R E A D I N E S S R E S P O N S E R E C O V E R Y

Readiness is a predictive measure

James RollinsTakouba

What is readiness?

A predictive measure of . . .

The state of being ready or prepared, as for use or action . . .

For the purpose of reducing risk . . .

by mitigating consequences.

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How does readiness relate to risk?

+ Occurrence+ Severity+ Vulnerabilities

+ Reduce vulnerabilities+ Manage consequences

RiskThe danger thatloss or injury willoccur or that a process could fail

What factors influence readiness?

Time

People

Money

Intellect

Maint.

Org

Leaders

Readiness

Stuff

Shelflife

KM

Standards

Move

What are the steps to measure readiness?

Audit organization to test for compliance2

Conduct a test4

Evaluate organization KPI3

Evaluate your risk1

Risk

Review past AARs2

Focus effort on critical capabilities4

Prioritize critical capabilities3

Analyze hazards1

Audit - What does right look like?

Standards1 Agreements2

Contracts EMAC

Audit – What do we look at?

Policies1 WHY we do it

Procedures2 HOW we do it

Resources3WHAT we have

WHO we have

Audit – What we are looking for

Does organization have a culture of fixing problems?2

Does the organization self-audit?4

Do leaders conduct management reviews?3

Do people follow policies and procedures?1

KPI – Key performance indicators

Measurable outcome (number of minutes between call and response)2

Statistical process control (is process consistent and repeatable?)3

Specific to a function (call response time)1

Test – how can we test?

Individual skills requirements2

Exercise!4

Collective skills requirements3

Job task analysis1

Training Design Features

COMPETENCY TASK SUBTASK TRAINING DESIGN FEATURES

1.0 Estimate the effect of the hazard on the hospital

1.1 Activate a Hospital Incident Command Post

Provide a scenario briefing PowerPoint Organize HICS staff representatives: Command PIO Operations Section Planning Section Medical Care Branch Infrastructure Branch Logistics Branch EMS

1.2 Conduct a facilities vulnerability assessment

1.2.1 Estimate the effect of hazard on critical infrastructure 1.2.2 Estimate effect of consequences on hospital facilities, staff and resources 1.2.3 Develop and consider measures to mitigate hazard consequences

Staff provide an estimate process based on the following documents: Hospital vulnerability assessment. Weather report or other consequences

information (county risk register). Facilities manager judgment. Use Hospital Facilities Hazard Impact Assessment form to estimate post-mitigation status of systems.

1.3 Determine the degree to which the hospital can operate in post hazard environment*

Staff provides a briefing for the IC.

1.4 Determine how the hospital can safely evacuate patients before disaster strikes. 1.4a Determine how the hospital can safely evacuate patients

1.4.1 Estimate the time required to evacuate the hospital

Staff provides a rough-cut estimate using a form or calculation to estimate time to evacuate. Formula based on complexity of facility, patient mix, transport type and distance to gaining hospitals.

How do we develop our team?

Individual training - training that an individual requires to fulfill theirprimary job. Normally provided on-the-job or through employer provided training.

Collective training -training that an organization performs togetherin context to learn and test processes such as planning and reporting.

Leaders –experienced leaders whoare conditioned to the nuances of the contextand confident in the people and capabilities of theorganization

Time

Long hard climb

Fast decline

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Ways to make readiness last

Turn over2

Knowledge management4

Scale and capacity3

Frequency1 Documentation5

Follow up6

Time

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So – are you ready?