Applying What We’ve Learned

The COVID-19 pandemic shattered so many of our planning assumptions. Not only assumptions on how a virus would act, spread, and react, but also assumptions on human behavior. Many of our plans accounted for security in the transportation and distribution of vaccines to address theft and violence caused by people who would commit these acts to get their hands on the vaccine (perhaps too many apocalyptic movies led us to this assumption?), we also falsely assumed that everyone would want the vaccine. The political divisiveness, faux science, misinformation, disinformation, and members of the public simply not caring enough for each other to take simple actions to prevent spread were largely unanticipated.

I think that had the virus been different, we would have seen things align better with our assumptions. Had the symptoms of the virus been more apparent, and had the mortality rate been higher, I think we would have seen more people wanting to protect themselves and each other. Would this have been fully aligned with our earlier assumptions? No. I think that we’ve learned that human behaviors aren’t as easy to generalize, but also the societal and political climate we are in, not just in the US but in many other nations around the world would have still perpetuated many of the problems we have and continue to see during the COVID-19 pandemic.

Where to from here? I’m not a sociologist, but I’m a firm believer that much of what we do in emergency management is rooted in sociology. I’m sure an abundance of papers have already been authored on sociological and societal behaviors during the pandemic, with many more to come. I’m sure there are even some that are aligned to support and inform practices of emergency management, with valuable insights that we can use in planning and other activities. I look forward to having some time to discover what’s out there (and always welcome recommendations from colleagues). Speaking of implementation, what I do know is that we shouldn’t necessarily throw away the assumptions we had pre-COVID-19. Most of those assumptions may still be valid, under the right circumstances. The challenge is that there are many variables in play that will dictate what assumptions will apply. We do need to learn from what we have/are experiencing in the current pandemic, but this doesn’t hit the reset button in any way. This doesn’t necessarily invalidate what we thought to be true. It simply offers an alternative scenario. The next pandemic may yet align with a third set of truths.

While it makes things much more complex to not know which assumptions we will see the next time around, at least we know there are a range of possibilities, and we can devise strategies to address what is needed when it’s needed. What also adds complexity is the reinforcement of plans needing to be in place for various aspects of a pandemic and written to an appropriate level of detail. Most pandemic plans (and other related plans) that were in place prior to the COVID-19 pandemic simply weren’t written to the level of detail necessary to get the job done. Yes, there is a matter of variables, such as assumptions, but the fundamental activities largely remain the same. As with many disasters, jurisdictions were scrambling to figure out not only what they needed to do but how, because their plans were written at too high a level. As always, we are challenged to ensure the right amount of flexibility in our plans while still providing enough detail.

© 2022 Tim Riecker, CEDP

Emergency Preparedness Solutions, LLC®

Public Health and Public Safety: Step Up or Step Out

So here it is. This is what it’s come to. We are over a year and a half into the COVID 19 pandemic. We have vaccines. We have improved treatments on the horizon. Yet we still have a long way to go. Why? Because people who are able to do so refuse to get vaccinated and even refuse to wear masks and practice other precautions. It’s inexcusable among the public, unforgivable for those who work in public health and public safety.

Those who work in public health and public safety are entrusted with the health and safety of the public. In order to do so we not only need to take care of ourselves, but also do what we can to protect each other and the public. We seem to have a rash of issues lately, such as:

  • A state trooper, ‘forced’ to resign because he didn’t comply with a vaccine mandate, signing off of his last transmission with a statement of ‘the governor can kiss my ass’. From all I’ve heard, this trooper had a great career and made a big difference – yet this temper tantrum is what most people are talking about.
  • Hundreds of health workers ‘forced’ to resign or being fired because of their lack of compliance with vaccine mandates.
  • A large number of attendees of a recent emergency management conference not wearing masks during the conference, despite repeated written and verbal instructions from the host organization to do so before and during the conference.
  • Hundreds of corrections officers potentially being ‘forced’ to resign or being fired because of their lack of compliance with vaccine mandates.

Public health and public safety have never been about individual freedoms, rather they are focused on what is good for the public as a whole. Yes, we should be taking precautions to protect ourselves, but we also do so to protect our co-workers and the public we are entrusted with caring for and serving. While some choose to make this a political issue, I have colleagues across much of the political spectrum who have maintained vigilance and care in the office, with the public, with their families, and even off duty by getting vaccinated and practicing other precautionary measures as appropriate. Some choose to make it a matter of religious freedom, yet the leaders of every major world religion are encouraging their followers to get vaccinated and take precautions.

It seems a simple, and respectful thing to get vaccinated and to also take these precautions when on duty and representing your agency, but also as much as possible beyond that. I’ll grant that some social situations can be challenging, but we can and should maintain an appropriate measure of vigilance, again not just for the benefit of yourself, but also for the benefit and respect of others. Doing so isn’t about ‘being a sheep’ or following some fascist rule of law. It’s about health, safety, and respect.

