Tag Emergency Preparedness Solutions

Measuring Preparedness – An Executive Academy Perspective

Tim Riecker, The Contrarian Emergency Manager 10 Comments

A recent class of FEMA’s Emergency Management Executive Academy published a paper titled Are We Prepared Yet? in the latest issue of the Domestic Preparedness Journal.  It’s a solid read, and I encourage everyone to look it over.

First off, I wasn’t aware of the scope of work conducted in the Executive Academy.  I think that having groups publish papers is an extremely important element.  Given that the participants of the Executive Academy function, presently or in the near future, at the executive level in emergency management and/or homeland security, giving others the opportunity to learn from their insight on topics discussed in their sessions is quite valuable.  I need to do some poking around to see if papers written by other groups can be found.

As most of my readers are familiar, the emphasis of my career has always been in the realm of preparedness.  As such, it’s an important topic to me and I tend to gravitate to publications and ideas I can find on the topic.  The authors of this paper bring up some excellent points, many of which I’ve covered in articles past.  They indicate a variety of sources, including literature reviews and interviews, which I wish they would have cited more completely.

Some points of discussion…

THIRA

The authors discuss the THIRA and SPR – two related processes/products which I find to be extremely valuable.  They indicate that many believe the THIRA to be complex and challenging.  This I would fully agree with, however I posit that there are few things in the world that are both simple and comprehensive in nature.  In particular regard to emergency management and homeland security, the inputs that inform and influence our decisions and actions are so varied, yet so relevant, that to ignore most of them would put us at a significant disadvantage.  While I believe that anything can be improved upon, THIRA and SPR included, this is something we can’t afford to overly simplify.

What was most disappointing in this topic area was their finding that only a scant majority of people they surveyed felt that THIRA provided useful or actionable information.  This leaves me scratching my head.  A properly done THIRA provides a plethora of useful information – especially when coupled with the SPR (POETE) process.  Regardless, the findings of the authors suggest that we need to take another look at THIRA and SPR to see what can be improved upon, both in process and result.

Moving forward within the discussion of THIRA and SPR, the authors include discussion of something they highlight as a best practice, that being New York State’s County Emergency Preparedness Assessment (CEPA).  The intent behind the CEPA is sound – a simplified version of the THIRA which is faster and easier to do for local governments throughout the state.  The CEPA includes foundational information, such as a factual overview of the jurisdiction, and a hazard analysis which ranks hazards based upon likelihood and consequence.  It then analyses a set of capabilities based upon the POETE elements.  While I love their inclusion of POETE (you all know I’m a huge fan), the capabilities they use are a mix of the current Core Capabilities (ref: National Preparedness Goal) and the old Target Capabilities, along with a few not consistent with either and a number of Core Capabilities left out.  This is where the CEPA falls apart for me.  It is this inconsistency with the National Preparedness Goal that turns me off.  Any local governments looking to do work in accordance with the NPG and related elements, including grants, then need to cross walk this data, as does the state in their roll-up of this information to their THIRA and SPR.

The CEPA continues with an examination of response capacity, along the lines of their response-oriented capabilities.  This is a valuable analysis and I expect it becomes quite a reality check for many jurisdictions.  This is coupled with information not only on immediate response, but also sustained response over longer periods of time.  Overall, while I think the CEPA is a great effort to make the THIRA and POETE analysis more palatable for local jurisdictions, it leaves me with some concerns in regard to the capabilities they use.  It’s certainly a step in the right direction, though.  Important to note, the CEPA was largely developed by one of the authors of the paper, who was a former colleague of mine working with the State of New York.

The Process of Preparedness

There are a few topic areas within their paper that I’m lumping together under this discussion topic.  The authors make some excellent points about our collective work in preparedness that I think all readers will nod their heads about, because we know when intuitively, but sometimes they need to be reinforced – not only to us as practitioners, but also to other stakeholders, including the public.  First off, preparedness is never complete.  The cycle of preparedness – largely involving assessment, planning, organizing, equipping, training, and exercising – is just that – a cycle.  It’s endless.  While we do a great deal of work in each of these, our accomplishments are really only temporary.

The authors also mention that our information is not always precise.  We base a lot of what we do in preparedness on information, such as a hazard analysis.  While there are some inputs that are factual and supported by science, there are many that are based on speculation and anecdote.  This is a reality of our work that we must always acknowledge.  As is other of their points – there is no silver bullet.  There is no universal solution to all our woes.  We must constantly have our head in the game and consider actions that we may not have ever considered before.

