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Learning Well Evaluation Academic Year 2008-2009 Indiana University Bowen Research Center. Terrell W. Zollinger, DrPH Robert M. Saywell, Jr., PhD, MPH Jennifer L. Custer, BA. Evaluation Team. Terrell W. Zollinger, DrPH Principal Investigator Robert M. Saywell, Jr., PhD, MPH Co-Investigator
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Learning Well EvaluationAcademic Year 2008-2009Indiana University Bowen Research Center Terrell W. Zollinger, DrPH Robert M. Saywell, Jr., PhD, MPH Jennifer L. Custer, BA
Evaluation Team • Terrell W. Zollinger, DrPHPrincipal Investigator • Robert M. Saywell, Jr., PhD, MPHCo-Investigator • Jennifer L. Custer, BAProject Manager • Sarah L. Aktepy, MS, LPN; Shannon L. Cooper, BA; Srujana V. Kunapareddy, BA 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.
Data Sources • Welligent electronic health record • Administrative data • Indiana Department of Education • STATS Indiana: County Profiles
Clinics Supported by Learning Well: 2008-2009 • 14 nurse practitioner model clinics • 50 basic health services model clinics • 41 RN clinics • 9 LPN or MA clinics • 19 outreach clinics • 83 total clinics
Access Rates: 2008-2009 • Four in 10 (39.9%) of IPS students had access to a Learning Well school-based clinic • One-third (30.7%) of all Marion County children (ages 5-17) had access to a Learning Well school-based clinic • Half (51.9%) of the students in Learning Well schools visited the school-based clinics
Students Receiving Services: 2008-2009 25,846 students 127,896 visits 257,759 services provided
Gender of Clinic Users: 2008-2009 n=24,845 (percentage based on available demographic information)
Race/Ethnicity of Clinic Users:2008-2009 n=12,764 (percentage based on available demographic information)
Complexity of Clinic Visits: 2008-2009 n=57,770 (percentage based on available visit information)
Top Services Provided: 2008-2009 • Health care and counseling (124,169) • Medications (83,157) • Screenings and assessments (20,061) • Procedures (11,916) • Referrals (2,591) • Labs (2,566) • Preventive and risk factor counseling (1,115) • Mental and behavioral health counseling (994) n=257,759 (total services provided)
Top Three Health Care and Health Promotions Counseling Visits • Health Care (87,469) • Temperature (32,558) • Cold Pack (15,435) • Wound Cleaning/Bandaging (8,978) • Health Promotions Counseling (36,700) • Health (15,220) • Nutrition (7,048) • Hygiene (5,957)
Top Three Referrals and Laboratory Services • Referrals (2,591) • Primary Care (1,700) • Vision (187) • Dental (166) • Laboratory Services (2,566) • Pregnancy Urine Test (552) • Rapid Strep Test (507) • Urinalysis Dip (266)
Needs Assessment Report • To obtain input from various stakeholders to insure that Learning Well is meeting the health needs of students in participating schools • Stakeholders participating the Learning Well Needs Assessment Report included: • Governing board members • School partner superintendents • Health care partner representatives • Principals, teachers and clinic staff • Parents of students utilizing clinics
Needs Assessment Report:Major Findings • Overwhelming positive accolades and support for: • Learning Well, as an organization • The administrative staff • The health care staff • Recommendations to provide additional services in the areas of: • Behavioral health • Reproductive health • Oral health • Vision health
Plans for 2009-2010 • Achieve national publicity for Learning Well via national publications • Conduct a strategic planning process • Incorporating the results of the Needs Assessment Report • Incorporating innovative output and outcome measures • Conduct cost analysis of the operational aspects of Learning Well school-based clinics