Table 4 Perceived Conflicts Between Regulations and Quality Improvement

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That in order to justify giving pain medication to a resident, the resident must be coded as having pain on the Minimum Data Set (MDS)

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That problems should be corrected in a short amount of time, rather than through small changes that lead to improvement

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That QIOs are doing research that requires permission from residents to participate

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That identifying and documenting a problem that a facility team wants to improve will indicate to surveyors where the facility should be cited for non-compliance with the regulations