Cost of Tabletop Exercises
Ric Skinner, GISP
What does a “typical” tabletop exercise, acceptable to The Joint Commission, cost in terms of consultant services (design, facilitation, After Action Report)? I’d appreciate feedback on exercise scenario and consultant costs. Please post back to list because I think this might be informative to all.
Regards,
Ric Skinner, GISP
McGuire, Andrew D.
I run them myself, that’s what the hospital employs me to do. We have never hired an outside consultant for drills and exercises. I too am interested in what the costs might be!
Andy
______________________________
Andrew D. McGuire, BS, EMT-P
Emergency Management Director / EMS Coordinator
IAEM Healthcare Caucus Chair 2008-2010
Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810
V: (203) 739-7749 | F: (203) 739-8671 | C: (203) 648-7116
andrew....@danhosp.org
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Pfanzelter, Joseph J Mr CIV USA MEDCOM KACH
Caveats: NONE
Ditto!
Joe Pfanzelter
Emergency Management Director
Keller Army Community Hospital
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West Point, NY 10996
845-938-8429 (O)
845-401-4662 (C)
"There cannot be a crisis today, my schedule is already full." - Henry
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-----Original Message-----
From: iaem-he...@googlegroups.com
[mailto:iaem-he...@googlegroups.com] On Behalf Of McGuire, Andrew
D.
Sent: Thursday, November 04, 2010 9:43 AM
To: 'iaem-he...@googlegroups.com'
Subject: RE: Cost of Tabletop Exercises
I run them myself, that's what the hospital employs me to do. We have
never hired an outside consultant for drills and exercises. I too am
interested in what the costs might be!
Andy
______________________________
Andrew D. McGuire, BS, EMT-P
Emergency Management Director / EMS Coordinator
IAEM Healthcare Caucus Chair 2008-2010
DH_Main_DanburyHospital_TagDanbury Hospital - A Higher Level of Care
Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810
V: (203) 739-7749 | F: (203) 739-8671 | C: (203) 648-7116
andrew....@danhosp.org
Follow me on @sua980
http://www.danburyhospital.org
Regards,
Ric Skinner, GISP
Classification: UNCLASSIFIED
Caveats: NONE
Brown, Doug A
Doug Brown
EHS/Emergency Management
Arkansas Children's Hospital
+1-501-680-3950
A NWS Storm Ready Hospital
From: iaem-he...@googlegroups.com <iaem-he...@googlegroups.com>
To: 'iaem-he...@googlegroups.com' <iaem-he...@googlegroups.com>
Sent: Thu Nov 04 08:42:36 2010
Subject: RE: Cost of Tabletop Exercises
I run them myself, that’s what the hospital employs me to do. We have never hired an outside consultant for drills and exercises. I too am interested in what the costs might be!
Andy
______________________________
Andrew D. McGuire, BS, EMT-P
Emergency Management Director / EMS Coordinator
IAEM Healthcare Caucus Chair 2008-2010
Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810
V: (203) 739-7749 | F: (203) 739-8671 | C: (203) 648-7116
andrew....@danhosp.org
Follow me on
@sua980
http://www.danburyhospital.org
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From: iaem-he...@googlegroups.com [mailto:iaem-he...@googlegroups.com]
On Behalf Of Ric Skinner, GISP
Sent: Thursday, November 04, 2010 7:11 AM
To: iaem-he...@googlegroups.com; 'New England Health/Medical Emergency Planning'; hospital-emerg...@googlegroups.com
Subject: Cost of Tabletop Exercises
What does a “typical” tabletop exercise, acceptable to The Joint Commission, cost in terms of consultant services (design, facilitation, After Action Report)? I’d appreciate feedback on exercise scenario and consultant costs. Please post back to list because I think this might be informative to all.
Regards,
Ric Skinner, GISP
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Thank you.
Alyssa Scala
Principal
Daniel Reilly
All good questions. A suggestion to defray some of the costs is to organize a regional EET Team (we did attempt something like that here in Northern Illinois and it was very well received, except that the little H1N1 issue intervened and we need to re-start). The regional team should be large enough and encompass different agencies (health, fire, police, hospitals etc.) that you can form teams of exercise planners, EET, Evaluators etc.) With minimal funding, a Tabletop or even functional exercise can be brought from beginning to end with one team. If you have enough team members in the regional team, then the requesting agency can have their members excused from the planning etc. This will then do away with the problem we all face, that of the person in the agency who is usually the most knowledgeable on the EOP and responses having to be the exercise planner and trainer and evaluator.
