Reviewing Health Care and Public Health Capabilities

Most in emergency management and homeland security are aware of the National Preparedness Goal’s 32 Core Capabilities, but are you aware of the Health Care and Public Health capabilities promulgated and published by the HHS/ASPR and the CDC?

Recently updated, the 2017-2022 Health Care Preparedness and Response Capabilities are assembled by the US Department of Health and Human Services (HHS) Assistant Secretary for Preparedness and Response (ASPR).  According to ASPR, these capabilities are intended to ‘describe what the health care delivery system must do to effectively prepare for and respond to emergencies that impact the public’s health’.  The health care delivery system includes health care coalitions (HCCs), hospitals, and EMS.  These consist of four capabilities:

  1. Foundation for Health Care and Medical Readiness
  2. Health Care and Medical Response Coordination
  3. Continuity of Health Care Service Delivery
  4. Medical Surge

The Centers for Disease Control and Prevention (CDC) (also part of HHS) publishes the Public Health Preparedness Capabilities.  The current version of the Public Health capabilities is dated 2011, with the CDC being anticipated to begin updating the document in late summer of 2017.  The CDC’s Public Health Preparedness Capabilities help to establish standards for state and local public health preparedness through 15 capabilities, which are:

  1. Community Preparedness
  2. Community Recovery
  3. Emergency Operations Coordination
  4. Emergency Public Information and Warning
  5. Fatality Management
  6. Information Sharing
  7. Mass Care
  8. Medical Countermeasure Dispensing
  9. Medical Material Management and Distribution
  10. Medical Surge
  11. Non-Pharmaceutical Interventions
  12. Public Health Laboratory Testing
  13. Public Health Surveillance and Epidemiological Investigation
  14. Responder Safety and Health
  15. Volunteer Management

Similar to the use of the Core Capabilities in emergency management and homeland security broadly, I see the ASPR and CDC sets of capabilities as providing an opportunity to identify capabilities which are functionally focused.  Aside from the three common Core Capabilities (Planning, Public Information and Warning, and Operational Coordination), there is only one public health/health care-specific Core Capability: Public Health, Health Care, and Emergency Medical Services.  It makes sense for these areas to need to further identify and refine their own capabilities.  It might be interesting to see other sub-sets of public safety, such as fire and law enforcement do the same relative to the Core Capabilities they each heavily participate in.  Or it might send us down a rabbit hole we don’t need to jump down…

That said, I always champion opportunities for synergy and streamlining of existing systems and doctrine, and I’m rather disappointed that has not been done.  There is clearly overlap between the ASPR and CDC capabilities as compared to the Core Capabilities; that being apparent in even the titles of some of these capabilities addressing topics such as operational coordination, mass care, and public information and warning.

Corresponding to the recent release of ASPR’s updated Health Care Preparedness and Response Capabilities, I sat through a webinar that reviewed the update.  The webinar gave an opportunity for me to ask if there was any consideration given to structuring these more similarly to the National Preparedness Goal’s Core Capabilities.  In response, ASPR representatives stated they are working with the Emergency Preparedness Grant Coordination Working Group, which consists of ASPR, CDC, Health Resources and Services Administration, DHS/FEMA, US DOT, and the National Highway Traffic Safety Administration.  This working group has developed an interim crosswalk, applicable to the current documents, and expected to be updated with the CDC’s update to the Public Health Preparedness Capabilities.  While a crosswalk helps, it still acknowledges that each are operating within their own silos instead of fully coordinating and aligning with the National Preparedness Goal.  The world of preparedness is dynamic and made even more complex when efforts aren’t aligned.

Regardless of the lack of alignment, these are great tools.  Even if you aren’t in public health and health care, you should become familiar with these documents, as they represent important standards in these fields.  Similar to the Core Capabilities, grants and preparedness activities are structured around them.  If you interface with public health and health care, you have even more reason to become familiar with these – as they are likely referenced in multi-agency discussions and you should be aware of the similarities and differences between these and the Core Capabilities.