ICS Improvement Officer

The authors briefly discuss a conceptual position within the ICS Command Staff they call the ICS Improvement Officer.  The concept of this fascinating, if not a bit out of place in this paper given other topics of discussion.  Essentially, as they describe this position, it is someone at the Command Staff level who is responsible for providing quality control to the incident management processes and implementations of the organization.  While I’ve just recently read this paper and haven’t had a lot of time to digest the concept, I really can’t find any fault with the concept.  While the planning process itself is supposed to provide some measure of a feedback loop, there isn’t anyone designated in the organization to shepherd that process beginning to end and ultimately provide the quality control measures necessary.  In practice, I’ve seen this happen collaboratively, among members of the Command and General Staff of a well-staffed structure, as well as by the individual who has the best overall ICS insight and experience in an organization – often the Planning Section Chief.  The authors elude to this position also feeding an AAR process, which contributes to overall preparedness.  I like this idea and I hope it is explored more, either formally or informally.

Conclusion

There are a number of other topic areas of this paper which I haven’t covered here, but I encourage everyone to read on their own.  As mentioned earlier, I’d like to see more of the research papers that come from FEMA’s Emergency Management Executive Academy available for public review.  Agree or disagree with their perspectives, I think their discussions on various topics are absolutely worth looking at.  It’s these discussions like these which will ultimately drive bigger discussions which will continue to advance public safety.

I’m always interested in the perspectives of my readers.  Have you read the paper?  What do you think of the discussion topics they presented?

© 2017 – Timothy M Riecker, CEDP

Emergency Preparedness Solutions, LLC

 

Preparedness Exercises – The Building Block Concept Can Be Misleading

Tim Riecker, The Contrarian Emergency Manager Leave a comment

If you’ve been doing emergency management and homeland security exercises for even a little while, you are probably familiar with this graphic.  It’s included in a great many exercise training courses and other materials that talk about the different types of exercises out there.  This graphic looks correct at first glance.  It seems to make sense.  Intuitively, we assume that full-scale exercises are the most complex exercise type and that they test capabilities to the greatest extent.  When we put more thought into that, though, we realize that it can be wrong.

I’m happy to note that the most recent document on the Homeland Security Exercise and Evaluation Program (HSEEP) (April 2013) does NOT include this graphic.  They include a couple of paragraphs on using a ‘progressive approach’ to a multi-year exercise program, recommending that “each successive exercise building upon the previous one until mastery is achieved” is the path forward.  While I’m not too crazy about this statement, either, it’s not as misleading as the legacy ‘building block’ graphic.

Here’s the problem with the graphic – It assumes too much.  While in some instances this graphic can be correct, it shouldn’t be regarded as even occasional guidance.  I’ve witnessed, managed, designed, evaluated, or otherwise participated in a number of workshops, tabletops, drill, and functional exercises that are far more complex than some full-scale exercises I’ve likewise been involved in.  Similarly, I can attest to some ‘lower level’ exercises testing capabilities to a greater extent than the ‘higher level’ exercises.  The hierarchal structure is simply misleading.  The problem this can create is people being dismissive of the relevance, necessity, and value of conducting exercises other than functional and full-scale.

Making a training comparison, exercise types don’t really stick to a scaled taxonomy.  (Check out this article for a small introduction to Bloom’s Taxonomy which is used in instructional design.) While we can state that an awareness level course is more about knowing and understanding, and an operations-level course is more about applying, we can’t say the same for exercises as a spectrum generalization.  Consider that seminars are certainly geared toward orienting people with information, while workshops, on the other hand, require creation of a product, by definition.  Tabletop exercises can (and should) be incredibly in-depth, analyzing plans and policy, while drills are more about application.

So what exercise type should you choose?  It goes back to the foundations of exercise design – consider your objectives, then consider what exercise type best fits what was identified that you want to accomplish.  Reflecting, now, back on the progressive approach mentioned in the HSEEP document, it’s true that you probably don’t want to jump into a full-scale right away.  That has less to do with the perceived complexity of the exercise and more to do with how plans are properly tested – which is the main reason why we exercise.  First, we need to talk through aspects of our plans, policies, and procedures.  We need to make sure that our foundational assumptions are sound and that broader decisions and actions are in line with the documents created.  This is typically the reasoning behind conducting a table top exercise before any type of operations-based exercise.  Once we have established that the foundational premise and supporting policies of the plan is sound, then it can make sense to progress to a selection of operations-based exercises to test various tactile aspects of the plan and associated procedures.

That said, some procedures are so tactile that really the only way to test them is through an operations-based exercise.  Perhaps they are first built in a workshop-type of environment, then go straight to a drill for testing.  That might be all that’s needed.  Yes, they could be further integrated into a functional or full-scale later, if you choose to integrate them into other activities.

The bottom line here is that while the building-block approach to exercises makes sense at a glance, it is really quite more complex than the graphic eludes to.  Yes, it still has some relevance, but it should not be viewed as the rule.  Just as in training and emergency response, objectives drive everything in exercises.

© 2017 – Timothy M Riecker

Emergency Preparedness Solutions, LLC

 

In a POETE State of Mind

Tim Riecker, The Contrarian Emergency Manager 2 Comments

One of the searches that has most often brought people to my blog over the last couple of years has been POETE.  In case you forgot, POETE stands for Planning, Organizing, Equipping, Training, and Exercising.  If you conduct an internet search for POETE, there are very few relevant results.  Along with a few of my blog posts, there are a couple of articles published by others, and a few FEMA documents that include obscure references to POETE.  Sadly, there is nothing available that provides (official) guidance, much less doctrine.