The regional team can be funded either by the local requesting agency and/or the state, and if an MOU is signed with all participating agencies, then the requesting agency will only have to pay for gas, mileage and support material for the teams.
Hope this makes sense.
Daniel Reilly
Public Health Emergency Response Coordinator
Winnebago County Health Department
401 Division Street
Rockford
Illinois 61104
(815)720 - 4217 (work)
(815)703 - 2465 (cell)
Experience is what you get when you don't get what you want - Randy Pausch
Shellenbarger, Rick
If I may, tabletop exercises should not be very expensive compared to functional or full-scale exercises. The costs I have been seeing seem to refer more to a full-scale than a tabletop exercise. Your local emergency manager would probably very interested in helping formulate a tabletop exercise to match JCAHO requirements. Costs mainly stem around time put into the development and execution of the tabletop, so the length of the table top would drive the costs. An example would be $50.00 per hour average salary times 20 people would be $1,000.00 per hour. Costs can be reduced for the planning effort by the emergency manager’s expertise. Hope this helps.
Rick
Ricky L. Shellenbarger, CEM
Emergency Management Planner
Sedgwick County Emergency Management
714 N Main
Wichita, KS 67203-3603
From:
iaem-he...@googlegroups.com [mailto:iaem-he...@googlegroups.com] On
Behalf Of Ric Skinner, GISP
Sent: Thursday, November 04, 2010 6:11 AM
To: iaem-he...@googlegroups.com; 'New England Health/Medical
Emergency Planning'; hospital-emerg...@googlegroups.com
Subject: Cost of Tabletop Exercises
What does a “typical” tabletop exercise, acceptable to The Joint Commission, cost in terms of consultant services (design, facilitation, After Action Report)? I’d appreciate feedback on exercise scenario and consultant costs. Please post back to list because I think this might be informative to all.
Regards,
Ric Skinner, GISP
--
Jimmy L. Stanford
Jimmy
Alyssa Scala Wrote:
If I may, I believe that there are many different variables to consider when asking this question. The first is what type of TTX are you looking for? Do you want a basic simple three or four hour exercise? Or something more advanced, i.e. with some functional components involved? Further consideration needs to be given to the status of the plan? Is it truly near completion? Or completed? Do you have a planning committee that is willing to provide subject matter expertise in the development of realistic and obtainable goals and objectives? All of this will really play into the amount of time and effort the consultant has to support building an exercise that is not only relelvant to the client, but that easily lends itself to writing an actionable AAR. However, this also leads to a set of questions, do you want just an executive summary report of the findings or a true AAR with an improvement plan? Does the TTX require subject matter expertise evaluators. It also does somewhat depend on the level of passion of the client and the consultant to put forth a TTX that "reels them in", so to speak.
Although, I apologize for answering a question with several questions, I think that they must all be asked, prior to assigning a price. I will, however, offer this much, I believe that a good TTX can be done within the price range of $45-75K, depending of course on the answers to the above.
Thanks, Alyssa
On Thu, Nov 4, 2010 at 11:26 AM, Brown, Doug A <Brow...@archildrens.org> wrote:
My experience has been in the 60-100K area but as Andy mentioned I do mu own.
Doug Brown
EHS/Emergency Management
Arkansas Children's Hospital
+1-501-680-3950
A NWS Storm Ready Hospital
From: iaem-he...@googlegroups.com <iaem-he...@googlegroups.com>
To: 'iaem-he...@googlegroups.com' <iaem-he...@googlegroups.com>
Sent: Thu Nov 04 08:42:36 2010
Subject: RE: Cost of Tabletop Exercises
I run them myself, that’s what the hospital employs me to do. We have never hired an outside consultant for drills and exercises. I too am interested in what the costs might be!