I’ve seen some disregard vaccinations and precautionary measures because they are not 100% effective, therefore they must be a joke or the science must be wrong. Consider that careful driving, the wearing of seatbelts, and vehicles with airbags aren’t foolproof preventers of injury or death in a car accident., either. Nothing is foolproof, especially when there are so many fools. We do the best we can with what we have and if we want to be true professionals in public health and public safety we need to lead by example.

My disappointment in public health and public safety personnel who flaunt and disregard these standards is high, regardless of their rank, station, or prior accomplishments. As such, I say: step up or step out. If you don’t have a regard for yourself, your family, your coworkers, and the public; then you should likely seek a different profession. If you are in these professions, but aren’t doing what you can to prevent the spread of the pandemic, I’m not sure what you stand for. This is a pandemic. It’s serious. Though it may not cause something as severe or dramatic as people randomly collapsing to their death in the streets, it has caused over 700,000 deaths in the US alone so far, as well as serious and lasting effects for many survivors.

I’ll close with this… I always encourage and welcome dialogue, discussion, and different points of view in response to my posts. That’s not changing, but I will say that science deniers, conspiracy theorists, and those espousing fuzzy math need not respond. Those aren’t informed opinions and certainly don’t lead to intelligent dialogue.

TR

When to AAR

A discussion with colleagues last week both on and off social media on the development of after-action reports (AARs) for the COVID 19 pandemic identified some thoughtful perspectives. To contextualize, the pandemic is arguably the longest and largest response the world has ever faced. Certainly, no one argues the necessity for organizations to develop AARs, as there have been an abundance of lessons learned that transcend all sectors. It’s thankfully not often we are faced with such a long incident, but in these circumstances, we need to reconsider our traditional ways of doing things, which has generally been to develop an AAR at the conclusion of the incident.

One central aspect of the discussions was about the timing of the AARs. When should we develop an AAR for an incident? I certainly think that with most incidents, we can safely AAR when the incident is complete, particularly given that most incidents don’t last as long as the pandemic has. The difficulty with the pandemic, relative to AARs, is time. The more time goes on, the more we focus on recent concerns and the less we remember of the earlier parts of the response. This likely remains within tolerable limits for an incident that will last several weeks or even up to a few months, but eventually we need to recognize that that longer we go without conducting the after-action process, the more value we lose. Yes, we can recreate a lot with through documentation, but human inputs are critical to the AAR process, and time severely erodes those. Given this, I suggest the ideal practice in prolonged incidents is to develop interim AARs to ensure that chunks of time are being captured.

Another aspect related to this is to determine what measure we are using for the incident. The vast majority of AARs focus mostly on response, not recovery. This is an unfortunate symptom of the response-centric mentality that persists in emergency management. We obviously should be conducting AARs after the response phase, but we also need to remember to conduct them once the recovery phase is substantially complete. Given that recovery often lasts much longer than the response, we certainly shouldn’t wait until recovery is complete to develop a single AAR for the incident, rather we should be developing an AAR, at a minimum, at the substantial completion of response and another at the substantial completion of recovery.

Yet another complication in this discussion is that timing is going to be different for different organizations. I presently have some clients for which the pandemic is much less of a concern operationally as it was a year ago, especially with a vaccinated workforce. So much less of a concern, in fact, that they have largely resumed normal operations, though obviously with the continuation of some precautionary measures. Other organizations, however, are still in a full-blown response; while there are still yet others somewhere in the middle. This means that as we go through time, the pandemic will largely be over for certain organizations and jurisdictions around the world, while others are still consumed by the incident. While the WHO will give the official declaration of the conclusion of the pandemic, it will be over much sooner for a lot of organizations. Organizations should certainly be developing AARs when they feel the incident has substantially ended for them, even though the WHO may not have declared the pandemic to have concluded.

Consider that the main difference between evaluating an exercise and evaluating an incident is that we begin the exercise with the goal of evaluation. As such, evaluation activities are planned and integrated into the exercise, with performance standards identified and staff dedicated to evaluation. While we evaluate our operations for effectiveness during a response and into recovery, we are generally adjusting in real time to this feedback rather than capturing the strengths and opportunities for improvement. Be it during the incident or after, we need to deliberately foster the AAR process to not only capture what was done, but to help chart a path to a more successful future. I’ve been preaching about the value of incident evaluation for several years, and have been thankful to see that FEMA had developed a task book for such.

