Over the last two years Nyaya has spearheaded a Morbidity and Mortality Conference (M&M), which aims to provide a venue for Bayalpata Hospital’s clinical staff to critically reflect on and evaluate serious illnesses and deaths that occur. The effort is aimed at improving the quality of the care we offer, particularly through the identification of systematic and clinical issues that prevent our patients from receiving the best care possible. We have posted some recent examples of these evaluations here, here, and here. The M&M program has significantly improved many elements of the care we provide for our patients, and will continue to push us to innovate and expand our services.
This week, Nyaya published Implementing a systems-oriented morbidity and mortality conference in remote rural Nepal for quality improvement an article describing the development, implementation, and limitations of this program in the British Medical Journal’s Quality and Safety. As this article is one of the first describing such a program in a resource-limited setting, we hope it will enable others to consider developing M&M programs at their own institutions. We welcome feedback on this program and hope that the publication of this article will serve to improve our own program and, more broadly, to improve the care to patients in similar settings globally.
Ryan Schwarz, MD, MBA, is the Vice President of US Operations for Nyaya Health. He is currently a resident in the Harvard Brigham and Women’s/Children’s Hospital Medicine-Pediatrics Residency program.