Andy
______________________________
Andrew D. McGuire, BS, EMT-P
Emergency Management Director / EMS Coordinator
IAEM Healthcare Caucus Chair 2008-2010
Danbury Hospital, 24 Hospital Avenue, Danbury, CT 06810
V: (203) 739-7749 | F: (203) 739-8671 | C: (203) 648-7116 andrew....@danhosp.org
Follow me on@sua980
This transmittal is intended for a particular addressee(s). If it is not clear that you are the intended recipient, you are hereby notified that you have received this transmittal in error; any review, copying or distribution or dissemination is strictly prohibited. If you suspect that you have received this transmittal in error, please notify Danbury Health Systems immediately by email reply to the sender, and delete the transmittal and any attachments.
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From: iaem-he...@googlegroups.com [mailto:iaem-he...@googlegroups.com] On Behalf Of Ric Skinner, GISP
Sent: Thursday, November 04, 2010 7:11 AM
To: iaem-he...@googlegroups.com; 'New England Health/Medical Emergency Planning'; hospital-emerg...@googlegroups.com
Subject: Cost of Tabletop Exercises
What does a “typical” tabletop exercise, acceptable to The Joint Commission, cost in terms of consultant services (design, facilitation, After Action Report)? I’d appreciate feedback on exercise scenario and consultant costs. Please post back to list because I think this might be informative to all.
Regards,
Ric Skinner, GISP
Jimmy L. Stanford
Director of Operations
MTSS IT Solutions Inc.
2131 N. Collins St.
Suite 433-615
Arlington TX, 76112
Phone (202) 725-5565
Corporate (877) 937-6377
Fax (214) 853-9095
It has been said that democracy is the worst form of government except all the others that have been tried.– Sir Winston Churchill
C Hartman
All,
I don’t know exactly what you’ve envisioned for a tabletop exercise, but I think the costs are a bit high. We are talking about a tabletop exercise, right? I think it would depend on your current state of readiness. A low tech tabletop might run into a few thousand dollars (including labor, etc.). A high tech tabletop can cost much more, but aren’t the costs already partially built in to your existing infrastructure (EOC setup) and existing human resources? I have put on several and did most of the work myself up to the day of the tabletop. Then used other resources as necessary.
Craig
Craig Hartman
Principal
Strategic Environmental Assessments,LLC
csha...@comcast.net
office 925.788.0730
From: iaem-he...@googlegroups.com
[mailto:iaem-he...@googlegroups.com] On Behalf Of Jimmy L. Stanford
Sent: Thursday, November 04, 2010 2:35 PM
To: iaem-he...@googlegroups.com
Subject: Re: Cost of Tabletop Exercises
As a member of a consulting firm that
provides health and hospital TTX development, we have done a number in Florida,
I agree with Alyssa, there are a number of factors that can affect the cost.
A base TTX (3-4 hours) with full AAR (including IP) can be done for
between 25 and 50K. That doesn't include a lot of frills but would be
defiantly be able to test your plans with a realistic scenario that engages
participants. If you want to do something more complicated, or do
multiple sites, or add functional components the price will increase. I
would not expect a tabletop to go over 75K unless it was a large number of locations
or presented an overly complicated scenario or injects.
Jimmy
Alyssa Scala Wrote:
--
Ric Skinner, GISP
It’s clear to me, based on the responses I’ve received thus far that I did a poor job of phrasing my inquiry. The responses range from $3k to $100K as the cost for a tabletop exercise, in addition to many replies as to what a tabletop exercise is and is not, should be and should not be. I’m going to design a short survey that will hopefully pull out the information I’m really seeking. I will post the link for the survey results so all can see.
Regards,
Ric Skinner, GISP
Laura Jull
Man, I'm feeling like I am in the wrong business!
Sent: Thu Nov 04 14:35:04 2010
Sent: Thursday, November 04, 2010 7:11 AM
To: iaem-he...@googlegroups.com; 'New England Health/Medical Emergency Planning'; hospital-emerg...@googlegroups.com
Subject: Cost of Tabletop Exercises
What does a “typical” tabletop exercise, acceptable to The Joint Commission, cost in terms of consultant services (design, facilitation, After Action Report)? I’d appreciate feedback on exercise scenario and consultant costs. Please post back to list because I think this might be informative to all.
