I totally agree with the last comment.I too have been doing MDS as long as they have 
been around.You do get quicker as you do them.No one understands if they haven't been 
involved in the process.I find the whole process exciting with something new to learn 
all the time.I have been fortunate in the few positions that I have had to be afforded 
the time to do the job as it was meant to be done.We are trying to now improve our 
careplan meetings.We always have alot of family/resident participation.We are 
reviewing at each meeting our QI and if a paricular resident comes up on it with [what 
I call negative outcomes]making sure that we as an interdisciplinary group are doing 
all we can to make a positive outcome.The team seems excited about this 
approach,making the meeting more than just paper compliance.This approcoach is way for 
the MDS people to educate the others regarding the QI indicators and will make all 
prepared to answer questions as our survey window is open.The team has been coming up 
with some very creative approaches.I want 
them to see that each QI report should show improvement as we work to improve our 
delivery of care.Often the upper management is involved with the QIs',when a 
difference can be made at the direct care level.

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