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Learning Well Evaluation Year 5 Report Academic Year 2005-2006

Learning Well Evaluation Year 5 Report Academic Year 2005-2006. Indiana University Bowen Research Center Terrell W. Zollinger, Dr.P.H. Robert M. Saywell, Jr., Ph.D., M.P.H. Komal Kochhar, M.B.B.S., M.H.A. Christina A. Mandzuk, B.S.E. Evaluation Team. Terrell W. Zollinger, Dr.P.H.

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Learning Well Evaluation Year 5 Report Academic Year 2005-2006

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  1. Learning Well EvaluationYear 5 ReportAcademic Year 2005-2006 Indiana University Bowen Research Center Terrell W. Zollinger, Dr.P.H. Robert M. Saywell, Jr., Ph.D., M.P.H. Komal Kochhar, M.B.B.S., M.H.A. Christina A. Mandzuk, B.S.E. I.U. Bowen Research Center

  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 I.U. Bowen Research Center

  3. Data Sources • Clinic Services (Welligent)Student Surveys 122,319 (5,351 in 2001) 284 (104 in 2001) • Parent SurveysClinic Staff Surveys 68 (34 in 2001) 45 (6 in 2001) • School Faculty/Staff SurveysClinic Activity Logs 309 (134 in 2001) 313 (107 in 2001) I.U. Bowen Research Center

  4. Overview • Learning Well Description and Trends • Clinical Services Provided in 2005-2006 • Achievement of Learning Well Objectives I.U. Bowen Research Center

  5. Learning Well Description I.U. Bowen Research Center

  6. Clinics 2005-2006 14 Nurse Practitioner Model Clinics (10 in 2001-2002) 39 Basic Health Services Model Clinics (0 in 2001-2002) 20 Feeder School Outreach Clinics I.U. Bowen Research Center

  7. Learning Well Schools: 73 2005-2006 • 18 High Schools (4 in 2001) • 21 Middle Schools (6 in 2001) • 34 Elementary Schools (0 in 2001) I.U. Bowen Research Center

  8. Learning Well, Inc. Penetration Rates • 37.7% of IPS Students have access to a Learning Well clinic (14,330/38,036) • 17.9% of all Marion County Children (ages 5-17) have access to a Learning Well clinic (28,717/160,396) I.U. Bowen Research Center

  9. Learning Well, Inc. Utilization Rates • 56.7% of the students at schools served by Learning Well clinics have visited the clinics (16,282/28,717) I.U. Bowen Research Center

  10. Clinical Services Provided in 2005-2006 I.U. Bowen Research Center

  11. 2005-2006 Clinic Services: 122,319 122,319 in 2005-2006 74,910 in 2004-2005 53,862 in 2003-2004 18,951 in 2002-2003 5,351 in 2001-2002 Over a twenty fold increase 2001-2006 I.U. Bowen Research Center

  12. Grade of Clinic Users2005-2006 I.U. Bowen Research Center

  13. Gender of Clinic Users2005-2006 I.U. Bowen Research Center

  14. Race/Ethnicity of Clinic Users2005-2006 I.U. Bowen Research Center

  15. Complexity of Clinic Visit2005-2006 I.U. Bowen Research Center

  16. Top Ten Reasons for Visit • Headache • Physical examination • Counseling • Vaccines • Rhinitis/Bronchitis • Menstrual disorders • Skin disorders • Esophagus/Stomach disorders • Pharyngitis/Tonsilitis/Sinusitis • Pain- abdomen I.U. Bowen Research Center

  17. Regular Source of Primary Care • 86.3% of students had a primary care provider • Utilization • 33.1% had been admitted to a hospital in the past year • 39.6% were treated in an Emergency Room or Urgent Care Center in the past year I.U. Bowen Research Center

  18. Achievement of Learning Well Objectives I.U. Bowen Research Center

  19. Learning Well Goals • Goal I: Address Student Barriers to Health Care Access • Goal II: Provide Students/Parents with increased Health Care Knowledge • Goal III: Address Student/Parent Perception Barriers to Clinic Utilization • Goal IV: Address Clinic Provider Perception of the Ability of Clinics to Meet Student Health Care Needs I.U. Bowen Research Center

  20. Goal I: Address Barriers to Health Care Access • Address economic barriers • 75.8% of parents indicated they would NOT be able to pay for their child’s medical services if the clinic were not here I.U. Bowen Research Center

  21. Goal I, continued • Convenient location for health care services • 100.0% of parents and 97.7% of students agreed • Convenient hours for health care services • 98.4% of parents and 95.3% of students agreed I.U. Bowen Research Center

  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: I.U. Bowen Research Center

  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: I.U. Bowen Research Center

  24. Goal II: Provide Health Care Knowledge • Provide awareness of the value of preventive medicine • Parents: 88.2% schedule a regular check up for their child each year • Students:42.9% visit the clinic to get health information even when not sick • Teachers: 59.4% VERY appropriate and 34.8% SOMEWHAT appropriatefor children to miss class to visit the clinic for preventive care I.U. Bowen Research Center

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

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

  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? I.U. Bowen Research Center

  28. Goal III: Address Attitudinal Barriers • Provide a comfortable setting for health care • Parents: 97.0% indicated they were comfortable with their children receiving health care at the clinic • Students: 97.8% indicated they were comfortable receiving health care at the clinic I.U. Bowen Research Center

  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? I.U. Bowen Research Center

  30. Goal III, continued • Address the perception of the need for care • Parents: 91.2% were VERY comfortable and 8.8% were SOMEWHAT comfortable deciding when to seek medical care for their child I.U. Bowen Research Center

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

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

  33. Health and School Performance • 87.8% believed their health…… • 88.6% believed their school performance… • 84.9% believed their grades…… ….had either improved or were the same compared to one year ago (student survey) I.U. Bowen Research Center

  34. Conclusions I.U. Bowen Research Center

  35. Part I • Learning Well increased the number of school-based health clinics and the number of students who were provided services • Significant numbers of High risk children (30% hospitalized, 40% have ER visits) were identified • Parents and children highly satisfied with Health Services provided by Learning Well I.U. Bowen Research Center

  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 I.U. Bowen Research Center

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