I have to admit it is fun saying ” I told you so.” When I say it, no one pays much attention; but now that FEMA’s Inspector General has addressed the problem maybe people will think about it. The new report, issued today, is titled Lack of After-Action Reviews Hurts FEMA Knowledge Base. The specifics of the report are OIG-11-32, dated January 2011.
As noted in the publication HSToday, FEMA has not been conducting after-action reviews for all disasters, contrary to the agency’s policy,.
In addition, FEMA has been unable to distribute previously gathered information on lessons learned and best practices due to technology failures and limitations, discovered the IG report, FEMA’s Progress in Implementing the Remedial Action Management Program.”
“FEMA stood up its Remedial Action Management Program in July 2003 to identify lessons learned and best practices for dealing with disaster response and recovery operations. The program aims to identify problems and limitations encountered by FEMA in response to a natural disaster or terrorist incident and record information on overcoming those challenges in a database for FEMA personnel to explore. However, FEMA personnel have not consistently produced this information after every disaster, as required by the policies of the RAMP. As such, FEMA personnel have lost opportunities to share knowledge with their colleagues….” “Failing to conduct after-action reviews limits the lessons learned and best practices generated by the agency, preventing FEMA personnel from learning from the experiences of their colleagues” “As a result, the vast majority of FEMA personnel cannot access historical data on lessons learned and best practices.” [Their emphasis.]
In my opinion the investigation did not go far enough. Although the RAMP program is important, I suggest there are many broader concerns about failure to read and learn from historic disasters. The lack of information about major and catastrophic disaster events that have happened in past decades is a glaring omission, in my view. From 30+ years of experience, I would note that some of the tasks that FEMA has failed to do for many years are: prepare candid and actionable after-action reports, conduct independent field investigations after a major disaster, and document case studies. Additionally, efforts to store, analyze, synthesize, and then share findings have been inadequate. Regarding the recovery phase, for example, neither a body of theory nor a knowledge base exists presently. FEMA is more than 30 years old. It is time to deal with these matters.
For many years, I have been working on various charts, reports, and books that deal with the need to know the history of emergency management and to learn from it. I expect to have more to say on this topic later. Your comments are invited.