Regards,
Ric Skinner, GISP
Director of Operations
MTSS IT Solutions Inc.
2131 N. Collins St.
Suite 433-615
Arlington TX, 76112
Phone (202) 725-5565
Corporate (877) 937-6377
Fax (214) 853-9095
It has been said that democracy is the worst form of government except all the others that have been tried.– Sir Winston Churchill
Walters, Ric
Ric,
I haven't been able to follow the entire chain, but it seems clear that there is a wide gulf in what folks expect and in what reality is! I was shocked to see what some companies may be charging for a three hour ttx! I think our senior management will be surprised, too. Even in the oil/petrochemical industries, no one would pay more than around $10k for a 3 hour ttx.
Good luck with your project. Maybe it'll help develop some reasonably standardized expectations.
Regards,
The other Ric
Ric Walters
Sent from my Blackberry
From: iaem-he...@googlegroups.com <iaem-he...@googlegroups.com>
To: iaem-he...@googlegroups.com <iaem-he...@googlegroups.com>; 'New England Health/Medical Emergency Planning' <RGN_I_...@list.nih.gov>; hospital-emerg...@googlegroups.com <hospital-emerg...@googlegroups.com>
Sent: Thu Nov 04 17:35:10 2010
Subject: RE: Cost of Tabletop Exercises
It’s clear to me, based on the responses I’ve received thus far that I did a poor job of phrasing my inquiry. The responses range from $3k to $100K as the cost for a tabletop exercise, in addition to many replies as to what a tabletop exercise is and is not, should be and should not be. I’m going to design a short survey that will hopefully pull out the information I’m really seeking. I will post the link for the survey results so all can see.
Regards,
Ric Skinner, GISP
-----Original Message-----
From: Ric Skinner, GISP
[mailto:ric.s...@gmail.com]
Sent: Thursday, November 04, 2010
7:11 AM
To:
'iaem-he...@googlegroups.com'; 'New England Health/Medical Emergency
Planning'; 'hospital-emerg...@googlegroups.com'
Subject: Cost of Tabletop
Exercises
What does a “typical” tabletop exercise, acceptable to The Joint Commission, cost in terms of consultant services (design, facilitation, After Action Report)? I’d appreciate feedback on exercise scenario and consultant costs. Please post back to list because I think this might be informative to all.
Regards,
Ric Skinner, GISP
Walter Dusseldorp
Ric
I want to second that. Let me know if you need a hand, I will do it at fraction of the cost.
50K to 75K. I'm still laughing.
W
Sent from my Verizon Wireless BlackBerry
Ric,
I haven't been able to follow the entire chain, but it seems clear that there is a wide gulf in what folks expect and in what reality is! I was shocked to see what some companies may be charging for a three hour ttx! I think our senior management will be surprised, too. Even in the oil/petrochemical industries, no one would pay more than around $10k for a 3 hour ttx.
Good luck with your project. Maybe it'll help develop some reasonably standardized expectations.
Regards,
The other Ric
Ric Walters
Sent from my Blackberry
From: iaem-he...@googlegroups.com <iaem-he...@googlegroups.com>
To: iaem-he...@googlegroups.com <iaem-he...@googlegroups.com>; 'New England Health/Medical Emergency Planning' <RGN_I_...@list.nih.gov>; hospital-emerg...@googlegroups.com <hospital-emerg...@googlegroups.com>
Sent: Thu Nov 04 17:35:10 2010
Subject: RE: Cost of Tabletop Exercises
It’s clear to me, based on the responses I’ve received thus far that I did a poor job of phrasing my inquiry. The responses range from $3k to $100K as the cost for a tabletop exercise, in addition to many replies as to what a tabletop exercise is and is not, should be and should not be. I’m going to design a short survey that will hopefully pull out the information I’m really seeking. I will post the link for the survey results so all can see.
Regards,
Ric Skinner, GISP
-----Original Message-----
From: Ric Skinner, GISP
[mailto:ric.s...@gmail.com]
Sent: Thursday, November 04, 2010
7:11 AM
To:
'iaem-he...@googlegroups.com'; 'New England Health/Medical Emergency
Planning'; 'hospital-emerg...@googlegroups.com'
Subject: Cost of Tabletop
Exercises
What does a “typical” tabletop exercise, acceptable to The Joint Commission, cost in terms of consultant services (design, facilitation, After Action Report)? I’d appreciate feedback on exercise scenario and consultant costs. Please post back to list because I think this might be informative to all.