Why is it that such a great tool has so few tangible references?  Unfortunately, I don’t have an answer to that.  I hope that will soon change.

POETE was most widely indoctrinated several years ago as an analysis step within the State Preparedness Reports (SPRs), which are annual submissions completed by every state, UASI (Urban Area Security Initiative-funded program), and territory.  Note: The SPR templates and guidance are generally not publicly posted, as they are sent directly to the points of contact for each jurisdiction – thus they generally don’t come up in internet search results.

The SPR is a step beyond the THIRA (Threat and Hazard Identification and Risk Analysis), which is a very in-depth hazard analysis.  The SPR examines each jurisdiction’s level of preparedness for hazards, referencing the 32 Core Capabilities.  Each Core Capability is then analyzed through the lens of POETE.

As a conceptual example, let’s use the Operational Communications Core Capability.  The POETE analysis will examine the jurisdiction’s preparedness by examining:

  • Planning (are plans adequate? Have they been tested?  What improvements need to be made?);
  • Organizing (are there organizational barriers to success? What human operational communications resources are available?  Are there gaps?  Have teams been exercised? What improvements need to be made?);
  • Equipment (does the jurisdiction have equipment necessary for operational communications? What needs are there relative to the resource management cycle?);
  • Training (what training has been provided? What training gaps exist?  When/how will they be addressed?);
  • Exercises (what exercises have been conducted that include the operational communications Core Capability? What were the findings of the AAR/IPs?  What future exercises are scheduled that include this Core Capability?).

Along with answering a few questions on each element, jurisdictions are asked to rate their status for each POETE element for each Core Capability.  If they look at their reports submitted historically, they can see the measure of progress (or lack thereof) with each.  They also have a tracking of identified action items to help them improve their measure of preparedness.

While this analysis can be quite tedious, it’s extremely insightful and informative.  Often, stakeholders have conceptual ideas about the state of preparedness for each Core Capability, but absent conducting this type of in-depth analysis, they rarely see the details, much less have them written down.  Documenting these helps with recognition, awareness, tasking, tracking, and accountability.  It’s a valuable activity that I would encourage all jurisdictions and organizations to conduct.

What else can POETE be applied to?  In the past few years, POETE is being included in DHS preparedness grants.  They often want applicants to identify key tasks within the POETE structure, and awardees to chart progress along the same lines.

I’ve advocated in the past to use the POETE structure in improvement plans, which are a step beyond after action reports from exercises, events, and even incidents.  Having key activities identified across each POETE element for the Core Capabilities analyzed is extremely helpful, and ensures that issues are being identified comprehensively.

Using the POETE concept across all preparedness efforts helps to tie them together.  By documenting each element for each Core Capability, you will have full visibility and reference to your current status and what needs to be improved upon.  It helps drive accountability, a comprehensive approach, and reduces duplication of efforts – especially in larger organizations.  While implementing such a program will take some investment up front to begin to identify, organize, and chart progress and establish an organizational system to do so, I feel it’s an investment that will pay off.

I’m hopeful that the use of POETE continues to see adoption across all of emergency management and homeland security, and that it is further reinforced as a standard through DHS, FEMA, NFPA, and other organizations which hold sway for settings standards and/or requirements.

How does your organization, agency, or jurisdiction use POETE?

© 2017 – Timothy M Riecker, CEDP

Emergency Preparedness Solutions, LLC

Incident Evaluation

Tim Riecker, The Contrarian Emergency Manager 4 Comments

I’ve written at length about the importance of quality evaluation of exercises.  Essentially, if we don’t evaluate exercises, and do it well, the benefits of the exercises are quite limited.  Generally, we don’t see a benefit to incidents.  By their very nature, incidents threaten and impact life, property, and environment – things we don’t view as being beneficial.  However, benefits are often a product of opportunity; and we absolutely should take the opportunity to evaluate our responses.

Many incidents do get evaluated, but through research after the fact.  We retrace our steps, review incident documents (such as incident action plans), interview personnel, and examine dispatch logs.  These efforts usually paint a decent picture of intent and result (things that are often different), but often miss the delta – the difference between the two – as well as other nuances.  When we evaluate an exercise, we do so in real time.  Th evaluation effort is best done with preparation.  Our evaluation plans, methodologies, and personnel are identified in the design phase of the exercise.  Just as we develop emergency operations plans and train personnel to respond, we can develop incident evaluation plans and train personnel to evaluate incident responses.

Understandably, a hurdle we might have is the availability of personnel to dedicate solely to evaluation, especially on larger incidents – but don’t be afraid of asking for mutual aid just to support incident evaluation (just be sure to include them in your preparedness efforts).  Just as regional exercise teams should be developed to provide cooperative efforts in exercise design, conduct, and evaluation; incident evaluation teams should be developed regionally.  To me, it makes sense for many of these personnel to be the same, as they are already familiar with how to evaluate and write up evaluations.