Given the complexity and duration of the pandemic, I started encouraging organizations to develop interim AARs longer than a year ago, and in fact supported a client in developing their initial response AAR just about a year ago. FEMA smartly assembled an ‘Initial Assessment Report’ of their early response activity through September of 2020, though unfortunately I’ve not seen anything since. There was a question about naming that came up in the discussions I had, suggesting that the term ‘AAR’ should be reserved for after the incident, and a different term used for any other reports. I partially agree. While I think we should still call it what it is – even if it’s done in the midst of an incident, it is still an after-action report – that being an analysis of actions we’ve taken within a defined period of time. Afterall, it’s not called an ‘after incident report’. That said, I do think that any AARs developed during the incident do warrant some clarification, which can incorporate the inclusion of a descriptor such as ‘interim’ or ‘phase 1, 2, 3, etc’, or whatever is most suitable. I don’t think we need anything standardized so long as it’s fairly self-explanatory.

Have you already conducted an AAR for the pandemic? Do you expect to do another?

© 2021 Tim Riecker, CEDP

Emergency Preparedness Solutions, LLC®

FEMA’s First Lessons Learned From COVID-19

FEMA recently released the Pandemic Response to Coronavirus Disease 2019 (COVID-19): Initial Assessment Report (January – September 2020). The report has many elements of a traditional after-action report. The authors reinforce that the report only evaluates FEMA’s response, not those of other agencies or entities. That said, emergency management, by nature is collaborative and FEMA’s interactions with other agencies and entities are cited as necessary. The report covers five primary areas of evaluation:

  1. Coordinating Structures and Policy
  2. Resources
  3. Supporting State, Local, Tribal, and Territorial (SLTT) Partners
  4. Preparedness and Information Analysis
  5. Organizational Resilience

Also, with similarity to a traditional after-action report, this report provides a table of key findings and recommendations as Appendix A.

Here are some of my primary observations:

Following the executive summary is a the COVID-19 Pandemic Overview, which is a well-constructed piece providing a combined narrative timeline and topical highlights, providing information and context to the pandemic and the response, as well as some of the complexities encountered. While the report does well to acknowledge the myriad disasters that SLTT partners and federal agencies responded to over 2020, I find it shameful that they very obviously ignore the societal impacts of the US political climate (related to the pandemic and otherwise) as well as events surrounding the BLM movement. I firmly believe this report should fully acknowledge these factors and could have done so without itself making a political statement. These were important, impactful, and far-reaching, certainly influencing the operating environment, public information, and other very real facets of the response. I feel that the exclusion of these factors leaves this report incomplete.

Relative to the Coordinating Structures and Policy section, FEMA reinforces many, many times that they were put into a leadership position for this disaster that was unexpected and perhaps led to some coordination problems. I feel FEMA should always be a lead or co-lead agency for the federal response for large disasters regardless of the hazard. While a pandemic is certainly a public health hazard, FEMA has practiced experience in federal coordination to major disasters, mobilization of resources and logistical support, SLTT coordination, and overall incident management. The Unified Coordination Group is a sound application in situations where other federal agencies share significant authority. The kinks should be worked out of this, with the National Response Framework updated to reflect such.

Also mentioned within this section is the creation of a White House Task Force which was intended to make executive decisions of the highest level. This is not unprecedented and should certainly be expected for other large-scale disasters in the future. I feel, however, that removing the FEMA Administrator from having a direct line of communication with the White House during ‘peace time’ has significant impact on FEMA leadership’s ability to integrate. Positioning FEMA subordinate to the Secretary of Homeland Security is akin to putting a police officer in charge of a pool and keeping the lifeguard in the breakroom. Sure, the police officer can do a lot, but there are specific skills needed which necessitate that the lifeguard has a constant presence at the pool rather than only being called in when something gets bad enough. 

FEMA makes a point about inheriting eight task forces created by HHS which then needed to be integrated into the NRCC organization. These task forces had some overlap with the existing NRCC and ESF structure, resulting in duplications of effort and coordination problems. While FEMA says they were able to overcome this over time, it is obviously something that, given the National Response Framework, should have not happened in the first place. FEMA’s recommendations associated with this matter do not once cite the National Response Framework and instead point the finger at NIMS/ICS use, fully ignoring that the foundation of preparedness is planning. Either HHS made these task forces up on the fly or had a plan in place that accounted for their creation. Either way, it’s the National Response Framework that was ignored. NIMS/ICS helps support plan implementation.

The next section on resource management demonstrates that FEMA learned a lot about some intricacies of resource management they may have not previously encountered. With the full mobilization of resources across the nation for the pandemic, along with targeted mobilizations for other disasters, the system was considerably stressed. FEMA adapted their systems and processes, and in some cases developed new methodologies to address resource management needs. One key finding identified was a need to better integrate private sector partners, which isn’t surprising. I think we often take for granted the resources and systems needed to properly coordinate with the private sector on a large scale during a disaster. One of the largest disasters within this disaster was that of failed supply chains. Granted, the need was unprecedented, but we certainly need to bolster our preparedness in this area.

