Strengthening preparedness
Improving processes
Building resilient public systems
Nightingale Public Solutions supports local governments, regional partnerships, and public sector organizations in strengthening preparedness, resilience, and systems to work effectively every day and in times of disruption.
Services
We help organizations strengthen emergency preparedness through planning, procedures, and coordination strategies that support both daily operations and effective response to emergencies. This includes emergency action planning and preparation for a wide range of risks—from routine incidents and disruptions to natural disasters and complex events like active threats.
We design and lead exercises that help teams practice how they would respond during an emergency. Beyond facilitation, we help organizations turn lessons learned into actionable improvements, with clear recommendations and implementation plans that strengthen day-to-day operations and emergency response.

Projects
Click below to explore Nightingale’s recent and ongoing projects or browse by topic.
Projects
Click below to explore Nightingale’s recent and ongoing projects or browse by topic.
Projects
Click below to explore Nightingale’s recent and ongoing projects or browse by topic.
Projects
Click below to explore Nightingale’s recent and ongoing projects or browse by topic.

Reunification and Recovery
Assistance Center
Plan Development and Operational
Alignment Project
Nightingale supported the development and refinement of Trinity University’s reunification and recovery plan, helping University personnel coordinate and respond more quickly following a mass casualty or other major incident.Through facilitated engagement with campus partners, Nightingale conducted interviews and led process mapping exercises to define how reunification and recovery services would function in real time. Operational gaps were identified and the planning document was shifted from department‑based roles to coordinated, function‑based operations.Building on that foundation, the plan was translated into clear, phased actions at the department level—providing practical guidance that staff can follow when stepping into unfamiliar roles during high‑stress situations.Core services provided:
• Reunification & Recovery Planning
• Stakeholder Coordination
• Operational Framework Development & Checklists
• Gap Identification & Improvement Planning
• Implementation GuidanceThe result is a clear, usable framework that improves coordination across campus partners and supports consistent, effective service delivery when normal operations are disrupted.



Family Reunification and Assistance Center Preparedness
In partnership with Porsena Solutions
Nightingale supported regional preparedness initiatives in the St. Louis and Jacksonville urban areas focused on family reunification and assistance center operations. These projects brought together diverse organizations to practice coordinated family assistance and reunification operations, strengthening partnerships, processes, and operational readiness.The work included reviewing and updating planning documents, designing and executing tabletop and full-scale exercises, and developing detailed simulation environments featuring hundreds of exercise participants to test key operational functions. Nightingale also provided exercise control, facilitation, and evaluation support throughout planning and execution.Core services provided:
• Review and update of reception, reunification, and assistance center plans and procedures
• Design and development of tabletop and full-scale exercises
• Development of exercise scenarios, participant materials, and simulation content
• Creation of hundreds of exercise characters to test processes
• Exercise control, facilitation, and evaluation
• After-action reporting and improvement planning supportThe exercises were designed to assess critical capabilities including reunification operations, information management, interagency coordination, staffing, and service delivery. This work helped organizations validate plans, identify opportunities for improvement, and strengthen operational readiness for large-scale family assistance and reunification events.
This project was completed in partnership with Porsena Solutions. Learn more about their work here.
Situation Reports: Insights from the Field
Explore insights and reflections from Nightingale’s work. Each post begins with a clear Bottom Line Up Front (BLUF) to frame the discussion, followed by practical observations and evolving approaches to coordination, preparedness, and recovery.
Designing Processes That Work
Using Process Mapping in Emergency PlanningBLUF: Emergency plans need to be designed around how people actually work and how support is delivered under pressure—not just how organizations are structured.Posted June 2026

