1. Robert M. Saywell, Jr., PhD, MPH Terrell W. Zollinger, DrPH Jessica M. Coffing, MPH, CCRP

2. Evaluation Team Robert M. Saywell, Jr, PhD, MPH Co-Principal Investigator Terrell W. Zollinger, DrPH Co-Principal Investigator Jessica M. Coffing, MPH, CCRP Research Staff

3. 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.

4. LEARNING WELL DESCRIPTION: ACADEMIC YEAR 2013-2014

5. Data Sources De-identified Welligent Electronic Health Records Administrative Data Department of Education Website - www.doe.in.govwww.doe.in.gov STATS Indiana: County Profiles - www.stats.indiana.eduwww.stats.indiana.edu

6. 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

7. 60 Learning Well Schools: 2013-2014

8. 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.

11. Types of Learning Well Clinics

13. Students Receiving Services: 2013-2014 13,993 Students HAD 184,227 Visits WITH 193,302 Services Provided

14. Gender of Clinic Users: 2013-2014

15. Race/Ethnicity of Clinic Users: 2013-2014

16. Complexity of Clinic Visits: 2013-2014

17. 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%)

18. 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) 1.Health (21,096 – 54.5%) 2.Nutrition (8,732 – 22.6%) 3.Hygiene (6,597 – 17.1%) 4.Behavioral (1,406 – 3.6%)

19. 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) 1.Primary Care (370 – 47.8%) 2.Other (120 – 15.5%) 3.Dental (101 – 13.0%) 4.Vision (74 – 9.6%)

20. Learning Well History ACADEMIC YEAR 2001-2014

21. Learning Well Schools: 2001-2014

22. Individual Students 2001-2014

23. Total Clinical Visits 2001-2014

24. Clinical Services Provided 2001-2014

25. 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.

26. 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.