To help address supply chain issues, novel solutions such as Project Airbridge and specific applications of the Defense Production Act were used. The best practices from these strategies must be memorialized in the form of a national plan for massive resource mobilizations.

SLTT support for the time period of the report was largely successful, which isn’t a surprise since it’s fundamentally what FEMA does as the main coordination point between SLTT partners and federal agencies. Significant mobilizations of direct federal support to SLTT partners took place. The pandemic has provided the best proof of concept of the FEMA Integration Teams (FIT) since their development in 2017. With established relationships with SLTT partners and knowledge of needs of the federal system, they provided support, liaised, and were key to shared situational awareness. I appreciate that one of the recommendations in this section was development of a better concept of operations to address the roles and responsibilities of FIT and IMATs.

One item not directly addressed in this section was that in emergency management we have a great culture of sharing resources and people. Sharing was pretty limited in the pandemic since everyone was impacted and everyone needed resources. This caused an even greater demand on FEMA’s resources since SLTT partners largely weren’t able to support each other as they often do during disasters.

The section on preparedness and information analysis was interesting, especially on the information analysis side. The preparedness findings weren’t really much of a surprise, including not anticipating supply chain issues or SLTT needs. What this boils down to is a lack of effective plans for nation-wide disasters. On the information side, the key findings really boil down to not only improved defining of data sets and essential elements of information relative to specific needs, audiences, functions, capabilities, and lines of effort. It appears a lot was learned about not only the information needed, but also how to best utilize that information. Analytics makes data meaningful and supports better situational awareness and common operating picture.

The last section on FEMA’s organizational resilience is a good look at some of the inner workings and needs of FEMA as an agency and how they endured the pandemic and the varied demands on the agency. FEMA has always had a great culture of most employees having a disaster job which they are prepared to move into upon notice. They learned about some of the implications associated with this disaster, such as issues with engaging such a large portion of their employees in long-term deployments, public health protection, and mental health matters.

Ultimately, despite my disagreement with a couple of recommendations and leaving out some very important factors, the report is honest and, if the corrective actions are implemented, will support a stronger FEMA in the future. I’m hopeful we see a lot of these AAR types of documents across federal agencies, state agencies, local governments, the private sector, etc. EVERYONE learned from this pandemic, and continues to learn. That said, while the efforts of individual entities hold a lot of value, there also needs to be a broader, more collective examination of ‘our’ response to this disaster. This would be a monumental first task for a National Disaster Safety Board, would it not? 

© 2021 Timothy Riecker, CEDP

The Contrarian Emergency Manager™

Emergency Preparedness Solutions, LLC®

Different Perspectives on Disaster Recovery

It seems a lot of the things we have been dealing with relative to the Coronavirus pandemic have brought us a different perspective, or at least have revealed a perspective that public health and emergency management have been concerned about for a while.  The pandemic given us a more accurate perspective on the impacts of a truly major public health event and the things we need to do to manage it.  We also find ourselves looking ahead to recovery and needing to view that through a different lens as well. 

Most disaster recovery, and in fact the way the Stafford Act is written, reflects physical damage from disasters such as floods, earthquakes, tornadoes, or hurricanes.  We are dealing with debris, damaged infrastructure, displaced masses, and the like.  The pandemic is something completely different.  While we may see shades of some more traditional recovery activity, recovery from the pandemic is giving us a very different way of seeing things. 

Before we get into the details, one of the biggest factors in all this is trying to determine where recovery fits in.  It’s long been a conundrum for people who want to make emergency management an exact science to be able to stick a pin in the exact spot where response ends and recovery begins.  Not only does the lack of that delineation persist for the pandemic, it’s exacerbated.  But that’s not all.  While some recovery activity has already started (more about that in a bit), the big push may not be able to start until society can at least begin to intermingle (though likely with some continued precautions).  Further, true recovery arguably can’t take place until we have a vaccine.  Until we reach that point, recovery efforts are likely to have a stutter, as we start, then have to stop or at least slow down when infection rates increase again, then resume once they subside.  This is simply not a formula we are used to working by. 