In exercises, we often use Exercise Evaluation Guides (EEGs) to help focus our evaluation efforts.  These are developed based upon identified Core Capabilities and objectives, which are determined early in the exercise design process.  While we don’t know the specific objectives we might use in an incident, we can identify these in general, based upon past experiences and our preparedness efforts for future incidents.  Similarly, our emergency planning efforts should be based around certain Core Capabilities, which can help inform our incident evaluation preparedness efforts.  Job aids similar to EEGs, let’s call them incident evaluation guides (IAGs), can be drafted to prepare for incident evaluation, with adjustments made as necessary when an incident occurs.

Evaluating an incident, in practice, is rather similar to how we would evaluate an exercise, which is why the training for these activities is relatively portable.  Evaluation efforts should avoid evaluating individuals, instead focusing on the evaluation of functions and processes.  Don’t reinvent the wheel – evaluate based upon documented (hopefully!) plans and procedures and use the Homeland Security Exercise and Evaluation Program (HSEEP) standards to guide your process. Incident evaluation must be managed to ensure that evaluation gaps are minimized and that evaluation progresses as it should.  Observations should be recorded and, just as we would for an exercise, prepared for and eventually recorded in an after action report (AAR).

I favor honest after action reports.  I’ve seen plenty of after action reports pull punches, not wanting the document to reflect poorly on people.  Candidly, this is bullshit.  I’ve also heard many legal councils advise against the publication of an after action report at all. Similarly, this is bullshit.  If our actions and the need to sustain or improve certain actions or preparations is not properly recorded, necessary changes are much less likely to happen.  If an AAR isn’t developed, a corrective action plan certainly won’t be – which gives us no trackable means of managing our improvements and disavows our intent to do so.

As a profession, public safety must always strive to improve.  We have plenty of opportunity to assess our performance, not just through exercises, which are valuable, but also through the rigors of incident responses.  Prepare for incident evaluation and identify triggers in your emergency plans for when evaluation will be employed, how, and who is involved.  Begin evaluation as early as possible in an incident – there are plenty of lessons learned in the early, and often most critical moments of our incident response.  Finally, be sure to document lessons learned in an AAR, which will contribute to your overall continuous improvement strategy.

How does your agency accomplish incident evaluation?  If you don’t, why?

Need help with the evaluation of incidents?  We are happy to help!

© 2017 – Timothy Riecker, CEDP

Emergency Preparedness Solutions, LLC

2017 HSEEP Course Information

Tim Riecker, The Contrarian Emergency Manager 3 Comments

Emergency Preparedness Solutions is regularly looking for Homeland Security Exercise and Evaluation Program (HSEEP) trained personnel to help us design, conduct, and evaluate exercises.  The following training bulletin from FEMA’s Emergency Management Institute provides updated information on the course offerings and application process.  Below the training bulletin is a listing of the webinar-based offerings of HSEEP (K0146).

Training Bulletin

Course:  K/L0146 – Homeland Security Exercise Evaluation Program

 (HSEEP): Basic Course

Emmitsburg, MD — You are subscribed to EMI News for FEMA. The following information has recently been updated, and is now available on http://training.fema.gov/EMI/

1263 – REVISED – Training Bulletin – K-L0146 – updated – Jan 12, 2017

The K/L0146 HSEEP is an intermediate-level course that provides a comprehensive overview of exercise design along with practical skill development in accordance with the HSEEP Doctrine.  The course uses activities that will give participants an opportunity to interact with many of the templates and other materials that are provided by the National Exercise Division to ensure exercises are conducted in a consistent manner.  Upon completion of this course, participants will gain a better understanding of what constitutes a HSEEP consistent exercise.

Read more in Training Bulletin 1263.

 

Course Start End
K0146: Homeland Security Exercise and Evaluation Program (HSEEP) Training Course
(M,T,W,R 1:00-5:00 p.m. EST)		 4/10/2017 4/13/2017
K0146: Homeland Security Exercise and Evaluation Program (HSEEP) Training Course
(M,T,W,R 1:00-5:00 p.m. EST)		 5/8/2017 5/11/2017
K0146: Homeland Security Exercise and Evaluation Program (HSEEP) Training Course
(M,T,W,R 1:00-5:00 p.m. EST)		 6/5/2017 6/8/2017
K0146: Homeland Security Exercise and Evaluation Program (HSEEP) Training Course
(M,T,W,R 1:00-5:00 p.m. EST)		 7/10/2017 7/13/2017
K0146: Homeland Security Exercise and Evaluation Program (HSEEP) Training Course
(M,T,W,R 1:00-5:00 p.m. EST)		 8/7/2017 8/10/2017
K0146: Homeland Security Exercise and Evaluation Program (HSEEP) Training Course
(M,T,W,R 1:00-5:00 p.m. EST)		 9/18/2017 9/21/2017
K0146: Homeland Security Exercise and Evaluation Program (HSEEP) Training Course
(M,T,W,R 1:00-5:00 p.m. EST)		 3/13/2017 3/16/2017
K0146: Homeland Security Exercise and Evaluation Program (HSEEP) Training Course
(M,T,W,R 1:00-5:00 p.m. EST)		 2/6/2017 2/9/2017

