Hospital Readiness CBRN HazMat

Know how your hospital will perform Before the incident does

Independent assessments, training, and exercises that show what is working, where risk remains, and what to improve next.

32+ Years of military service
9 Years leading MA HazMat
40+ Hospital assessments
BIDMC Disaster Medicine faculty

The readiness gap

A plan shows intent Readiness shows what works

A plan records intent. Readiness shows whether people can recognize the threat, make decisions, and act together under pressure.

Plans, policies, equipment inventories, assigned roles, training records, and scheduled exercises.

Plans existRoles assignedTraining scheduled

People recognize the problem, make decisions, coordinate across systems, and perform the mission under pressure.

People actSystems connectDecisions hold
Delayed recognitionUnclear authorityUnpracticed executionBroken coordination

Plans don’t perform
People do

D2EMC flagship assessment

Operational
Readiness Index

A focused assessment that shows leaders what is working, where risk remains, and what to address first.

Sample ORI™ profile View the interactive example
Illustrative ORI™ view Demonstration only · Not client data
72/100
Illustrative score
Illustrative readiness profile Priority gaps identified

Sample findings show current strengths alongside targeted gaps that need improvement and follow-up testing.

03 · Sample insight

In this illustrative view, CBRN/HazMat Readiness receives focused leadership attention as a targeted improvement priority.

Planning & Documentation
78
CBRN/HazMat Readiness
66
Training
73
Exercises
70
Leadership & Command
74

Sample values are for demonstration only. This view is advisory—not certification, accreditation, regulatory approval, or a compliance determination.

Illustrative composite ORI score: 72 out of 100. Priority gaps view selected.

What leadership receives

A clear baseline and focused next steps

  1. 01

    One clear readiness baseline

  2. 02

    Strengths worth protecting

  3. 03

    Priority gaps to fix

  4. 04

    Next actions and follow-up priorities

Explore the Operational Readiness Index™

ORI™ is administered and interpreted by D2EMC. It is advisory—not certification, accreditation, or regulatory approval. The assessment instrument and scoring methodology remain proprietary.

Choose your starting point

Three routes for one readiness mission

Begin with what leadership needs to know—or prove—next. Each path can stand alone or connect into a complete readiness cycle.

Stop 01

See readiness clearly

Begin with a focused preparedness snapshot or a D2EMC-administered ORI™ assessment to identify strengths, priority gaps, and the most useful next action.

Explore readiness assessments
Stop 02

Build skill where it matters

Strengthen hospital CBRN/HazMat, decontamination, first-receiver, PPE, and respiratory-protection performance through practical, hospital-specific training.

Discuss training
Stop 03

Test decisions under pressure

Use HSEEP-consistent tabletop, functional, and full-scale exercises to evaluate command, coordination, communication, execution, and improvement actions.

Plan an exercise

Why D2EMC

Experience built where readiness is tested

D2EMC is led by David DiGregorio, MPAS, MSEM, whose experience spans military medicine, Massachusetts HazMat leadership, hospital readiness assessment, and disaster medicine education.

Meet the experience behind D2EMC
01

Founder-led

Senior expertise stays close to every leadership conversation and engagement.

02

Hospital-specific

Recommendations reflect clinical operations, CBRN/HazMat response, and first-receiver conditions.

03

Actionable

Leaders receive priorities they can assign, resource, exercise, and revisit.

Who we work with

Readiness for organizations that cannot afford to assume

01

Hospitals & Health Systems

ORI™, first-receiver readiness, decontamination, emergency operations, accreditation preparation, training, and exercises.

02

Fire, EMS & HazMat Teams

CBRN operations, PPE, medical monitoring, and multi-agency coordination.

03

Government & Coalitions

Regional planning, readiness assessment, exercises and improvement planning.

04

Business & Critical Infrastructure

Emergency plans, continuity, incident leadership, and operational exercises.

Education partner

Disaster Medicine Institute

Evidence-based disaster medicine and CBRN education for clinical and field audiences.

Simulation partner

SYGNAL

Realistic, repeatable, and measurable HazMat/CBRNE simulation supporting hands-on exercises without real hazards.

Explore D2EMC partnerships
“The depth of knowledge on medical countermeasures, especially as they relate to CBRN and HazMat, is exceptional.”
Christina M. Baxter, Ph.D. Emergency Response TIPS

Common leadership questions

Hospital operational readiness, clearly explained

Direct answers to the questions leaders ask before assessment, training, or exercise design begins.

01What does a hospital emergency management consultant do?

A hospital emergency management consultant assesses risks and critical systems, strengthens plans and teams, develops hospital-specific training, designs and evaluates exercises, and turns findings into prioritized actions for leadership.

02What is hospital operational readiness?

Hospital operational readiness is the demonstrated ability to activate emergency plans, make timely decisions, coordinate people and resources, and sustain safe operations during an incident. It examines what the organization can execute—not simply which documents it has completed.

03How is ORI™ different from a compliance checklist?

ORI™ is a proprietary, D2EMC-administered advisory assessment focused on observable operational performance. Leaders receive high-level findings and a focused improvement path—not the proprietary assessment instrument or scoring logic. ORI™ is not certification, accreditation, or regulatory approval.

Reviewed by David DiGregorio, MPAS, MSEM · August 25, 2026

Start with a readiness conversation

Know how your organization will perform before the next exercise or incident

Begin with a free 20-minute readiness conversation. We’ll discuss your current program, what is driving the urgency, and whether ORI™, a targeted assessment, CBRN/HazMat training, exercise planning, or advisory support is the right starting point.