I suppose the best way to examine this is to look at it through the Recovery Mission Area Core Capabilities:

  • Planning
  • Operational Coordination
  • Public Information and Warning
  • Infrastructure Systems
  • Economic Recovery
  • Health and Social Services
  • Housing
  • Natural and Cultural Resources

Planning, Operational Coordination, and Public Information and Warning – I’m initially lumping these three together as they are the ‘common’ Core Capabilities and we generally see these in recovery having eventually transitioned over from the response focus.  The challenge with the pandemic is that we see the overlap of response and recovery, in some circumstances, more than we are used to compared to other disasters.  Also, a lot of the recovery we currently see is coming in the form of direct services from the Federal government, with little to no connection to state or local governments.  This is heavily emphasized in matters of Economic Recovery (more on this later).  The overall sense I’m getting is that the fundamentals of these three common Core Capabilities haven’t substantially changed (obviously some of the tasks have), though the experience different jurisdictions are having varies.  Consider that most jurisdictions aren’t used to dealing with prolonged incidents such as this.  In fact, many jurisdictions have decided to no longer operate EOCs (hopefully these were virtual!) as the impacts within their jurisdictions have been minimal and what problems do exist are largely being addressed by an emergency manager supported by a multi-agency coordination group.  Other jurisdictions, obviously, are being hit much harder and their management of this incident has continued to grow as they address the myriad issues that rise up and prepare for what they expect to see next.  There are some of the differences in Operational Coordination. 

Looking a little closer at Planning, this should still be taking place regardless of the volume of work your jurisdiction is experiencing, and even if your jurisdiction doesn’t have a public health department.  There is a lot of planning that still needs to take place to account for recovery, continuity of operations, and contingencies.  This one really permeates the other Core Capabilities the most. 

Lastly within this group, Public Information and Warning.  Absent jurisdictions that are used to dealing with more prolonged responses and recovery, most haven’t had to address a need for persistent public messaging.  While a lot of it is echoing guidance coming from certain authorities like the CDC or state health departments, more localized matters still need to be addressed in terms of what local services are or are not available (or how they now need to be accessed), providing information on planned events, and addressing rumors and mis-information. 

Infrastructure Systems – Restoration of infrastructure is often a big emphasis in most disasters.  Roads, bridges, water and waste water systems, electricity, and other systems are often damaged or destroyed as the result of the disaster of the day.  In the matter of the pandemic, generally the most impact we see in these systems is delays in maintenance because of some decreased capacity among those that are responsible for them.  Perhaps the one significant exception, through from a very different perspective, is internet services.  While internet services weren’t damaged by the pandemic, they were heavily impacted with many organizations directing staff to work from home.  College students are now engaged in classes from home instead of the campus.  Families and friends are connecting more often via video calling. Even on-line gaming has seen a surge with people spending more time at home.  All this changed the dynamic of internet use.  Most businesses are provided with dedicated lines by internet service providers, designed to handle the concentrated surge of internet use demanded by a facility or collection of facilities.  Much of that use has dwindled, shifting to a drastic increase on residential services.  We also see increased demands on either end of this, with attention being drawn to entire areas that have no internet service as well as the need for increased server capacity of companies that host video calling and gaming platforms.  Even organizations and their employees have had to scramble to ensure that employees (and students) have internet access at home, the hardware required to access the internet, and the ability to connect to the organization’s servers and services. 

Another interesting perspective on infrastructure, however, comes from the emphasis on essential services and essential employees that we hear of every day.  While definitions of this have existed for some time, in this disaster alone we have seen that definition change a few times as we realize the connectivity between certain services and organizations.  Some important lessons to be documented and applied to future planning efforts. 

Economic Recovery – For as much as Infrastructure Systems (largely) haven’t been impacted, Economic Recovery has needed to be significantly re-imagined.  With businesses being forced to close and employees being furloughed or laid off, the global economy has taken a significant hit.  This is certainly a prime example, perhaps our first, of how deep a disaster of a global scale can cut us.  As a result, many nations around the planet have been pushing out some sort of economic stimulus, helping those that are unemployed as well as those businesses that are still open yet struggling with decreases in revenue.  The economic hit from the pandemic will take years to recover from and will require some very different ways of solving the problem.  Governments have only so much money to give.  Many jurisdictions are also examining the association between infrastructure and economic recovery in a different light, especially as thought is being put into when and how to re-open our communities and economies. 

As a related side note, we were recently awarded a contract to provide guidance on the reopening of transportation and transit in major cities.  Continued preventative measures as well as human behaviors are going to apply some interesting demands on urban planning, prompting cities to respond appropriately to these changes if they want to see businesses rebound, or even thrive as we move further into recovery. 

Health and Social Services – Rarely does public health lead the way through a major disaster.  Though we realize that just with other disasters where we might like to think that people are in charge, the disaster itself still remains in the driver’s seat and we are really just along for the ride, trying to address problems the best we can. Our health system is stretched, yet we see an interesting irony of hospitals laying off staff, as elective surgeries and other non-emergency services are presently suspended.   Obviously public health will continue to lead the way through our recovery.  Even with others seemingly in charge of other recovery functions, it is public health markers which will become the decision points that dictate our overall recovery.  On the social services side of this Core Capability, we also see a change in dynamics.  While the pandemic doesn’t have the physical impacts of a more traditional disaster, we are also seeing fewer people being displaced overall due to emergency legal protections being put in place to prevent evictions and utility service disconnections from lack of payment.  That said, we are still seeing traditional social service issues related to food, medicine, and mental health exacerbated due to the pandemic, the economic impact from the pandemic, and the mental stresses imposed by the pandemic as a whole, as well as social distancing, deaths, and other factors.  While many social services have traditionally been very hands-on and face-to-face, many of these services have moved to remote models, though others, by necessity, are still physically operating.  Social services recovery, linked to economic recovery as well as psychological matters like PTSD, will persist long after the pandemic.  Recovery plans must be re-imagined to address this.  Public health recovery, similarly, will last long after the pandemic as we need to take an honest look at the gaps in our system and work to address them. 

