02emiac

readiness
for hospitals

One or two people run emergency management for a hospital. The annual HVA, the exercises, the after-action reports, the emergency operations plan, and the survey binder all come out of the same office, mostly out of Word and Excel. readiness is the workspace that does the compiling: the hazards you score drive the plan you write, the exercise you run produces the report you file, and the binder is always current because it is the system, not a copy of it.

Live at readiness.roryteehan.com. Built in a hospital EM program, on its real survey cycle.

Compliance

Walk into survey knowing where you stand.

The standards library carries the accreditation chapters you are surveyed on. You mark each element met, partial, or gap, attach the evidence, and the binder builds itself. When the regulatory text changes, the library says so; it is checked automatically every week.

Sample Medical Center · Fort Range campusJMJ. Morales

Standards

TJC Emergency Management chapter · 2026 edition · status per element for this facility

Export binderAdd evidence

Overall

78%

TJC EM

82%

CMS 482.15

74%

ASPR HPP

71%

Elements of performance

46 elements · showing 6

EM.09.01.01 EP 1Written emergency operations plan, reviewed annually3 evidenceMet

EM.09.01.01 EP 4Communications plan: staff, patients, external authorities4 evidenceMet

EM.11.01.01 EP 2Continuity of operations for 96 hours without support1 evidencePartial

EM.12.02.01 EP 3Patient surge and clinical support during an emergency2 evidencePartial

EM.15.01.01 EP 1Two exercises per year, one community-wide0 evidenceGap

EM.17.01.01 EP 2Evaluation of every activation and exercise5 evidenceMet

Survey binder

38 of 46 filed

Missing: exercise records for EM.15, surge drill log.

Interview prep

112 likely surveyor questions mapped to elements; 9 without a facility answer.

Survey intel

Regulatory text watched weekly. Last change to 42 CFR 482.15: 2019.

Every element of performance with a status, the evidence behind it, and the task that closes the gap.
Readiness scores per accrediting body, per facility, updated as evidence lands.
Interview prep: likely surveyor questions mapped to elements, with your facility's answers.

HVA

A hazard analysis you can defend.

The HVA stops being a once-a-year spreadsheet. Facilities score their hazards on a shared model, the system grid ranks them, and the result is the input to everything downstream instead of a PDF on a shared drive.

Sample Medical Center · Fort Range campusJMJ. Morales

System Grid

Hazard vulnerability analysis · 2026 annual period · relative risk by facility

Scoring model: standard v2Open period

Relative risk

probability × impact, mitigation-adjusted

Hazard	Main campus	North campus	Outpatient center
Severe winter storm	0.62	0.58	0.41
Utility failure, electrical	0.55	0.61	0.38
Cyber attack	0.51	0.51	0.47
Mass casualty incident	0.44	0.29	0.12
Wildfire smoke	0.39	0.42	0.36
Active threat	0.37	0.33	0.35
Supply chain disruption	0.34	0.31	0.22
Infant abduction	0.21	0.08	0.02

Top hazards, system

1Severe winter storm

2Utility failure

3Cyber attack

Feeds

Top hazards seed exercise objectives and the EOP hazard annex list.

One scoring model across every facility, so the numbers compare.
Periods keep history: this year's grid next to last year's.
Top hazards feed exercise objectives and the plan's hazard annexes automatically.

AAR Builder

An after-action report that cites its authority.

The composition wizard builds the report from a library of 56 components across 26 accreditations. Pick the event type, and the required sections are already there. Real-world events and exercises produce different documents, and the wizard knows the difference.

Sample Medical Center · Fort Range campusJMJ. Morales

New after-action report

Full-scale exercise · Main campus · composition step 1 of 5

Continue to event details

Composition›Event›Analysis›Improvement plan›Export

Required · 6

Executive summaryHSEEP

Exercise overviewHSEEP

Capability analysisASPR HPP

Strengths and areas for improvementTJC EM.17

Improvement planTJC EM.17

Participant rosterHSEEP

Suggested · 3

Responsible-use reviewCHAI

Surge metricsCMS 482.15

Comms timelineNIMS/HICS

Suggested because this facility holds a CHAI attestation and a CMS provider agreement.

Excluded · 1

Financial impact statement

Reason: no cost data collected for this exercise.

Exclusions require a reason and appear in the audit log.

Library: 56 components · 26 accreditations · every component cites the authority it satisfies.

Components are required, suggested, or optional based on the accreditations your facility holds.
Every component names the standard it satisfies. Exclusions need a reason.
Export to DOCX and an improvement-plan spreadsheet, formatted the way surveyors expect.

EOP Builder

Plans that pass their own inspection.

The emergency operations plan is assembled, not typed. Department tables, hazard annexes, and contact roles come from the data you already maintain. Before the document generates, twelve checks run against it, so the plan a surveyor opens is internally consistent.

Sample Medical Center · Fort Range campusJMJ. Morales

Compose · Emergency Operations Plan

Main campus · 2026 revision · base plan + 11 annexes

PreviewGenerate DOCX

Outline

Base plan

1. Purpose and scope

2. Situation and assumptions

3. Concept of operations

4. Organization (HICS)

Annex A · Communications

Annex B · Utilities failure

Annex C · Severe weather

Annex D · Surge

Annex E · Evacuation

Appendix · Department tables

Pre-emit linter

2 findings

Department names match the canonical listpass

Every table reference resolvespass

Required base-plan sections presentpass

Hazard annexes cover HVA top 51 missing

Acronyms defined on first use2 undefined

Contact roles, not namespass

Revision block currentpass

Sources

Department tables pulled from Administration › Departments. Hazard list pulled from the 2026 HVA period. Template: TJC-aligned base plan v4.

Base plan and annexes composed from templates and your department data.
A pre-emit linter checks the document against the canonical lists before it generates.
Generated DOCX with a current revision block, every time.

Also in the box

The rest of the program.

Exercises
The exercise program with AI-conducted tabletops and evaluation is in development; AARs already accept exercise input.
Multi-facility
A facility hierarchy with per-facility accreditations, so a system with three campuses runs one program.
Document library
Versioned, role-gated, with lineage between drafts and approved documents.
Audit log
Every change described in plain language with the person, the time, and the record.
Standards library
Editable by admins, with authority links to the public source of each standard.
Installable
Runs as an app on a phone or a desktop, from the same sign-in.

Standards

What the scoring is anchored to.

TJC EM chapter
CMS § 482.15
FEMA HSEEP
ASPR HPP capabilities
NIMS / HICS
CHAI Responsible Use of AI
FEMA Core Capabilities
CISA guidance

Contact

See it with your facility's standards in it.

A thirty-minute walkthrough on sample data, then a pilot for one facility.

rory@roryteehan.comDirect to Rory, who built it.readiness.roryteehan.comThe platform. Sign-in required.

Part of emiac. Coalition coordination is a different job with a different product: coalition-one.