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This guide runs one complete drill cycle: plan, run, critique, improve. The cycle only produces value if it closes. A drill run without critiques, or critiques without follow-up, leaves your plan exactly as untested as before.

Before you start

You need the Compliance Officer, Clinical Manager, Location Admin, or Organization Admin role.

The cycle

Step 1 — Confirm the plan is ready

1

Check the plan exists and is approved

An unapproved plan is a draft. See Plans and procedures.
2

Verify the procedures name current staff

Procedures go stale faster than plans because they name people and phone numbers.
3

Check contingency agreements are unexpired

4

Confirm the coordination team is current

Emergency roles are not reassigned automatically when staff change.

Step 2 — Schedule the drill

1

Add it to the drill calendar

Set quarter, date, and drill type. See Drills.
2

Assign a named facilitator

An unassigned drill tends not to happen.
3

Notify participants

With enough notice to attend.
4

Vary the timing occasionally

A drill always run mid-morning on a weekday tests the easiest possible conditions.

Step 3 — Run the drill

1

Follow the plan as written

Where the plan does not work, that is the finding — do not improvise past it.
2

Mark attendance for each participant

Attended drives the participation rate. An unmarked attendee counts as absent.
3

Record duration and summary

On the drill record.
4

Capture what actually happened

Including what took longer than expected.
Participation is what a surveyor examines. A drill with low participation shows that most of your staff have not practised the response, whatever the plan says.

Step 4 — Collect critiques

1

Collect from participants, not just the facilitator

Attendants who tried to reach members see problems coordinators do not.
2

Record each critique with its type

3

Group them to find themes

A theme raised by several people is the real finding.

Step 5 — Assign follow-up

1

Set Follow-up on anything actionable

A critique without follow-up is a note, not an improvement.
2

Assign it to someone specific

Unassigned follow-up does not happen.
3

Close it before the next drill

Verify the follow-up actually happened.

Step 6 — Update the plan

1

Revise the plan and procedures

Reflect what the drill revealed.
2

Route for re-approval

A revised plan needs approving again.
3

Set the next drill date

Next Drill on the plan keeps the cycle running.
4

Open a QAPI initiative for recurring themes

A theme appearing at every drill needs measured improvement, not another critique. See QAPI.

Also review annually

Some preparedness items sit outside the drill cycle but fail just as quietly:
An expired contingency agreement is worse than none, because you will believe you have cover. Verify the backup agency’s phone number and named administrator annually — they change staff too.

Drill cycle checklist

Next

Readiness

IT systems, weather, and compliance dates.

Maps

Find members in an affected area.