Learning well evaluation year 5 report academic year 2005 2006
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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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Learning well evaluation year 5 report academic year 2005 2006

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


Evaluation team

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


Data sources

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


Overview

Overview

  • Learning Well Description and Trends

  • Clinical Services Provided in 2005-2006

  • Achievement of Learning Well Objectives

I.U. Bowen Research Center


Learning well description

Learning Well Description

I.U. Bowen Research Center


Clinics 2005 2006

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


Learning well schools 73 2005 2006

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


Learning well inc penetration rates

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


Learning well inc utilization rates

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


Clinical services provided in 2005 2006

Clinical Services Provided in 2005-2006

I.U. Bowen Research Center


2005 2006 clinic services 122 319

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


Grade of clinic users 2005 2006

Grade of Clinic Users2005-2006

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Gender of clinic users 2005 2006

Gender of Clinic Users2005-2006

I.U. Bowen Research Center


Race ethnicity of clinic users 2005 2006

Race/Ethnicity of Clinic Users2005-2006

I.U. Bowen Research Center


Complexity of clinic visit 2005 2006

Complexity of Clinic Visit2005-2006

I.U. Bowen Research Center


Top ten reasons for visit

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


Regular source of primary care

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


Achievement of learning well objectives

Achievement of Learning Well Objectives

I.U. Bowen Research Center


Learning well goals

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


Goal i address barriers to health care access

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


Goal i continued

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


Goal i continued1

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


Goal i continued2

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


Goal ii provide health care knowledge

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


Goal ii continued

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


Goal ii continued1

Goal II, continued

  • Increase awareness of clinic services

    • Do the parents and students know what services are available at the clinic?

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Goal ii continued2

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


Goal iii address attitudinal barriers

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


Goal iii continued

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


Goal iii continued1

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


Goal iv address clinic provider issues continued

Goal IV: Address Clinic Provider Issues, continued

  • Are your child’s physical health needs being met at the clinic?

I.U. Bowen Research Center


Goal iv continued

Goal IV, continued

  • Are your child’s mental health needs being met at the clinic?

I.U. Bowen Research Center


Health and school performance

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


Conclusions

Conclusions

I.U. Bowen Research Center


Part i

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


Part ii

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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