© 2017 – Timothy Riecker, CEDP

Emergency Preparedness Solutions, LLC

Measuring Preparedness – An Executive Academy Perspective

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

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

 

Incident Evaluation

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

Embracing the Playbook in Emergency Management

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, LLCYour Partner in Preparedness

 

Must Read – Evaluating Preparedness at Different Levels of Analysis by Brandon Greenberg

In the past I’ve made references to the DisasterNet blog written by Brandon Greenberg.  If you aren’t reading his blog, you certainly should be, as he routinely posts great material.  Yesterday’s post was no exception.

Brandon has been doing some research on evaluating preparedness, which is a topic I’ve also written about in the past and I feel is of great importance to continued improvements in emergency management.  His article, Evaluating Preparedness at Different Levels of Analysis provides a number of insightful thoughts and information which are certainly going down the right path.  With all hope, Brandon’s continued work may help us find better ways to evaluate preparedness.

-TR

 

 

 

Planning for Preparedness

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, LLCYour Partner in Preparedness

Webinar – What is Interoperability and Why Should I Care?

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Click here to register!

I’m pleased to be taking part in this webinar, hosted by BaseCamp Connect.  I’ll be joining Damien Coakeley, retired from the Ottawa Police Service and currently Chair of the Board of Directors of the Ottawa Safety Council and owner of Veritas Emergency Management Consultants.

What we’re talking about:

With the ever-increasing complexity, frequency and breadth of emergencies, crises and disasters, the notion of interoperability between responding agencies and emergency managers is becoming exponentially more important than ever before.

WHEN: October 4 at 12:00pm EST

Together, Damien Coakeley and Timothy Riecker have more than 50 years experience in emergency management ! Join us to learn:

  • What does interoperability really mean to them
  • Different types of interoperability: communication, equipment, law, etc.
  • Interoperability problems encountered in the field
  • Tips and advice
  • And much more !

Click here to register!

Emergency Management: Why Failure is Necessary

One of the many podcasts I listen to is the TED Radio Hour from NPR.  For the uninitiated, the TED Radio Hour is a compilation of highlights from several TED Talks (you know what these are, right?) arranged around certain topics.  I like the topical arrangement and the sampling they do of the presentations, as well as the inclusion of interviews with many of the presenters.  Yesterday I listed to one from July 29, 2016 titled Failure is an Option.  In it, I was most drawn to the points made by Tim Hartford, an economist, and began to think that this guy needs to speak at some emergency management conferences.  What can an economist tell emergency managers?  His TED Talk is titled Trial, Error, and the God ComplexIt’s worth checking out.

How often do you hear someone in public safety proclaim that they don’t know about a certain topic or how to handle a certain situation.  Not very often.  Certainly we have a lot of confident, Type A people (myself included) who will not be stopped by a problem, even if we don’t know right off how we will solve it.  At the extreme end of this are those who refuse to plan.  Why?  Maybe they don’t want to be constrained by a plan, or maybe they don’t want something put in writing.  Maybe they simply don’t know right now what they will do, either a) hoping that it never happens, or b) assuming they will figure it out when it does.  Determination and persistence is good, but we can’t become ignorant despite it.  As I often mention in my posts, this is public safety, not a pick-up game of kick ball.  To me, there is nothing more serious.

Our egos drive us to feel that everything is on the line all the time.  While some may refuse to plan, others do plan, but the approach may not be realistic.  We’ve all seen plans that begin with one, two, maybe even three pages of assumptions.  That’s a lot of assuming for an emergency or disaster situation, which we all know is uncertain and dynamic.  Those long lists make me uncomfortable, as they should you.  Why do we do it?  Sure there are some things we can expect, but otherwise we are trying to dictate terms to the disaster.  Trust me, the disaster doesn’t give a damn about the plan you wrote or the terms and conditions you try to lay out for it.  But it makes us feel better by putting the disaster in a very defined box.  I know I’ve been guilty of this.

Let’s remove the ego.  Let’s proclaim that maybe we have no idea, or we have a few ideas but we aren’t sure which one is best.  Preparedness should be collaborative.  Get lots of ideas from people.  Talk though them and figure out which ones are the most viable.  Get these ideas down on paper, even loosely, and try them out.  We need to take advantage of our preparedness work to figure out the things we don’t know.

