The Standardized Mortality Ratio: NABH
About this ebook
The text thoroughly describes how to calculate expected deaths via indirect adjustment, emphasizing that SMR is a relative indicator used primarily for screening and signaling potential quality issues rather than delivering definitive judgments. It stresses the importance of interpreting SMR carefully to avoid misattributing causes for mortality differences.
Historically, the book references Florence Nightingale’s pioneering work linking hygiene to mortality reduction. It also discusses modern applications of SMR in patient safety and quality improvement initiatives, including integration with scoring systems like SOFA and SAPS.
Overall, the book serves as a foundational and practical resource for healthcare professionals and policymakers aiming to employ SMR in evaluating mortality outcomes and enhancing healthcare quality, especially within the context of India’s healthcare accreditation system.
About the author
Akash Tiwari (PGDM - IIM, Indore, MBA- Operations & HR, BSc - Nursing, LLB, AI in Healthcare- Stanford) is a seasoned healthcare leader with over 20 years of expertise in Quality, Operations, Nursing and service excellence. An IIM Indore alumnus, he has led Apollo Hospitals, Ahmedabad, to achieve JCI accreditation three times with zero non-conformities and audited 35+ hospitals for JCI/NABH compliance. Currently, as Corporate Head of Operations Process Excellence at Dr. Agarwal's Eye Hospital, Akash drives operational efficiency and innovation, including AI integration and process optimization. With roles like CEO of Siddhi Vinayak Hospital and Group Head of Quality at Shalby Limited, he combines strategic leadership with a passion for education, teaching healthcare management at Ahmedabad Management Association. Connect with Akash to explore healthcare transformation collaborations.