 

ICS and the Human Factor

Tim Riecker, The Contrarian Emergency Manager 2 Comments

A number of my articles have mentioned the unpredictable human factor in executing emergency plans and managing incidents, particularly for complex incidents.  We can build great plans and have a great management system to facilitate the incident management process, but the human factor – that largely intangible level of unpredictability of human behavior – can steer even the best emergency plan astray or derail an incident management process.

An article published in the Domestic Preparedness Journal yesterday, written by Eric McNulty, reflects on this.  Mr. McNulty cites several human factors which have relevance within incident management and encourages leaders to understand these factors within themselves and others to bring about more effective leadership.  The introductory paragraph of his article suggests the need for integrating behavior training into ICS training to ‘improve performance and outcomes’.  Given the impact of behavior factors on how we respond, this is a concept I can certainly endorse for a much-needed rewrite of the ICS curriculum.

I’ve heavily referenced Chief Cynthia Renaud’s paper, The Missing Piece of NIMS: Teaching Incident Commanders How to Function in The Edge of Chaos, in the past and continue to hold her piece relevant, especially in this discussion.  Chief Renaud’s suggestions draw lines parallel to behavioral factors, which suggest to me that we certainly need to integrate leadership training into ICS training.  The current ICS 200 course attempts to do so, but the content simply panders to the topic and doesn’t address it seriously enough.  We need to go beyond the leadership basics and explore leadership training done around the world to see what is the most effective.

Incident management is life and death – not a pick-up game of stick ball.  Let’s start taking it more seriously and prepare people better for this responsibility.

© 2016 – Timothy Riecker, CEDP

Emergency Preparedness Solutions, LLC – Your Partner in Preparedness

Do We Need Different Systems for Catastrophic Incidents?

Tim Riecker, The Contrarian Emergency Manager 2 Comments

We’ve long heard, albeit in small pockets, people proclaiming that emergency management and public safety need different systems for larger incidents vs smaller incidents.  For years, the Incident Command System (ICS) fought that stigma, with many saying that ICS is only used for hazardous materials incidents (specifically because of OSHA requirements) or for large incidents that required such a high degree of organization.  Following the release of HSPD-5 and the resultant requirements for everyone to use the National Incident Management System (NIMS), we finally seemed to transcend that mentality – although we are still seeing people apply ICS poorly, and often with the thought that it will all work out fine when a large incident occurs.

Since the mid-2000s, coupled with the push for ‘catastrophic planning’, I’ve been hearing people proclaiming that catastrophic incidents require different systems – be it for planning or management.  Recently, I’m hearing this mentioned again.  Yet, interestingly enough, none of the arguments identify specifically what it is about our current systems of preparedness or incident management that fail at the sight of a catastrophic incident.

While I’m a critic of various aspects of our current systems, I’m a believer in them overall.  Do we need a new system of planning?  No, we just need to do it better.  When we plan for a catastrophic level event, we must consider that NOTHING will work in the aftermath of such an incident.  I’m shocked that some people are still counting on the existence and functionality of critical infrastructure following a catastrophic event.  No roads, no communications, no life lines.  These surprised disclosures are revealed in the After Action Reports (AARs) of incidents and exercises that test catastrophic incidents, such as the recent Cascadia Rising exercise.

Fundamentally, are these losses all that different than what we experience in smaller disasters?  Not so much.  Smaller disasters still take out our roads and disable our communications systems – but such disasters are small enough that we can work around these issues.  So how is it a surprise that a large hurricane or earthquake will do even more damage?  It really shouldn’t be.  It’s essentially a matter of scale.

That said, I certainly acknowledge the difficulties that come with the combined impacts of a catastrophic disaster, coupled with the sheer magnitude of it all.  There are challenges offered that we don’t normally see, but a new system of planning is not the answer.  The current frameworks and standards, such as CPG-101 and NFPA 1600 are absolutely substantial.  The processes are not flawed.  The issue is a human one.  We can’t blame the standards.  We can’t blame the plans.  The responsibility lies with the people at the table crafting the plan.  The responsibility lies with them to fully understand the hazards and the potential impacts of those hazards.  Conducting a hazard analysis is the first step for a planning team to accomplish, and I think this is often taken for granted.  While the traditional hazard analysis has value, the current standard is the Threat and Hazard Identification and Risk Assessment (THIRA).  It is an exhausting and detailed process, but it is highly effective, with engaged teams, to reveal the nature and impacts of disasters that can impact a community.  Without a solid and realistic understanding of hazards, including those that can attain catastrophic levels, WE WILL FAIL.  It’s that simple.