Regards,
Ric Skinner, GISP
Nyack Hospital is required by Law to protect the privacy of health information under HIPAA Rules and Regulations Part II, Article 45 CFR, Parts 160-164. This e-mail, including attachments, is intended for the exclusive use of the person or the entity to which it is addressed. It may contain confidential or legally protected information. The authorized recipient is prohibited from disclosing this information to any other party and is required to destroy this information after its stated need has been fulfilled. If the recipient or reader of this e-mail is not the intended recipient or her/his authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you believe that you have received this e-mail in error, please advise the sender immediately by reply e-mail and then delete this e-mail immediately. Any breach of confidentiality could result in potential liability.
Upton, Lori A.
Lori Upton
On Nov 4, 2010, at 5:40 PM, Laura Jull <Laura...@harrisonmedical.org<mailto:Laura...@harrisonmedical.org>> wrote:
Man, I'm feeling like I am in the wrong business!
________________________________
To: iaem-he...@googlegroups.com<mailto:iaem-he...@googlegroups.com> <iaem-he...@googlegroups.com<mailto:iaem-he...@googlegroups.com>>
Subject: Re: Cost of Tabletop Exercises
As a member of a consulting firm that provides health and hospital TTX development, we have done a number in Florida, I agree with Alyssa, there are a number of factors that can affect the cost. A base TTX (3-4 hours) with full AAR (including IP) can be done for between 25 and 50K. That doesn't include a lot of frills but would be defiantly be able to test your plans with a realistic scenario that engages participants. If you want to do something more complicated, or do multiple sites, or add functional components the price will increase. I would not expect a tabletop to go over 75K unless it was a large number of locations or presented an overly complicated scenario or injects.
Jimmy
Alyssa Scala Wrote:
If I may, I believe that there are many different variables to consider when asking this question. The first is what type of TTX are you looking for? Do you want a basic simple three or four hour exercise? Or something more advanced, i.e. with some functional components involved? Further consideration needs to be given to the status of the plan? Is it truly near completion? Or completed? Do you have a planning committee that is willing to provide subject matter expertise in the development of realistic and obtainable goals and objectives? All of this will really play into the amount of time and effort the consultant has to support building an exercise that is not only relelvant to the client, but that easily lends itself to writing an actionable AAR. However, this also leads to a set of questions, do you want just an executive summary report of the findings or a true AAR with an improvement plan? Does the TTX require subject matter expertise evaluators. It also does somewhat depend on the level of passion of the client and the consultant to put forth a TTX that "reels them in", so to speak.
Although, I apologize for answering a question with several questions, I think that they must all be asked, prior to assigning a price. I will, however, offer this much, I believe that a good TTX can be done within the price range of $45-75K, depending of course on the answers to the above.
Thanks, Alyssa
My experience has been in the 60-100K area but as Andy mentioned I do mu own.
Doug Brown
EHS/Emergency Management
Arkansas Children's Hospital
+1-501-680-3950
A NWS Storm Ready Hospital
________________________________
To: '<'iaem-he...@googlegroups.com>iaem-he...@googlegroups.com<mailto:iaem-he...@googlegroups.com>' <<iaem-he...@googlegroups.com>iaem-he...@googlegroups.com<mailto:iaem-he...@googlegroups.com>>
Subject: RE: Cost of Tabletop Exercises
I run them myself, that’s what the hospital employs me to do. We have never hired an outside consultant for drills and exercises. I too am interested in what the costs might be!
Andy
______________________________
Andrew D. McGuire, BS, EMT-P
Emergency Management Director / EMS Coordinator
IAEM Healthcare Caucus Chair 2008-2010
Follow me on [cid:3371736904_5396493] @sua980
<http://www.danburyhospital.org>http://www.danburyhospital.org <<http://www.danburyhospital.org/>http://www.danburyhospital.org/>
READER BEWARE: Internet e-mail is inherently insecure and occasionally unreliable. Please contact the sender if you wish to arrange for secure communication or to verify the contents of this message.