Housing – As mentioned earlier, there are few displacements (that should be) happening as a result of the pandemic.  Houses haven’t been destroyed as a direct result of the pandemic. Though how long will landlords be able to reasonably wait for back rents to be paid to them?  While those that own large apartment complexes may be able to absorb these losses, landlords with small properties will not.  They are small businesses, with bills to pay and mouths to feed.  While it’s great for tenants to get a reprieve, this also has impacts.  Local economies will likely need to figure out how to address this. 

Natural and Cultural Resources – Similar to infrastructure and housing, our natural resources have seen, overall, limited impact from the pandemic.  In fact, by many reports, many of our natural resources have seen marked and measurable improvement due to decreases in pollution and other impacts of ‘normal’ human activity.  Many cultural resources, on the other hand, have been impacted. I speak not of historical sites, which are often considered in the reconstruction activities associated with disaster recovery, but of museums and performance centers.  Museums, as with any other organization, rely on income to survive.  Many are non-profits, and generally put revenue into improving the facility and its collections, leaving not much of a ‘rainy day’ fund.  Similarly, collections haven’t been damaged, as they might have in another disaster, so there is no insurance claim to cover losses.  Similarly, performance centers, such as the 1930s era theater where I perform improv, haven’t seen revenue in weeks.  Here, we blur the lines between a different perspective on cultural preservation with economic recovery.  Another challenge local economies will have. 

So where does this leave us?  Clearly we are seeing different perspectives of each of these Core Capabilities, requiring us to approach them in ways different than we have in the past.  While the easy solution to many of them is money, an economy globally impacted has little funding to adequately do so.  We also see the interconnectivity of these Core Capabilities.  For many, there is reliance on others to make progress before another can see tangible improvement.  That said, planning is still the crux of it all. We must make deliberate planning efforts to address each of these.  Sure, we can reference current plans, but I argue that most current plans are inadequate, as the problems and the resultant solutions were not anticipated to look like this.  Planning also needs to occur at all levels, and there absolutely must be an emphasis on the first step of the CPG 101 planning process… Form a Team.  Our recovery from a global, national, and community level requires people working together.  We see now, more than ever, how interconnected things are.  This is no time to be insular.  We must consider all stakeholders, including citizens, organizations, and businesses, as part of our planning teams.  And by the way, we’re already behind. 

A couple more items before I close this rather long post.  First of all, consideration should be given to Continuity being added to the Core Capabilities.  Perhaps as a common Core Capability, but at least as one that is included in more than one mission area.  It’s a specific effort that, yes, does include planning (as should any other Core Capability), but has a very specific function and implementations. 

Second (and lastly), you absolutely must be capturing and documenting lessons learned (strengths and areas for improvement).  In fact, don’t wait to hotwash.  If you haven’t already, do one now.  You will do another later.  And likely one or more after that.  The duration of this disaster, and the different focal points and phases of it will constantly shift our attention and cause people to forget what they have learned.  Lessons learned must be captured in phases, allowing us to focus on sets of activities.  Be sure to document your lessons learned, share them far and wide, and set a timeline for implementing improvements.  There is so much to learn from this disaster, but it’s a waste if we ignore it or expect someone else to tell us what to do.   

I hope I delivered in this piece, highlighting the different perspectives of disaster recovery we are dealing with.  Are all disaster recovery activities fully turned on their heads?  Of course not.  We are still able to apply the standards we have been for decades, though some of them do need to be looked at and approached from a different perspective.  I’m very interested in feedback and thoughts. 

Stay safe. 

© 2020 Timothy Riecker, CEDP

Emergency Preparedness Solutions, LLC

Speculation on the Upcoming Role of Local Governments in Pandemic Recovery

Last night I remotely facilitated a session with the senior leadership of a mid-sized city discussing multi-agency coordination, incident management, and other concepts, mostly within the context of the coronavirus pandemic.  We spoke at great lengths about the role of local government in this, especially when they do not have their own health department, and what expectations there might be of them in the future.  In this discussion I had the realization of a potential scenario that seems to hold a fair amount of probability, and it’s one that is grounded in prior practice.

