Date of Conferral

5-26-2025

Date of Award

May 2025

Degree

Doctor of Nursing Practice (DNP)

School

Nursing

Advisor

Corinne Wheeler

Abstract

Case managers at the practice site are responsible for helping older and disabled clients receive services from Medicare and Medicaid. The gap in practice was that case managers were failing to recognize the benefit and eligibility differences between these federal and state-run programs. Case managers must be well-informed regarding these programs to effectively manage their clients’ care. The goal of this project was to plan, implement, and evaluate a staff education program on Medicare and Medicaid services. The practice-focused question centered on whether participants demonstrated increased knowledge about Medicare and Medicaid services available to Waiver Program clients. The theoretical framework guiding the project comprised the analysis, design, development, implementation, and evaluation model and Knowles’s theory of adult learning principles. The learning material was adapted from federal and state government resources. The project took place at a planning and development district in a rural, southeastern region of the United States. A total of 20 case managers participated and completed pen-and-paper, pre-/posttest questionnaires. The results were calculated using the learning gain formula. The participants’ mean pretest (70.5) to posttest (90.2) scores resulted in learning gain of averages of 68.0%. The score improvement indicates that the education program enhanced their knowledge and understanding. This project can create positive social change and increase equality and inclusion by promoting improved case management care to all Waiver Program clients. Recommendations from this project are providing routine staff education programs, increasing the session times, and including additional details about Medicare and Medicaid.

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