 14 Nurse Practitioner Model Clinics (10 in 2001-2002) 42 Basic Health Services Model Clinics (0 in 2001-2002) 19 Outreach Clinics (Feeder Schools)

  6. Learning Well Schools: 75 High Schools (4 in 2001) • 15 (9-12) • 1 (K-12)* • 2 (6-12)* Middle Schools (6 in 2001) • 25 (6-8) • 1 (K-12)* • 2 (6-12)* • 4 (K-8)* Elementary Schools (0 in 2001) • 24 (K-5) • 1 (K-12)* • 4 (K-8)* * Seven schools have a combination of elementary (4), middle (2), or high (1), hence have been counted in each category

  7. Penetration Rates • Over one-third (37.1%) of IPS students had access to a Learning Well school-based clinic (vs. 37.7% in 2005-2006) • One-fifth (19.7%) of all Marion County children (5-17 years) had access to a Learning Well school-based clinic (vs. 17.9% in 2005-2006) • Over one-half (55.2%) of the students in Learning Well schools visited the school-based clinics (vs. 56.7% in 2005-2006)

  8. Clinical Services Provided: 2006-2007

  9. Clinic Events 205,384 in 2006-2007 122,319 in 2005-2006 74,910 in 2004-2005 53,862 in 2003-2004 18,951 in 2002-2003 5,351 in 2001-2002 Over 200,000 increase from 2001-2007

  10. Grade of Clinic Users

  11. Gender of Clinic Users

  12. Race/Ethnicity of Clinic Users

  13. Complexity of Clinic Visit

  14. Top 10 reasons for visit • Headache • Vaccines • Counseling • Pain • Skin Disorders • Medical Exams • Behavioral Health Problems • Pharyngitis/Tonsilitis/Sinusitis • Screenings • Menstrual Disorders

  15. Top 3 Health Promotions Procedures & Counseling’s Health Promotions Procedures • Temperature • Cold Pack • WoundCleaning/Bandaging Health Promotions Counseling • Health • Hygiene • Nutrition

  16. Top 3 Immunizations, Referrals & Laboratory Services ImmunizationsReferrals Hepatitis B Primary Care Flu Eye IPV Other Laboratory Services • Urinalysis (UA) Dip • Strep – Rapid • Pregnancy Test- Urine

  17. Regular Source of Primary Care • 78.0% of students had a primary care provider • Utilization • 32.2% had been admitted to a hospital in the past year • 33.6% were treated in an Emergency Room or Urgent Care Center in the past year

  18. Achievement of Learning Well Objectives2006-2007

  19. Learning Well Goals • Goal I: Address Barriers to Health Care Access • Goal II: Provide Health Care Knowledge • Goal III: Address Attitudinal Barriers • Goal IV: Address Clinic Provider Issues

  20. Goal I: Address Barriers to Health Care Access • Address economic barriers • 19.8% of parents indicated they would NOT be able to pay for their child’s medical services if the clinic were not here

  21. Goal I, continued • Convenient location for health care services • 100.0% of parents and 95.4% of students agreed • Convenient hours for health care services • 100% of parents and 93.3% of students agreed

  22. Goal I, continued • If the clinic were not here, where would parents take their child if he/she had a minor illness before leaving for school:

  23. Goal I, continued • If the clinic were not here, where would parents take their child if he/she had a minor illness while in school:

  24. Goal II: Provide Health Care Knowledge • Provide awareness of the value of preventive medicine • Parents: 82.9% schedule a regular check up for their child each year • Students:36.3% visit the clinic to get health information even when not sick • Teachers: 57.9% VERY appropriate and 38.2% SOMEWHAT appropriatefor children to miss class to visit the clinic for preventive care

  25. Goal II, continued • Provide knowledge of self-care and preventive care • Do the parents and students know how to keep healthy?

  26. Goal II, continued • Increase awareness of clinic services • Do the parents and students know what services are available at the clinic?

  27. Goal II, continued • Increase awareness of community health resources • Do the parents and students know where to get health services, other than the clinic?

  28. Goal III: Address Attitudinal Barriers • Provide a comfortable setting for health care • Parents: 97.4% indicated they were comfortable with their children receiving health care at the clinic • Students:96.9% indicated they were comfortable receiving health care at the clinic

  29. Goal III, continued • Address the value of health care • How often is a regular medical check up scheduled, when child is sick/not sick?

  30. Goal III, continued • Address the perception of the need for care • Parents: 96.6% were VERY comfortable and 3.4% were SOMEWHAT comfortable deciding when to seek medical care for their child

  31. Goal IV: Address Clinic Provider Issues, continued • Are your child’s physical health needs being met at the clinic?

  32. Goal IV, continued • Are your child’s mental health needs being met at the clinic?

  33. Health and School Performance • 89.1% students believed their school performance • 87.3% students believed their health • 84.7% students believed their grades ….had either improved or were the same compared to one year ago

  34. Conclusions

  35. Part I • Increased number of schools and students served • High risk children – • 32% hospitalized • 34% have ER visits • Parents and children highly satisfied

  36. Part II • Students more likely to go to school and stay in school for minor illnesses • Parents and children only somewhat knowledgeable about preventive health care • Parents feel their children’s physical health needs are generally being met, but not their mental health needs

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