Targeted Advisory & Rapid Preparedness Services

Not every organization needs a full assessment or exercise engagement to make meaningful progress. D2EMC offers fixed-scope offerings for rapid insight, validation, and prioritization. Designed for hospitals, healthcare coalitions, and public-safety partners seeking expert guidance without the timeline or cost of a full engagement.

Every Hospital Has Gaps. The Question Is Whether You Find Them First.

D2EMC builds and validates hospital emergency preparedness programs for CBRN, hazmat, mass casualty, and the full spectrum of emergency events — led by people who've worn the PPE, run the codes, and built state-level response programs.

Every engagement starts with a free discovery call. No commitment. No sales pitch. Just an honest conversation about where your program stands and what it needs.

Assess

Where preparedness programs find out where they actually stand.

Most hospitals think they're ready until a surveyor — or an incident — says otherwise. The Assess category is built for emergency managers who need an honest, expert-driven picture of their program before that moment arrives. Whether you have a specific question that needs a quick expert answer, a gap letter to justify a grant, or an exercise that needs outside eyes, Assess engagements are scoped for speed and clarity. You come out with a defensible, documented baseline — not a vague scorecard.

Plans & Documentation

The written foundation that makes everything else defensible.

A preparedness program without airtight documentation is a liability waiting to be exposed — in a survey, in court, or during an actual event. This category covers the full range of written deliverables: reviewing what you have and fixing it, building a new EOP from scratch, developing CBRN and hazard-specific annexes, and producing compliant after-action reports. Every product is written to the standards your accreditor and CMS will benchmark against.

Virtual Support

Expert emergency management capacity — without the full-time hire.

Not every hospital can staff a dedicated, senior emergency manager. These retainer engagements give you structured access to D2EMC expertise on a monthly basis — from advisory hours for a seasoned EM who needs a second opinion, to full program ownership for a facility with a vacant EM role. Three tiers let you match the level of support to your actual need and budget, with no wasted coverage.

ORI

Operational Readiness Index™

The most rigorous preparedness assessment D2EMC offers.

The ORI is not a checklist. It's a structured, multi-domain assessment that benchmarks your program against accreditation standards and real-world operational expectations — and produces an executive-ready report your leadership and board can act on. For health systems managing multiple sites, it also scales. The ORI + Targeted Training Bundle pairs assessment findings directly with skills remediation, so gaps don't just get documented — they get closed.

In Person Training & Exercises

Your team can't perform skills they've never practiced.

Knowledge doesn't transfer through reading a plan. This category covers everything from hands-on CBRN team assessment and decontamination training to tabletop, functional, and full-scale exercises — designed, delivered, and evaluated by subject matter experts who have operated in real incidents. Whether you're rebuilding a dormant CBRN team, meeting an annual exercise requirement, or stress-testing your incident command structure, the right product is here.

Specialized

High-stakes engagements that require credentialed expertise.

Some situations don't fit a standard product. Daily consulting — on-site or remote — gives you a credentialed specialist for targeted, high-priority work: standing up a new team, supporting a leadership transition, or closing a critical capability gap fast. Expert witness engagements deploy D2EMC's clinical and operational emergency management expertise in litigation matters involving hospital preparedness, CBRN response, decontamination, and mass casualty incidents.

Frequently Asked Questions

  • I have known David since High School and through our National Guard careers. He has always been highly professional person. He rose through the ranks, from enlisted to officer, and through that perseverance he has risen to one of the highest posts within the States National Guard ranks. He is both a credit to the uniform and to the never quit spirit he possesses.

    Paul J. Lehane

    Volunteer at Veterans Administation

    August 6, 2013, Paul J. worked with David on the same team

  • CPT David Digregorio works directly for myself as the Deputy State Surgeon of he Massachusetts Army National Guard. He is undoubtedly the pivotal individual that combines all moving medical parts within the 6,500 soldier Army Guard during our nations wartime efforts. His position organizes and executes far too many processes to list, handles a several million dollar budget, streamlines federal and national protocols allowing the Massachusetts Army National Guard to meet its' mission of soldier readiness and continuous deployments and demobilizations. CPT Digregorio has proven to be exemplary in multi tasking and trouble shooting at a rate that supercedes most anything witnessed in a civilian sector. His organizational skills are superb and exerts professionalism regardless of work intensity or acute challenges. I have absolutely no reservations in strongly recommending him in any field of employment. I cannot write enough in this short space to outline CPT Digregorio's personal and professional attributes. I would be more than happy to discuss this in detail with appropriate individuals.

    Ray Feeley

    Orthopedic PA Sports Medicine North

    August 3, 2011, Ray managed David directly

  • It was a pleasure working with Cpt DiGregorio as Deputy State Surgeon of the Massachusetts Army National Guard. His leadership, organization, and clinical expertise have been instrumental in increasing the dental & medical readiness of the MA ARNG. He is adept at resolving conflict and is solution-oriented. Proper planning and good communication made him one of my easiest clients to work with.

    Geoff Rowson

    SVP of Consulting @ Totem

    July 28, 2011, David was Geoff’s client

  • Not only is David the best PAc I have worked with, he is the best PAc I could imagine working with. We would take him back tomorrow if he became available.

    Arthur Sgalia MD

    Primary physician at Edward M. Kennedy Community Health Center

    July 26, 2011, Arthur managed David directly