Date of Award


Degree Name

Nursing (D.N.P.)


College of Nursing

First Advisor

Cynthia Coviak

Second Advisor

Rebecca Davis

Third Advisor

Margaret Wolter


This project was a quality improvement initiative utilizing a new format to deliver the Medicare Annual Wellness Visit (AWV) to Medicare recipients. The purpose of the project was the development of a protocol for implementing a registered nurse (RN)-led AWV in a primary care setting. The pilot project focused on changing the clinic’s current AWV structure from a provider-led format to a RN-led format. The pilot was geared towards improving care coordination, while enhancing preventive services and early intervention for chronic disease management. The 6-week pilot was used to help identify areas of weaknesses in the registered nurse-led AWV. During the pilot, the RNs performed 16 AWVs. The objectives of the project were to determine the acceptability of the new format and assess the organization’s capability for efficient performance of an RN-led AWV. Outcome measures determined staff satisfaction for the visit was high and efficiency was apparent through enhanced care coordination and reimbursement opportunities. A final protocol and sustainability tools were developed as a guide for RNs to use. The guide was developed based on the weaknesses identified during the pilot period. This document discusses the background information, problem statement, intervention, evaluation methods, outcomes, sustainability resources, and dissemination methods related to the pilot project.

Included in

Nursing Commons