As we progress through the planning process and identify strategies to accomplish objectives, alternate strategies must be developed to address full failures of infrastructure and lack of resources.  Assumptions are often made in plans that we will be able to apply the resources we have to fix problems; and if those resources are exhausted, we will ask for more, which will magically appear, thus solving our problems.  Yes, this works most of the time, but in a catastrophic incident, this is pure bullshit.  This assumption needs to be taken off the table when catastrophic incidents are concerned.  The scarcity of resources is an immediate factor that we need to address along with acknowledging that a severely damaged infrastructure forces us out of many of the technological and logistical comforts we have become accustomed to.  It doesn’t require a new system of planning – just a realistic mentality.

This all logically ties to our incident management system – ICS.  ICS is fully able to accommodate a catastrophic-level incident.  The difficulties we face are with how we apply it (another human factor) and integration of multiple ICS organizations and other incident management entities, such as EOCs.  The tenant in ICS is that one incident gets one incident command system structure.  This is obviously not a geo-political or practical reality for a catastrophic incident that can have a large footprint.  This, however, doesn’t mean that we throw ICS out the window.  This is a reality that we deal with even on smaller disasters, where different jurisdictions, agencies, organizations, and levels of government all have their own management system established during a disaster.  Through implementations such as unified command, multi-agency coordination, agency representatives and liaison officers, and good lines of communication we are able to make effective coordination happen.  (Side note: this is absolutely something I think we need to plan for and tighten up conceptually.  It’s often pulled together a bit too ad-hoc for my comfort).

While some time and effort needs to be applied to develop some solid solutions to the issues that exist, I’m confident that we DO NOT need to create alternate preparedness or response systems for addressing catastrophic incidents – we simply need to apply what we have better and with a more realistic perspective.  The answers won’t come easy and the solutions might be less than ideal, but that’s the nature of a catastrophic event.  We can’t expect it to be easy or convenient.

© 2016 – Timothy Riecker, CEDP

Emergency Preparedness Solutions, LLC – Your Partner in Preparedness

EMS is in Trouble

Tim Riecker, The Contrarian Emergency Manager 2 Comments

If you’ve worked in or with Emergency Medical Services (EMS) over the past couple of decades, you probably know it’s in trouble in many areas around the nation.  As with many organizations, finances are the culprit.  Many EMS organizations simply can’t make ends meet.  Costs for equipment, insurance, fuel, training, and facilities often can’t be balanced in the black against recovered income.  It’s not to say it can’t be done – some are doing it, and successfully.  But many are having a difficult time.  Staffing is another problem.  Volunteer services must constantly recruit and work to retain staff.  Volunteer fire services are experiencing similar recruitment and retention problems.  Even with diligent efforts, day time coverage in some areas is a challenge while many of these volunteers are working at their primary jobs.  Paid services struggle with staffing as well.  It’s no mystery that EMTs and Paramedics don’t get into this business to make good money.  According to a study posted by Monster, the highest paid states provide pay in the $20-$35/hour range, but it slides quickly, with not only the lowest paying states paying in the teens, but the average also sitting in the teens.  Yep, you could be out saving lives and someone working at McDonald’s makes more money than you do.  It’s a rather depressing valuation.

When you couple these two big factors – volunteer staffing and finances – it gets even more difficult.  Paid and volunteer services alike are kicking calls over to mutual aid providers because of being short staffed, which means they miss revenue, which continues to make matters worse.  Many volunteer EMS services, as well as volunteer fire services, are hiring day-shift staff so they can continue to meet needs in their communities during these more difficult timeframes.  For those of you keeping score at home, that’s more cash out.  It might pay off for a busier provider, but certainly not for a provider whose call volume doesn’t balance the checkbook.  Yes, it continues to provide a service to the community, but it’s not sustainable in the long run.

How are the private paid services doing?  Many aren’t doing so well, either.  We see service areas shrinking all around the nation, with paid services seeing diminishing revenues from less dense population areas.  Quite a few paid services make ends meet from interfacility transfers, which are low cost but require volume to make reasonable revenue.

Municipal services are another category which generally have a poor income statement.  I think it’s great that some municipalities provide EMS transport services.  Financially, these services are underwritten by tax payers, with some cost recovery possible through billing insurance companies.  The costs of most municipal services, however, are generally higher, as EMTs and paramedics are government employees, often unionized, and with benefits.  It’s great for them, but not good for the municipal comptroller.  That said, it’s one of the most sustainable models since the underlying financing is spread across all the jurisdiction’s tax payers.  Still a challenge, though, when you consider the tough financial constraints many jurisdictions are facing.

