Emergency Management Built for the Enterprise
Incident command doctrine stops at the facility. Health systems are not facilities.
Mitigant Risk Solutions helps health systems build command structures, continuity plans, and exercise programs that work above the level of a single hospital. Led by Steve Monteiro, with more than 20 years of operational leadership at world class institutions including Mass General, Boston Children’s, and Children’s Mercy.
The gap most systems find during the event
Your hospitals each run a competent incident command structure. Then a disruption crosses all of them at once. A cyber outage. A supply failure. A regional surge.
Now someone has to decide which facility gets the resource, which service line pauses, and who speaks for the system. Most systems have never named that person. They find out during the event.
Federal rules already allow a unified and integrated emergency preparedness program across a multi-facility system. Nothing requires one. So it rarely gets built until something makes it urgent.
Read the full argument: Your Health System Has Outgrown Hospital Incident Command
Our Services
Mitigant partners with hospitals and health systems across preparedness, response, and recovery, with deep experience in pediatric, specialty, and high acuity environments.
Preparedness & Program Design
Plans your leaders can execute and a surveyor cannot dismantle.
Hospital and health system emergency operations planning
Pediatric and special health care needs preparedness
Incident command structure design
Business continuity and operational resilience
Training & Exercises
Exercises that find real gaps, not exercises that pass.
Executive and incident command training
Disaster preparedness exercises
Tabletop and functional exercises
IT downtime and system outage simulations
Response & Incident Support
Command support during the event, from someone who has held the seat.
Hospital command center activation and advisory support
Pediatric surge and capacity coordination
Clinical and operational decision support
Regional and multi-agency coordination
Recovery, Resilience & Sustainment
Return to normal operations, and make the improvements stick.
Recovery planning following disasters and disruptions
Service restoration and continuity of care
Regulatory and compliance considerations
Program evaluation and sustainment
A Practical, Leadership-Driven Approach
Every engagement is led by Steve Monteiro, drawing on direct experience managing emergency operations at major academic medical centers, pediatric hospitals, and community health systems. We don’t deliver templates. We build programs that work under real operational pressure.
Why not just assign this internally
Most systems already employ capable emergency managers. The constraint is rarely talent. It is time, position, and independence.
Enterprise program work competes with daily operations and loses. It also requires someone who can ask a senior executive an uncomfortable question and then write down the answer. A manager who reports through that executive is not well positioned to do it.
We do not replace your emergency management function. We build the system it operates, then hand it over.
Selected Experience
Academic and Pediatric Medical Centers
Massachusetts General Hospital, Center for Disaster Medicine (MA)
Children’s Mercy Kansas City (MO)
Boston Children’s Hospital (MA)
Franciscan Children’s (MA)
Multi-Facility Health Systems
Aspirus Health (WI)
Avera Health (SD)
Monument Health (SD)
Franciscan Health (IL)
Baylor Scott & White Health (TX)
Health First (FL)
Ballad Health (TN)
Public Health Agencies
Massachusetts Department of Public Health (MA)
Minnesota Department of Health (MN)
Massachusetts League of Community Health Centers (MA)
Mass Gathering Medicine
Boston Athletic Association (MA)
Select engagements performed in partnership with Chartis and Vital Learning Strategies.
Contact Us
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