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Choose emergency preparedness training by matching it to what staff are expected to do—not by assigning everyone the same generic course. Start with your facility’s risk assessment, emergency and communication plans, patient population, and applicable requirements. Then select a mix of instruction and exercises that builds and tests the competencies each role needs.

Start with staff roles and facility risks

Before comparing courses, identify who may need to act during an emergency and what each person must be able to do. Include employees, volunteers, and people providing services under arrangement when they are expected to assist. Use the facility’s hazards, patient needs, response procedures, and communication plan to shape the training.

Depending on the setting and assigned duties, relevant topics may include sheltering in place, evacuation, continuity of care, triage, patient transfer or discharge, surge, communications, and hazard-specific protective measures. A course that addresses a topic in general terms may still be a poor fit if it does not prepare the learner for the facility’s actual procedures.

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Build a role-to-competency map

List staff groups, their expected emergency functions, and the competencies required for those functions. Then set the depth of training accordingly. Awareness-level preparation may suit staff who need to recognize procedures and know where to get direction; staff making decisions or carrying out specialized response tasks may need more advanced preparation and practice.

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ASPR TRACIE’s summary of the hospital disaster core-competencies report describes awareness, mid-level, and advanced levels as a way to help hospitals decide which personnel belong in each category. Treat it as a planning aid and adapt it to your facility, population, and current plan. Read the ASPR TRACIE core-competencies summary.

Verify requirements for your provider type and jurisdiction

Do not assume that one training interval or rule applies to every healthcare organization. ASPR TRACIE’s CMS Emergency Preparedness Rule collection organizes the federal framework around four elements: the emergency plan, policies and procedures, the communication plan, and training and testing. Its provider-type overviews summarize differing requirements.

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The CMS rule material addresses initial training consistent with expected roles, documentation, demonstration of staff knowledge, recurring training, and updates when policies or procedures change. Check the current CMS materials for your exact provider type, and confirm other applicable jurisdictional or accreditation requirements with your compliance lead before treating a course or schedule as sufficient.

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Match the learning format to the capability

Courses, tabletop discussions, drills, and operations-based exercises develop and assess different things. Select the format based on what staff must learn or demonstrate, rather than treating attendance at a course as proof that a team can carry out its response procedures.

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  • Integrated Performance Indicators: Both manikins are equipped with built-in rate indicators that provide immediate visual LED feedback, ensuring students maintain the recommended compression speed.
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Format Useful for What to check
Instructor-led or online course Building knowledge of plans, hazards, roles, or procedures. Role relevance, curriculum, instructor qualifications, accessibility, time commitment, assessment, and whether local plans can be incorporated.
Tabletop exercise Discussing decisions and coordination against a scenario. Whether the scenario, facilitator materials, and discussion prompts fit the staff group and capabilities being examined.
Unit-level short exercise Practicing team-specific actions in the context of daily work. Whether exercises are tailored to the unit’s duties and provide useful feedback.
Drill or operations-based exercise Practicing or assessing actions, procedures, equipment, and facilities. Realism, safety, evaluation, operational burden, and a plan to act on findings.

Use tabletop exercises to examine decisions

Tabletops let participants work through a scenario and discuss decisions without conducting a full operational response. ASPR TRACIE’s hospital and health facility tabletop guide is one resource for structuring that discussion. See the Hospital and Health Facility Emergency Exercise Guide, Part 1.

The Chicago Department of Public Health guide summary describes tabletop materials and discussion guides covering pediatrics, communications, emergency operations center management, and medical surge. These are examples of topics to consider when choosing scenarios, not a substitute for adapting them to local plans.

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Use unit exercises, drills, and operations-based exercises to test actions

Short exercises can make practice more relevant to a team’s work. The Association of Healthcare Emergency Preparedness Professionals’ 2024 collection is described as a set of short exercises for hospital units. Check whether the activities suit the unit’s responsibilities and whether staff will receive feedback they can use.

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Drills and other operations-based exercises can assess plans, procedures, training, equipment, and facilities. ASPR TRACIE’s Exercise Program describes discussion- and operations-based approaches; its Exercise Resources collection provides related materials. Vary scenarios enough to examine different hazards and response functions: repeating one scenario alone may leave other capabilities untested.

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Distinguish broad planning courses from specialized response training

A broad course can help people responsible for preparedness planning, but it should not be mistaken for universal staff training. The FEMA Center for Domestic Preparedness Health Sector Emergency Preparedness syllabus describes an eight-hour course covering risk assessment, emergency-plan development, policies and procedures, communications planning, and training and testing. It is an example of planning-oriented instruction, not evidence that every healthcare worker needs that course or that it is available in every location. Verify current schedule, eligibility, delivery method, and prerequisites with the provider before enrollment. Review the course syllabus.

For staff assigned hands-on incident response, look for instruction tied to the specific task. ASPR TRACIE’s summary of the CDP Hospital Emergency Response Training for Mass Casualty Incidents describes a three-day course for healthcare personnel that includes decontamination and selection and use of personal protective equipment. That is a different use case from general preparedness orientation; confirm current availability and fit directly with CDP.

Evaluate quality, evidence of learning, and follow-through

Compare more than the course title. Review the syllabus and scenarios, instructor qualifications, accessibility, schedule, cost, and how learning will be assessed. Ask whether the provider can incorporate local plans and procedures, and what participants will be expected to demonstrate after instruction.

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Decide in advance how the organization will document attendance, demonstrated knowledge, exercise performance, and corrective actions. Exercise findings should lead to improvement actions and, where appropriate, revisions to plans or training. Participation alone does not establish that a capability works in practice.

A practical selection process

  1. Identify cohorts and duties. List staff groups, including volunteers and contracted or arranged-service personnel expected to help, and assign their emergency tasks.
  2. Review local needs. Use current hazards, patient needs, emergency procedures, and communication processes to identify relevant capabilities.
  3. Check applicable rules. Confirm current CMS requirements for the exact provider type and review other jurisdictional or accreditation requirements with the compliance lead.
  4. Set the competency level and format. Decide whether each task calls for awareness, intermediate, or advanced capability, then choose a course, tabletop, drill, or operations-based exercise accordingly.
  5. Assess the provider and program. Review the syllabus, instructor qualifications, scenarios, accessibility, schedule, cost, and assessment method.
  6. Plan records and improvement. Determine how attendance, demonstrated knowledge, exercise performance, and follow-up actions will be documented.
  7. Revisit the program. Review training after material plan changes, incidents, exercises, or identified performance gaps.

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