From: <iaem-he...@googlegroups.com> iaem-he...@googlegroups.com<mailto:iaem-he...@googlegroups.com> [<mailto:iaem-he...@googlegroups.com>mailto:iaem-he...@googlegroups.com] On Behalf Of Ric Skinner, GISP
Sent: Thursday, November 04, 2010 7:11 AM
To: <iaem-he...@googlegroups.com> iaem-he...@googlegroups.com<mailto:iaem-he...@googlegroups.com>; 'New England Health/Medical Emergency Planning'; <hospital-emerg...@googlegroups.com> hospital-emerg...@googlegroups.com<mailto:hospital-emerg...@googlegroups.com>
Subject: Cost of Tabletop Exercises
What does a “typical” tabletop exercise, acceptable to The Joint Commission, cost in terms of consultant services (design, facilitation, After Action Report)? I’d appreciate feedback on exercise scenario and consultant costs. Please post back to list because I think this might be informative to all.
Regards,
Ric Skinner, GISP
Jimmy L. Stanford
Director of Operations
MTSS IT Solutions Inc.
2131 N. Collins St.
Suite 433-615
Arlington TX, 76112
Phone (202) 725-5565
Corporate (877) 937-6377
Fax (214) 853-9095
It has been said that democracy is the worst form of government except all the others that have been tried.– Sir Winston Churchill
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Lori Upton
Jimmy
Alyssa Scala Wrote:
Thanks, Alyssa
Regards,
Ric Skinner, GISP
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calif_pat
Question: Is there a way to obtain a national sample of consulting prices for these (TTX) products?
Pat Lynch, RN
|
|
Ric Skinner, GISP
Pat,
Pat,
I plan to post a short, more structured survey probably later today to get this kind information, depending on how widely the survey is circulated and the level of response.
Alyssa Scala
say that I agree with Jimmy about the rate range, I stand by my original
comment that it really all does depend. If you are conducting the TTX to
check off the JACHO box than by all means the lower the rate the better.
But I believe in the integrity of exercise design and the conduct of the TTX
being worked through with planning committee members and utilizing adult
learning theory techniques for conduct and facilitation purposes and I
believe that at the end of the day that TTX sets the mood for all
individuals to either make progress when they leave with the issues they
identified or just reconvene in one year to check the box again. When
working with one particular hospital in the past they gave me a budget I
said "okay, great, let's begin" and the next thing I knew through the
planning process and through identifying the true needs for the conduct of
the TTX, the hospital instantly realized they needed first a workshop and
then a short training. It was all worked out. All I was trying to say I
guess, is that I am kind of tired of seeing people come in and pass off off
the shelf TTX's as relevant and important to the continued readiness of the
hospital.
I agree with Jimmy's rates and admit that likely my rates were more focused
on outside agencies who may have a more intricate systems to test. If this
caused humor or shock and awe then I apologize it was not my intent.
Thank you,
Alyssa
-----Original Message-----
From: iaem-he...@googlegroups.com
[mailto:iaem-he...@googlegroups.com] On Behalf Of McGuire, Andrew D.
Sent: Thursday, November 04, 2010 8:40 PM
To: Iaem-Healthcare
Subject: Re: Cost of Tabletop Exercises
Andy McGuire EM Consultant LLC is now open for business! Come and schedule
your TTX here! LOL <just kidding>
Sent on the SprintR Now Network from my BlackBerryR
Lori Upton
Jimmy
Alyssa Scala Wrote:
Thanks, Alyssa
<<Brow...@archildrens.org>Brow...@archildrens.org<mailto:BrownDA1@archildr
ens.org>> wrote:
My experience has been in the 60-100K area but as Andy mentioned I do mu
own.
Doug Brown
EHS/Emergency Management
Arkansas Children's Hospital
+1-501-680-3950
A NWS Storm Ready Hospital
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Subject: Cost of Tabletop Exercises
What does a "typical" tabletop exercise, acceptable to The Joint Commission,
cost in terms of consultant services (design, facilitation, After Action
Report)? I'd appreciate feedback on exercise scenario and consultant costs.