A bit of a disclaimer up front.  My regular readers know that I usually avoid speculation.  In the wrong context, speculation can cause undue stress or unnecessary effort.  Obviously, that is not my goal.  My goal is, as is typical of most of my articles, to promote thought and discussion on preparedness activities which are grounded in reality.  As I’ve said to people many times over the past several weeks, it’s not too late to prepare.  There are still plenty of things that we need to be preparing for in the midst of our response, including contingency plans for other potential hazards, and obviously continued operational needs.  The best emergency managers think ahead.  What I’m writing is not a call to action, but rather a call to thought. 

When it comes to vaccination (once a vaccine is developed), it’s apparent that everyone will need to be vaccinated.  While there are some factors which will force us to deploy vaccines in phases, including the supply of vaccine and the need to provide for fragile and critical populations first, there will eventually come a time when the population at-large will need to be vaccinated.  Obviously, our public health system is not equipped to administer inoculations for everyone in every jurisdiction in a timely fashion.  As such, there will be considerable reliance on local governments and advanced EMS providers, among others, to make this happen. 

First off, addressing the use of advanced EMS providers – this is not without precedent.  Advanced EMTs and paramedics have been used for a while now to support public health in mass inoculation needs, which have included H1N1, Hepatitis A outbreaks, and other viruses.  I expect that we will see these personnel used again to support the eventual vaccination of the global population against Coronavirus.  Because of the sheer volume needed, it is probable that we will see other medical practitioners likewise engaged.  When the time comes, state health departments and state EMS agencies will need to develop or update (if they have them already) protocols and just-in-time training for personnel on the proper administration of the vaccine.  Agreements in regard to paid third-party EMS service providers will also need to be addressed.  Overall, EMS will be a significant and necessary augmentation of our public health system in this regard. 

So what’s the role of local government that I expect?  Most public health outbreaks we deal with are fairly localized, allowing public health officials to establish and manage vaccination points of distribution where they are needed.  In a ‘typical’ outbreak, they can mobilize the resources needed, supported by state health departments and mutual aid from other public health offices.  The activities for these points of distribution include the development of protocol and record keeping standards and mechanism, identifying the population, securing suitable facilities, equipping those facilities (tables, chairs, internet, privacy screens, etc.), notifying the public, coordinating with local officials for control of traffic and movement of people, delivery and administration of the vaccine, securing of sharps and biological waste, and clean up; among other things.  In the scope of the coronavirus outbreak our public health offices doesn’t have the resources to do all this for every jurisdiction.  I suspect that along with providing the serum and supplies to administer it, public health will only be able to establish standards and provide guidance, but I don’t think it’s unreasonable to expect that jurisdictions will be asked to provide significant support in the non-clinical aspects of setting up and managing these points of distribution. 

What does this mean for local governments?  As I’m not a government official nor do I have an ability to definitively see the future, I certainly would not advise local governments to engage in any detailed efforts now to prepare for this scenario unless they have been advised by a public health entity to do so.  That said, it may be wise to pull together some stakeholders and at least outline a framework for how this can be done.  I’m confident that at least some of what is identified will be of use in the future of this pandemic.  Some jurisdictions may have already developed plans for points of distribution, which will be a good reference, but will likely be found to have inadequacies given current information on planning assumptions, the increased role of local governments I predict, and sheer numbers to be vaccinated. 

Who else has considered this future need?  I’m interested in hearing from others about their thoughts on these possibilities. 

Be smart, stay safe, stay healthy, and make a difference. 

© 2020 Timothy Riecker, CEDP

Emergency Preparedness Solutions, LLC

8 Predicted Changes to Emergency Management Post-Pandemic

In public safety we learn from every incident we deal with.  Some incidents bring about more change than others.  This change comes not just from lessons learned, but an effort to apply change based upon those lessons. In recent history, we’ve seen significant changes in emergency management practice come from disasters like the 9/11 terrorist attacks and Hurricane Katrina, with many of the changes so significant that they are actually codified and have led to new doctrine and new practices at the highest levels.  What changes can we expect from the Coronavirus pandemic?

Of course, it’s difficult to predict the future.  We’re also still in the middle of this, so my thoughts may change a month or two into the future.  Any speculation will begin with idealism, but this must be balanced with pragmatism.  Given that, the items I discuss here are perhaps more along the lines of changes I would like to see which I think have a decent chance of actually happening. 