A number of years ago, it was identified through feedback and after action reports of incidents that the flow of information and resource requests in a certain EOC simply wasn’t working the way it was intended.  While I’m a big fan of the application of ICS in an EOC, the specific role an EOC plays as a multi-agency coordination center, the cross functions of some staff, and the politics involved aren’t really accounted for in ICS, so the strictest applications of ICS sometimes don’t apply well.  A small group of us were tasked to fix it.  While we each had some theories, none of really knew why the current processes weren’t working.  So we set up a small exercise solely for this purpose.  Our observations helped us identify the root cause of the problem.  The members of our group, all experienced EOC personnel, had different theories on how to solve the problem.  We went again to exercises, this time a series of small ones.  We ushered some people into the EOC, each time giving them a flow chart and some narrative on what each person should be doing relative to the processes we devised.  The injects flowed and we observed the outcomes.  We saw what worked and what didn’t.  We then assembled an amalgamation of the best traits of each methodology into a new process.  Then guess what we did – we exercised that – and it worked.  Not only did we have a great scientific and structured approach, we also had validation of our final product – one that stood up to further exercises and actual incidents.

Does trial and error take time?  Sure it does.  Does it always yield results?  Yes – although not always positive ones – but those are still results.  It’s important to remember to collect data on each of our attempts.  Just like an exercise we want to evaluate and document.  Sometimes our ideas turn out to be epic failures, and that’s OK.  Had we not found this out during our trial and error, just like an exercise, it could have been devastating and costly in a real life application.  A severe mistake during an incident can be career ending for you, and life ending for those you are sworn to protect.

The bottom line is that it’s OK to fail – just try to control when and how you fail.  In order to accept that premise, however, we need to let go of the super Type A hero/god/ego thing.  Yes, we can learn from successes, but we learn more from failure, especially with a little root cause analysis.  Sometimes things look great on paper, but unless you actually try them out, you’ll never know.  In your trial and error, also consider different variables which may have influence on the outcomes.  It’s great to plan for a response and practice it on a sunny day, but what about pouring rain, freezing temperatures, or high winds?  How does this impact your plan?  Often we can make assumptions (remember those?), but we’ll never really know unless we try.

Do you buy into this?  Thoughts appreciated.

© 2016 – Timothy Riecker, CEDP

Emergency Preparedness Solutions, LLCYour Partner in Preparedness

Water System Preparedness

For at least the past eight years or so, I’ve kept tabs on what the Environmental Protection Agency (EPA) has been doing for emergency preparedness for water systems.  Their efforts, spearheaded from their Water Security Division, include information on comprehensive emergency management activities – mitigation and resilience, surveillance and response, preparedness, and more.  Their website offers a plethora of resources, not only for water utilities and systems operators, but for others as well.  These resources include tools and guidance for conducting risk assessments, creating emergency plans, building resilience, developing a training and exercise plan, and conducting exercises.  These resources and tools all help to de-mystify emergency management systems and help to build a bridge into the emergency management world.  While they provide information on certain hazards, such as flooding or criminal activity, their approach, overall is all-hazards.  The EPA includes links to ICS and other FEMA training, as well as other agencies, and encourages water systems to interact with other agencies at the local, state, and federal level.

Back in November of last year, I gave a review of the TEEX course MGT: 342 Strategic Overview of Disaster Management for Water and Wastewater Utilities.  Those who work with or for water utilities would certainly benefit from attending this training and reviewing the EPA’s Water Security Division website.  Water is an important component of our Critical Infrastructure, with dependencies cascading across all other sectors.  These resources strengthen and support our continued preparedness within these sector, while also adding to whole community preparedness.

The EPA Water Security Division provides a quarterly e-newsletter, to which you can subscribe to stay abreast of their tools, resources, and information.

© 2016 – Timothy M. Riecker, CEDP

Emergency Preparedness Solutions, LLC Your Partner in Preparedness