Training & Exercises
The Problem
Most hospital exercises check a regulatory box. The scenarios are familiar, the outcomes are predictable, and the lessons learned rarely change anything. When a real disruption hits, leaders face decisions they have never practiced.
Who This Is For
- Emergency Management leaders responsible for exercise programs
- Hospital executives who will command incident operations
- Clinical and operational leaders who coordinate under disruption
What We Deliver
Every exercise is built around your actual risk profile, command structure, and operational gaps. We design psychologically safe environments where leaders practice real decisions under realistic pressure — so the learning happens before the stakes are real.
Tabletop Exercises: scenario-driven, leadership-level decision-making under realistic conditions
Functional Exercises: activate your command structure and evaluate real performance
IT Downtime and Cyber Drills: prolonged outage, ransomware, and EHR downtime scenarios
Incident Command Training: decision-making, crisis communication, and command principles for healthcare
What Changes
- Executives who have made the hard call once already, in a room where it was safe to get it wrong.
- An exercise record that satisfies CMS and ACHC because the exercise was real, not the other way around.
- A corrective action list short enough to finish and specific enough to assign.
- Command staff who know their role before the activation, not during it.
How We Engage
Exercises can be standalone or part of a multi-phase program. All work is designed, facilitated, and evaluated by Steve Monteiro.
An exercise designed to pass a survey and an exercise designed to find gaps are different products. We build the second one, and it satisfies the first.
Related reading: Your Emergency Manager Should Not Be the Incident Commander

