Table 4

Perceived Conflicts Between Regulations and Quality Improvement

•

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)

•

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

•

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

•

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

Kissam et al. BMC Geriatrics 2003 3:2   doi:10.1186/1471-2318-3-2