How we work

This page describes our delivery approach, from scoping and independent assessment through planning, testing, and continuous improvement. Each step includes clear outputs and defined sign-off points so leadership can validate priorities, approve deliverables, and maintain control throughout.

Delivery controls (in brief)

Delivery controls ensure disciplined governance, quality assurance, validation, version control, and clear sign-off gates from kickoff through handover.

Governance cadence

Confirm scope, stakeholders, and decision owners at kickoff; run scheduled check-ins and a formal review workshop at each key stage.

Validation

Test plans and procedures through walkthroughs and/or exercises; refine based on observed performance and feedback.

Version control

Maintain controlled document versions with tracked changes and an agreed change log for transparency.

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Sign-off gates

Use clear approval points (scope → findings → plan set → exercise/AAR) so leadership can validate direction before finalization.

Handover and adoption

Provide a complete handover pack (plans, SOPs, templates, action cards, exercise materials) and a handover session to embed routine use.

Quality assurance

Apply structured tools and consistency checks so outputs match your context, constraints, and agreed requirements.

Improvement cycle

Produce a corrective action plan with owners and timelines, and support monitoring of closure where requested.

Frameworks and standards

Frameworks, tools, and guiding documents we use in our work

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WHO hospital emergency preparedness frameworks

  • WHO Emergency Response Framework

  • Framework and toolkit for infection prevention and control outbreak preparedness, readiness and response

  • Communicable disease control in emergencies: a field manual

  • Guidelines on core components of infection prevention and control programmes at the national and acute health care facility level

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All-Hazards Preparedness


We apply an all-hazards approach, focusing on functions that are common to most emergencies (such as command and control, communication, patient flow, staffing, and logistics), rather than developing separate plans for individual threats.

This allows hospitals to respond effectively to a wide range of scenarios, from mass casualty incidents to infectious disease outbreaks.

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Surge Capacity and Continuity of Essential Services


We assess and strengthen hospitals’ ability to rapidly expand care during emergencies while ensuring continuity of critical services such as emergency surgery, maternity care, dialysis, and intensive care.

Our work addresses staffing, space, supplies, and operational systems under realistic constraints.

Our delivery model

Assess → Prioritize → Strengthen → Test → Improve

Scope & context

Hazard profile, governance/regulatory context, existing plans/capabilities.


Deliverables: Scope & assumptions note; Document/request list.


Gate A - Scope confirmed: priorities, stakeholders, and access agreed.

Independent preparedness assessment


Structured tools, interviews, document review, walk-throughs; baseline scoring where applicable.


Deliverables: Assessment scorecard; Findings log (observations + evidence).

Gap analysis & prioritization


Risk-based prioritization, feasibility/resource sensitivity, leadership validation.


Deliverables: Prioritized risk & gap register; Recommendations roadmap (phased).


Gate B - Findings validated: leadership alignment on priority gaps and focus areas.

Plan development / revision


Contingency plans, SOPs, role/action cards; integration with national frameworks as relevant.


Deliverables: Plan set (v1); SOP/action card pack.


Gate C - Plans approved: operational owners sign off on roles, triggers, and procedures.

Simulation & testing


Tabletop or functional drills; real-time facilitation and observation.


Deliverables: Exercise package (scenario + injects); Evaluation notes/observations.

After-action review & improvement cycle


Structured debriefs; actionable recommendations; monitoring indicators.

Deliverables: After-Action Review (AAR); Corrective Action Plan (CAP) tracker.

Gate D - Improvement plan agreed: owners, timelines, and follow-up cadence confirmed.