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Most hospitals do not know where they actually stand until a surveyor — or an incident — tells them. The Operational Readiness Index™ is built to close that gap before either of those moments arrives.
The ORI is a structured, evidence-based assessment administered by a D2EMC senior advisor. It is not a self-reported checklist. Every score is assigned based on documented, verifiable evidence — plans, procedures, training records, exercise files, and direct advisor review. The methodology was developed by David DiGregorio, drawing on 32 years of military medical and state-level hazmat command experience and his ongoing faculty work with the BIDMC/Harvard Medical School Disaster Medicine Fellowship.
The assessment evaluates your full preparedness posture across every major domain: written plans and regulatory documentation, CBRN and decontamination readiness, staff training history and competency records, exercise design and execution, leadership command structure and HICS integration, and regional coalition participation. You receive a composite score out of 100, a tier designation, domain-level subtotals, and a prioritized improvement matrix — all in a leadership-ready report delivered in 5–7 business days.
Facilities scoring 60 or above receive a tier-based ORI Seal for display on facility signage, websites, and coalition reporting.
ORI Performance Tiers 80–100 — Excellence: Exceptional posture. Positioned to support regional coalition partners. 60–79 — Operational: Core readiness criteria met. Targeted improvement opportunities identified. 40–59 — Developing: Foundational elements exist. Structured improvement plan recommended. 0–39 — Critical Gaps: Significant deficiencies. Immediate corrective action required.
Your Discovery Call — Free of Charge Before the assessment begins, we schedule a free discovery call to understand your facility's current situation, confirm the scope of the engagement, and align on timeline and deliverables. Your quote is prepared and shared with you after that call.
What You Walk Away With ORI Score Report (PDF) with composite score, tier designation, and domain-level subtotals. A one-page executive summary ready for leadership and board presentation. A prioritized improvement matrix ranking gaps by domain with recommended next steps and standards references. An ORI Certificate of Completion — with tier-based seal for scores of 60 and above. And if the Leadership Debrief is included, a live walkthrough of findings with your executive team to answer questions and align on next steps.
Best for: Hospitals preparing for TJC or CMS surveys, organizations recovering from a real incident, and leadership teams that need a defensible baseline before investing in remediation.
Most hospitals do not know where they actually stand until a surveyor — or an incident — tells them. The Operational Readiness Index™ is built to close that gap before either of those moments arrives.
The ORI is a structured, evidence-based assessment administered by a D2EMC senior advisor. It is not a self-reported checklist. Every score is assigned based on documented, verifiable evidence — plans, procedures, training records, exercise files, and direct advisor review. The methodology was developed by David DiGregorio, drawing on 32 years of military medical and state-level hazmat command experience and his ongoing faculty work with the BIDMC/Harvard Medical School Disaster Medicine Fellowship.
The assessment evaluates your full preparedness posture across every major domain: written plans and regulatory documentation, CBRN and decontamination readiness, staff training history and competency records, exercise design and execution, leadership command structure and HICS integration, and regional coalition participation. You receive a composite score out of 100, a tier designation, domain-level subtotals, and a prioritized improvement matrix — all in a leadership-ready report delivered in 5–7 business days.
Facilities scoring 60 or above receive a tier-based ORI Seal for display on facility signage, websites, and coalition reporting.
ORI Performance Tiers 80–100 — Excellence: Exceptional posture. Positioned to support regional coalition partners. 60–79 — Operational: Core readiness criteria met. Targeted improvement opportunities identified. 40–59 — Developing: Foundational elements exist. Structured improvement plan recommended. 0–39 — Critical Gaps: Significant deficiencies. Immediate corrective action required.
Your Discovery Call — Free of Charge Before the assessment begins, we schedule a free discovery call to understand your facility's current situation, confirm the scope of the engagement, and align on timeline and deliverables. Your quote is prepared and shared with you after that call.
What You Walk Away With ORI Score Report (PDF) with composite score, tier designation, and domain-level subtotals. A one-page executive summary ready for leadership and board presentation. A prioritized improvement matrix ranking gaps by domain with recommended next steps and standards references. An ORI Certificate of Completion — with tier-based seal for scores of 60 and above. And if the Leadership Debrief is included, a live walkthrough of findings with your executive team to answer questions and align on next steps.
Best for: Hospitals preparing for TJC or CMS surveys, organizations recovering from a real incident, and leadership teams that need a defensible baseline before investing in remediation.