Designing Processes That Work - Using Process Mapping in Emergency Planning
Posted by Leigh Middleton in June 2026 | 5 minute read
Bottom Line Up Front
Emergency plans need to be designed around how work actually happens and how support is delivered under pressure—not just how organizations are structured—so teams can act quickly and with clarity when it matters most.
Key Takeaways
1. Design the process first; roles and ownership should follow2. Plan for real conditions, not ideal scenarios3. Make actions clear, simple, and usable under pressure
Rethinking Where Planning Starts
Emergency planning often begins with roles and responsibilities—who does what, which department leads, and how functions are assigned.That approach works on paper. But in practice, especially during a fast moving incident, it often breaks down.In those moments, people aren’t thinking in terms of departments. They’re trying to figure out:
• Where do I go to get help?
• Who is responsible?
• What happens next?And staff are doing the same—stepping into roles that aren’t part of their day to day work, making decisions under pressure, and trying to coordinate across teams in real time.That gap between structure and reality is something I’ve been thinking more about, especially in how to bring process mapping and user-centered design into emergency planning. Recently, I had the opportunity to apply this approach in a university planning effort focused on reunification and immediate recovery operations, and it reinforced a few key ideas.
Start With the Process, Not the Org Chart
This approach starts with something deceptively simple: mapping the process. Not how departments are organized. Not who “owns” what.But what actually happens—step by step—when someone needs help.What happens first? What happens next? Who is involved at each step?Walking through that sequence creates a shared understanding of how work actually flows across functions.It also shifts the conversation from “this is what my department does” to “this is what needs to be done.”This is a very subtle shift, but the change allows the process to be designed first, with roles and ownership following.In my experience, this is not how most emergency planning discussions are structured, but it creates a much clearer and more coordinated foundation for how work actually gets done.
What Process Mapping Reveals
When you map the process (literally on a whiteboard) and walk through it under realistic conditions, issues start to emerge. The planning team can visualize (again, literally, with colored sticky notes):
• Where steps become harder to maintain as volume increases
• Where coordination depends on a few key individuals
• Where lag time makes it harder to get operations up and running quickly
• Where tools could reduce real time decision makingThese are the kinds of challenges that don’t always show up in planning documents, but they surface quickly when you focus on how work actually unfolds.
Designing for Real Conditions
Another shift that happens through this approach is recognizing the difference between ideal plans and real conditions.Most plans are written assuming:
• Full staffing
• Clear information
• Readily available resources
• Stable operationsReal incidents rarely provide these ideal conditions. Planning needs to account for competing priorities, limited staff, after hours operations, incomplete or conflicting information, and unpredictable demand.
From Process to Action
Mapping the process is only the first step. The next is ensuring it is usable.One of the most practical ways to do that is by translating the process into clear, actionable checklists that teams can follow during an incident.Instead of long narrative plans, the focus becomes checklists of critical considerations, such as:
• What needs to happen immediately, what starts in the first hour, what must continue through the first 24 hours, etc.
• How and where the work gets done
• Critical considerations and remindersThis isn’t about adding more detail. It’s about making the work clearer.
Because in a real incident, staff need simple, practical guidance to step into unfamiliar roles and carry out critical tasks without hesitation.
The Next Step: Designing for the Experience
If process mapping helps define how work gets done, the next phase is testing how that process is experienced.The critical next step is walking the process from the perspective of people seeking help in the immediate aftermath of a crisis—many of whom may not yet know what they need or how to ask for it.This is where user-centered design comes in.This raises questions like:
• Would someone know where to go first?
• Would they know what to ask?
• Would they get information?
• Would they feel like someone is responsible for helping them?
• Where might they get stuck, redirected, or overlooked?
• And (most importantly) how many times are they telling their story at each redirection?I’ve found real value in bringing these principles into emergency planning—not as a separate layer, but as a natural extension of process design.Because even a well coordinated process can fall apart if it doesn’t make sense to the people navigating it.
Why This Work Matters
Incidents are fast-moving, high-stress, and unpredictable. But that unpredictability doesn’t have to result in unclear roles, disjointed actions, or inconsistent support.Starting the process by understanding how work actually happens, designing for real conditions, and translating that into clear action creates a stronger, more coordinated response.It also highlights an important gap in many planning efforts: the need to think beyond immediate response and intentional threat neutralization, and to be equally deliberate about how people are supported in the hours and days that follow.If you’re working through similar challenges or thinking about how to strengthen coordination during recovery, I’d welcome the opportunity to connect and learn how you and others are approaching this work.
About Us
Nightingale Public Solutions was founded in 2026 to provide practical, customized expertise that helps organizations prepare for disruptions before they occur. Built on years of public sector experience, Nightingale was created to deliver consulting rooted in proven frameworks and tailored to each client—turning planning tools into actionable, real-world solutions.Through a hands-on approach, Nightingale partners with clients to strengthen emergency preparedness, refine operations, and build systems that perform when it matters most—providing competent, value-driven support that builds confidence in any situation.

Leigh Middleton
Founder & Principal Consultant
Why "Nightingale"?
Nightingale Public Solutions is inspired by Florence Nightingale’s pioneering use of data and evidence to prevent harm, improve systems, and solve complex public problems. Long before data-driven decision-making became a standard practice, Nightingale demonstrated how careful analysis, clear communication, and thoughtful planning could transform institutions and save lives.In that same spirit, Nightingale Public Solutions partners with public agencies to apply evidence, systems thinking, and practical implementation to today’s challenges—strengthening preparedness, improving performance, and building resilient public systems that endure.

Leigh Middleton
Founder & Principal Consultant
Leigh Middleton is an experienced public sector leader who helps organizations navigate complexity and perform under pressure. Her work focuses on improving coordination, strengthening operations, and preparing teams to respond effectively in critical moments.With more than 16 years of experience—including over a decade with the City of San Antonio—she has led initiatives that bring together government, nonprofit, and private sector partners to better align efforts. Her expertise includes emergency management program development, operational planning, exercise design and facilitation, and cross-sector collaboration, with a practical, systems-focused approach that supports implementation.Leigh holds a Master of Public Administration with a concentration in Emergency Management and a Bachelor of Arts from the University of North Texas. She is a Certified Emergency Manager (CEM), Master Exercise Practitioner (MEP), Project Management Professional (PMP), and Lean Six Sigma certified. She also served in the Peace Corps in Costa Rica from 2012–2014, an experience that shaped her commitment to service, adaptability, and locally grounded solutions.
Contact Us
Have a question? Want to connect about a potential project? Reach out and we will get back to you by email.