So what’s to be done?  We will eventually need to see a shift in how EMS is provided across the nation.  It is an absolutely necessary service, just as important as roads, fire protection, or law enforcement.  While we won’t see a sudden change, I believe the way forward will be municipal services, or municipally-funded services (those being private or volunteer, but under contract with one or more municipalities).  EMS, similar to other disciplines in public safety, is a public service, and foundationally will need to be publicly funded in order to sustain.  This is nothing new, as there are a number of EMS providers already following this model – that being the maintenance of a contract with one or more municipalities to provide EMS services, for a fee, while also gaining revenue from third party billing, as well as fees for stand-by services for sporting events and other mass gatherings.

What trends do you see in EMS organizational models where you are?  Are the current models sustainable?  Do you view EMS as a public safety endeavor similar to law enforcement and the fire service?

© 2016 – Timothy M. Riecker, CEDP

Emergency Preparedness Solutions, LLC – Your Partner in Preparedness

 

 

Embracing the Playbook in Emergency Management

Tim Riecker, The Contrarian Emergency Manager Leave a comment

This morning I suggested to a client the possible use of a playbook as a training supplement for their duty officer program.  A playbook is a job aid, but more than just a check list or a chart.  Ideally, a playbook is a structured collection of job aids, broken down by situation for easy reference by whomever needs the information.

Playbooks are best known to be most extensively used in American football.  They contain a variety of strategies for accomplishing certain objectives (short yardage gain, long yardage gain, end zone scoring, kick return, etc.), with each strategy often accompanied by one or more diagrams of Xs (the opposition) and Os (your team), with lines showing movement and action by certain positions.  Playbooks are tested, practiced, and memorized by players before the season begins, but are constantly referenced every game by coaches and players alike.

playbook-diagram

Fundamentally, the play book exists because there are so many situations the team needs to respond to and several different ways in which they can respond.  While some of their plays are fairly routine, others are rarely, if ever, used.  Just like emergency management, however, it’s good to have the plan available if we need it.

Assembling a playbook for emergency management purposes doesn’t have any set standard, but as with any other tool or plan we assemble, we must first identify the purpose and the audience.  Play books can be assembled for elected officials and executives, duty officers and middle management, or dispatchers and first responders – it all depends on what is needed.  One thing that should be stressed, though… playbooks are NOT plans, nor should they be treated as a replacement for training.  Playbooks should be based upon established policy, plans, and procedures; and training still should be conducted on those policies, plans, and procedures.  A playbook is the collection of job aids which will help us to navigate the things people may not routinely do – which makes them excellent for emergency management applications.

Consider that the content of the playbook won’t (and probably shouldn’t) try to map out an incident from inception to completion.  The playbook is intended to address critical actions within an early timeframe of the incident.  Following this, a team should be assembled and striving to manage the incident using the planning process and referencing the foundational plans and policies.  There may be a few nuanced circumstances and activities within the playbook that are still relevant in the extended response, but these should be few.

The organization and content of the playbook should depend on the objectives and audience of the tool.  It should not be heavy in narrative and doesn’t require a lot of background as a plan might.  For emergency management purposes, most playbooks are organized by hazard and/or impact, with topics such as Mass Shooting, Severe Storm, or Power Outage.  For each topic, the essential elements of response can be identified, perhaps in check-list format.  Additional job aids such as decision tables, flow charts, and references can also be incorporated.  While I’m a big fan of keeping things digital, playbooks and similar references are better in hard copy, as this helps to ensure the information is always accessible.  Bind it (a three ring binder is best, so content can be updated as needed) and insert tabs for easy reference.  Be sure to give all users their own copy.

When creating the playbook, consider what information needs to be conveyed.  While some repetition may be necessary from topic to topic, reduce the amount of in-document references (i.e. See page 19 for additional information), as the purpose of the document is to help keep people organized.  Always keep the user in mind, ensuring that they understand each step and that they have the ability, resources, and authority to perform the identified actions.  Ensure that the playbook is a proper reflection of established policy and procedure and be sure to test it for effectiveness.  Train people in its content and use, and be sure to provide regular training and content updates and to incorporate its use into exercises.

I’m interested in hearing your thoughts on playbooks and if you have created and/or used them.  Of course, if your jurisdiction or organization is looking for assistance in developing a playbook for your critical activities, let us know!

© 2016 – Timothy M. Riecker

Emergency Preparedness Solutions, LLC – Your Partner in Preparedness

 

Planning for Preparedness

Tim Riecker, The Contrarian Emergency Manager 2 Comments

Yes, planning is part of preparedness, but organizations must also have a plan for preparedness.  Why?  Preparedness breaks down into five key elements  – remember the POETE mnemonic – Planning, Organizing, Equipping, Training, and Exercising.  I’m also in favor of including assessment as a preparedness element.  Needless to say, we do a lot when it comes to preparedness.  Each of these elements alone involves significant activity, and together there are opportunities for activities to be synchronized for maximum benefit.  In smaller organizations, these elements may be addressed by one or two people, which itself can be challenging as these are the same people running the organization and addressing myriad other tasks.  In larger organizations each element alone may be addressed by a number of people, which also provides a complication of synchronizing tasks for maximum benefit.  Either way, as with all project and program management, without a plan of action, we may forget critical tasks or do things out of order.