  1. Legislation.  Similar to the aforementioned major disasters, this too will spawn legislation from which doctrine and programs will be derived.  We are always hopeful that it’s not politicians who pen the actual legislation, but subject matter experts and visionaries with no political agendas other than advancing public health preparedness and related matters. 
  2. More public health resources. This one, I think, is pretty obvious.  We need more resources to support public health preparedness, prevention, and detection efforts.  Of course, this begins with funding which will typically be spawned from the legislation mentioned previous.  Public health preparedness is an investment, though like most preparedness efforts, it’s an investment that will dwindle over time if it’s not properly maintained and advanced to address emerging threats and best practices.  Funding must address needs, programs to address those needs, and the resources to implement those programs. 
  3. Further integration of public health into emergency management.  Emergency management is a team sport.  Regardless of the hazard or the primary agencies involved, disasters impact everyone and many organizations and practices are stakeholders in its resolution and can contribute resources to support the resolution of primary impacts and cascading effects.  Despite some gains following 9/11, public health preparedness has still been treated like an acquaintance from another neighborhood. The legislation, doctrine, programs, and resources that we see MUST support an integrated and comprehensive response.  No longer can we allow public health to be such an unfamiliar entity to the rest of the emergency management community (to be clear – the fault to date lies with everyone). 
  4. Improved emergency management preparedness.  Pulling back to look at emergency management as a whole, we have certainly identified gaps in preparedness comprehensively.  Plans that were lacking or didn’t exist at all.  Equipment and systems that were lacking or didn’t exist at all.  People who didn’t know what to do.  Organizations that weren’t flexible or responsible enough.  Processes that took too long.  Poor assumptions on what impacts would be. We can and must do better.
  5. An increase in operational continuity preparedness.  We’ve been preaching continuity of operations/government for decades, yet so few have listened. The Coronavirus pandemic has shown us so many organizations jumping through their asses as they figure it all out for the first time.  By necessity they have figured it out, some better than others.  My hope here is that they learned from their experience and will embrace the concepts of operational continuity and identify a need to leverage what they have learned and use that as a basis for planning, training, exercises, and other preparedness efforts to support future continuity events. 
  6. Further expansion of understanding of community lifelines and interdependencies of critical infrastructure.  This pandemic gave us real world demonstrations of how connected we are, how vulnerable some of our critical infrastructure is, and what metrics (essential elements of information) we should be monitoring when a disaster strikes.  I expect we will see some updated documents from DHS and FEMA addressing much of this. 
  7. More/better public-private partnerships.  The private sector stepped up in this disaster more than they previously ever had. Sure, some mistakes were made, but the private sector has been incredibly responsive and they continue to do so.  They have supported their communities, customers, and governments to address needs they identified independently as well as responding to requests from government.  They changed production.  Increased capacity.  Distributed crisis messages.  Changed operations to address safety matters.  Some were stretched to capacity, despite having to change their business models.  Many companies have also been providing free or discounted products to organizations, professionals, and the public.  We need to continue seeing this kind of awareness and responsiveness.  I also don’t want to dismiss those businesses, and their employees, that took a severe financial hit.  Economic stabilization will be a big issue to address in recovery from this disaster, and I’m hopeful that our collective efforts can help mitigate this in the future. 
  8. An improved preparedness mindset for individuals and families.  Despite the panic buying we saw, much of the public has finally seemed to grasp the preparedness messaging we have been pushing out for decades.  These are lessons I hope they don’t forget. Emergency management, collectively, absolutely must capitalize on the shared experience of the public to encourage (proper) preparedness efforts moving forward and to keep it regularly in their minds. 

In all, we want to see lasting changes – a new normal, not just knee-jerk reactions or short-lived programs, that will see us eventually sliding backwards.  I’m sure I’ll add more to this list as time goes on, but these are the big items that I am confident can and (hopefully) will happen.  I’m interested in your take on these and what you might add to the list.

Be smart, stay safe, stay healthy, and be good to each other. 

© 2020 Timothy Riecker, CEDP

Emergency Preparedness Solutions, LLC

Funeral Services in the Midst of a Pandemic

Despite Coronavirus and COVID19, there are things that must continue. Public safety, health and hospitals, grocers, shipping and distribution, banking and finance all carry on.  Unfortunately, be it related to COVID19 or otherwise, people die.  Based on social norms, religious practice, and family tradition, we mourn our dead, typically coming together to see them off to the afterlife.  Obviously, we need not risk our own lives to mourn the dead. 

With the recommendation for gatherings being no more than ten people, we should understand that this will likely mean only immediate family, or just a few select family members to be physically present for services.  There has been some great guidance going out from the National Funeral Director’s Association (NFDA) for funeral home directors and other related practitioners based upon information from and consultation with the CDC and other public health experts.  The CDC’s COVID19 site also has an FAQ for funerals (and other topics).  The NFDA recommends that funeral home directors and religious facilities provide live streams of services for loved ones who may not be able to attend services. 

Public safety agencies, emergency management offices, and other government officials may be getting inquiries about the conduct of funeral services.  It’s important that we know where to go for this information. 

Be smart, stay safe, stay healthy, and be good to each other.

© 2020 Timothy Riecker, CEDP

Emergency Preparedness Solutions, LLC