Please post back to list because I think this might be informative to all.
Regards,
Ric Skinner, GISP
Jimmy L. Stanford
Director of Operations
MTSS IT Solutions Inc.
2131 N. Collins St.
Suite 433-615
Arlington TX, 76112
Phone (202) 725-5565
Corporate (877) 937-6377
Fax (214) 853-9095
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the others that have been tried.- Sir Winston Churchill
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Ric Skinner, GISP
Later today I hope to post a more structured survey that is aimed at getting
better information without all the wide ranging interpretations of what I
was originally after. Stay tuned.
Regards,
Ric Skinner, GISP
McGuire, Andrew D.
Andy McGuire
IAEM HCC Chair
-----Original Message-----
From: iaem-he...@googlegroups.com [mailto:iaem-he...@googlegroups.com] On Behalf Of Alyssa Scala
Sent: Friday, November 05, 2010 1:10 PM
To: iaem-he...@googlegroups.com
scot phelps
resource center exercise planner, and a consultant, I can say that
there are a number of questions that need to be answered first before
you get to a price. When organizations bring me in to do a TTX, I
usually start asking them more about the "why" than the "what",
because most organizations do not really understand what they are
trying to do-an exercise program is a learning process and a quality
improvement process, but most people really do not get it. Usually, I
spend a lot more time on this stuff than the actual exercises....
1. Do you regularly identify your program's objectives using SMART
methodology, set performance metrics (failure, acceptable,
outstanding), and collect data?
2. Do you have an exercise program? That is, have you defined you
current competency level, identified what are your target competency
levels, and identified a workplan to get from A to B?
3. Do your leaders have a formal process to make decisions so that we
can ensure that core issues are considered for every event?
4. Are you looking to improve skills through kinesthetic (doing)
learning, looking for program improvement, or looking for disaster
theatre (or all three)?
Generally, I prefer to help Emergency Managers develop programs,
leadership skills, and competencies in their own organization. What
this means is that while I will do a single exercise, usually
organizations bring me in to help them over the medium term.
As for pricing, the first question is "how much do you have to
spend?" It makes no sense to talk about pricing a program if I don't
know if you want a Mercedes or a Hyundai. If I know the budget, we
can work out a program to meet that budget. Although not the usual
way of doing business, I find that it makes it much easier to deliver
to clients the program they want rather than just shooting in the
dark.
As a rule of thumb, I bill organizations on their hassle factor as
well. I used to do some work for General Electric, the VA Hospital
System, and the Military. All three paid by credit card, so they
ALWAYS got my best prices. If you make me invoice you forever, and
take 6 months to pay, you will pay at least double, sometimes triple
that price. To answer the question from the "best price" standpoint:
a very simple TTX without a lot of time-sensitive issues would cost in
the $2-5k range, a more in-depth TTX requiring multiple consulting
staff would cost $5-20k range, and a complex or time-sensitive TTX
would cost $20-30k. Once again, if you take forever to pay or you're
a pain, double or triple that. I have little overhead, so that is
from a small consultant point of view. Larger firms have more
overhead and higher costs.
I'm also coming from a particular point of view (which may skew my
comments)- I'm not really interested in competing on price (but am
interested in developing a program within your budget), and rarely
participate in a competitive RFP process- if you want that, I can
recommend a lot of other people. People tend to hire me because they
know me (or have heard me at a conference), and know that I'm
interested in improving their organization's response to crisis.
Scot
Brown, Doug A
Please let me explain my post. Little Rock hospitals typically do very few TTX alone as we all partner on projects including table top exercises; these are usually community wide. MMRS and ASPR dollars are spent together in our community as set by the regional leadership and MMRS board. A contractor is hired to put together the exercises then each hospital participates at their own location or at a preset location. Few hospitals in this area conduct their own outside of this joint TTX.
Douglas A. Brown, MS, CHEP, NREMT-B
Emergency Management Coordinator
Arkansas Children's Hospital
O: 501.364.2271 C: 501.680.3950 F: 501.364.1580
Adjunct Professor, Arkansas Tech University
Emergency Management/Homeland Security
A NWS Certified Storm Ready Hospital