By establishing a preparedness plan, we can address many of these issues.  The plan can be as detailed as necessary, but should at least identify and address requirements (internally and externally imposed) as well as benchmarks to success.  But what do we plan for?

Assessment – Yes, I’m including this as an element.  Assessment is something we should constantly be doing.  Just as we strive to maintain situational awareness throughout an incident, we have to be aware of and assess factors that influence our state of readiness.  There are a variety of assessments that we do already and others that can be done as they relate to the other five elements.  In fact, assessments will inform our preparedness plan, helping us to identify where we are and where we need to be.  We can review after action reports from incidents, events, and exercises to determine what improvements must be made.  We can research best practices and examine funding requirements, legal requirements, and standards such as EMAP or NFPA 1600 which can broadly influence our programs.  We assess current plans to identify what our gaps are and what plans need to be revisited.  We can assess our organization to determine if staffing is maximized and that policy, procedure, and protocol support an agile organization.  The status of equipment can be assessed to determine what is operational and ready to deploy.  We can conduct a training needs assessment to identify what training is needed; and lastly, we can assess opportunities to exercise.  Not only should our assessments inform what needs to be accomplished for each of the POETE elements, but regular assessment check ins and activities should be identified, nay planned for, within our preparedness plan.  Consider what else can inform our preparedness plan.  A recent hazard analysis, THIRA, or state preparedness report (SPR) can feed a lot of information into a preparedness plan – especially the state preparedness report, as it is specifically structured to identify POETE gaps.

Planning – We should always examine what we have.  If plan reviews aren’t scheduled, they often fall to the wayside.  Plan review teams should be identified for each plan, and a review schedule or cycle established.  Benchmark activities for plan review activities should also be identified.  The need for new plans should also be highlighted.  Based on standards, requirements, best practices, or other need, what plans do you organization need to assemble in the next year or two?  Again, identify benchmarks for these.

Organization – Assessments of your organization, either as direct efforts or as part of after action reports or strategic plans can identify what needs to be accomplished organizationally.  Maybe it’s a reorganization, an increase in staffing levels, an impending change in administration, expected attrition, union matters, or something else that needs to be addressed.  As with many other things, some matters or organization are simple, while others are very difficult to navigate.  Without a plan of action, it’s easy to allow things to fall to the wayside.  What changes need to be made?  Who is responsible for implementing them?  Who else needs to be involved? What’s a reasonable timeline for making these changes happen?

Equipping – Many logisticians are great at keeping accurate records and maintenance plans.  This measure of detail isn’t likely needed for your preparedness plan, but you still should be documenting the big picture.  What benchmarks need to be established and followed?  Are there any large expenditures expected for equipment such as a communications vehicle?  Is there an impending conversion of equipment to comply with a new standard?  Are there any gaps in resource management that need to be addressed?

Training – Informed by a training needs assessment, a training plan can be developed.  A training plan should identify foundational training that everyone needs as well as training needed for people functioning at certain levels or positions.  Ideally, you are addressing needs through training programs that already exist, either internally or externally, but there may be a need to develop new training programs.  A training plan should identify what training is needed, for who, and to what level (i.e. to steal from the hazmat world – Awareness? Operations? Technician?).  The plan should identify who will coordinate the training, how often the training will be made available, and how new training will be developed.

Exercises – We have a standard of practice for identifying exercises into the future – it’s called the multi-year training and exercise plan (MYTEP).  While it’s supposed to include training (or at least training related to the identified exercises), training often falls to the wayside during the training and exercise planning workshop (TEPW).  The outcomes of the TEPW can be integrated into your preparedness plan, allowing for an opportunity to synchronize needs and activities across each element.

Just as we do with most of our planning efforts, I would suggest forming a planning team to shepherd your preparedness plan, comprised of stakeholders of each of the elements.  I envision this as a group that should be in regular communication about preparedness efforts, with periodic check-ins on the preparedness plan.  This engagement should lead to synchronization of efforts.  Identify what activities are related and how.  Has a new plan been developed?  Then people need to be trained on it and the plan should be exercised.  Has new equipment been procured?  Then people should be trained in its use and plans should account for the new or increased capability.

Like any effort, endorsement from leadership is necessary, especially when multiple stakeholders need to be brought together and working together.  Many emergency management and homeland security organizations have positions responsible for preparedness, often at the deputy director level.  The formation and maintenance of a comprehensive preparedness plan should be a foundation of their efforts to manage preparedness and forecast and synchronize efforts.

Does your organization have a plan for preparedness beyond just a multi-year training and exercise plan?  What elements do you tie in?  Do you find it to be a successful endeavor?

Do you need assistance in developing a preparedness plan?  Contact us!

© 2016 – Timothy Riecker

Emergency Preparedness Solutions, LLC – Your Partner in Preparedness