Strengthening preparedness
Improving processes
Building resilient public systems

Public organizations face increasing demands with limited time, staff, and resources.Nightingale Public Solutions helps local governments, regional partnerships, and institutions strengthen preparedness, improve processes, and move important projects forward through practical planning, facilitation, exercises, after-action reviews, and organizational improvement.

Why partner with Nightingale?

Many organizations do not need a large consulting team. They need an experienced practitioner who can quickly understand a challenge, engage stakeholders, and help move important work forward.Nightingale provides flexible, practitioner-led support to organizations balancing limited capacity, competing priorities, and important preparedness initiatives. Our approach combines emergency management expertise, stakeholder facilitation, process improvement, and project management to deliver practical solutions that are both implementable and sustainable.


Services

We help organizations develop plans, procedures, and coordination strategies that support both day-to-day operations and emergency response. Our approach emphasizes stakeholder engagement, operational usability, and practical implementation to ensure planning efforts translate into meaningful action.


We design and facilitate exercises that help organizations validate plans, strengthen coordination, and build confidence in their ability to respond during emergencies. We also help capture lessons learned, identify opportunities, and develop realistic pathways from observation to action.


We help organizations review programs, processes, and operations to better understand what is working, where challenges exist, and how services can be delivered more effectively. Through assessment, facilitation, and stakeholder engagement, we help clients streamline workflows, strengthen coordination, and implement practical solutions.


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 Guidance
The 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 support
The 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.

Kansas City 2026 World Cup
Safety & Security After-Action Report and
Regional Homeland Security Strategic Plan

Nightingale Public Solutions is supporting the Mid-America Regional Council (MARC) and Regional Homeland Security Coordinating Committee (RHSCC) in evaluating regional safety, security, and preparedness efforts associated with the 2026 FIFA World Cup activities in Kansas City. Findings from the after-action review will be incorporated into the region's 2027-2029 Homeland Security Strategic Plan to help shape future priorities, investments, and capability development.As one of the most complex and significant events ever hosted in the Kansas City region, the World Cup provided a unique opportunity to evaluate regional capabilities, coordination, and operational readiness while identifying priorities for the future.Through stakeholder interviews, surveys, facilitated discussions, site visits, document review, and qualitative and quantitative analysis, Nightingale is helping regional partners capture lessons learned from World Cup planning and operations and translate those findings into actionable recommendations and strategic priorities. The project is designed to ensure that insights gained through the region's World Cup experience directly inform future homeland security planning, capability development, and regional investments.Core services provided:
• After-Action Review & Improvement Planning
• Stakeholder Engagement & Facilitation
• Survey Design & Analysis
• Qualitative & Quantitative Research
• Strategic Planning Support
• Regional Capability Assessment
The result will be a shared understanding of regional strengths, challenges, and opportunities, along with a strategic framework that helps guide future preparedness investments, strengthen regional coordination, and support long-term homeland security priorities.

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.

Why Lessons Learned Don't Always Lead to Change
Are we solving the right problems?

Organizations often move from observation to action item before fully understanding the problem they are trying to solve. This article explores root causes, improvement planning, and how to evaluate whether change is actually occurring.Posted August 2026

Designing Processes That Work
Using Process Mapping in Emergency Planning

Emergency plans are often built around organizational charts instead of how work actually happens. This article explores how process mapping can improve coordination, usability, and implementation.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 making
These 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 operations
Real 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 reminders
This 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.

Why Lessons Learned Don't Always Lead to Change

Posted by Leigh Middleton in August 2026 | 5 minute read

Bottom Line Up Front

Too often, organizations move from observation to action item without spending enough time understanding the problem they are trying to solve. Meaningful change requires identifying root causes, developing intentional solutions, and asking a simple but important question: How do we know whether we're getting better?

Key Takeaways

1. Observations do not always reveal the real problem2. Improvement plans should measure results, not activities3. Meaningful change requires ongoing evaluation

After an exercise or real-world incident, most organizations are surprisingly good at identifying what worked and what didn't.The hotwash is productive. Observations are documented. Stakeholders generally agree on what should change. By the time an after-action report is complete, there is often a clear understanding of the challenges that need to be addressed.Yet months later, many of the same observations remain unresolved.
In emergency management, we often think of this as an implementation problem. An issue was identified, an action item was assigned, and somehow progress stalled.
I've spent a lot of time thinking about after-action reviews and performance measurement recently. At first glance, they seem like different topics. One focuses on preparedness and emergency management. The other focuses on organizational performance and improvement.The more I think about it, however, the more I believe they are trying to answer the same question:How do we know if we're getting better?After-action reports identify observations. Improvement plans assign actions. Performance measures help us understand whether those actions made a difference.All three are part of the same learning cycle.

Observations Are Not Root Causes

One pattern I have observed in after-action reviews is how quickly conversations can move from observations to recommendations.A challenge is identified. An action item is assigned. A deadline is established. Everyone agrees to move forward.In many cases, we assign people tasks before we've fully explored whether we've identified the right problem.But sometimes the most important conversation never happens:Why did this occur in the first place?An observation is often a symptom, not a root cause.For example, an exercise may reveal communication challenges between departments. The improvement plan might recommend updating a procedure, conducting additional training, or purchasing a new tool.All of those actions may be valuable. But before deciding on a solution, it is worth understanding what actually contributed to the issue.Was there a lack of training? Unclear expectations? Competing priorities? Limited staffing? A process that no longer matches how work is performed?Different root causes require different solutions.Without taking time to understand the problem, organizations run the risk of implementing actions that address symptoms while leaving the underlying issue unchanged.

Action Items Are Not Outcomes

Many improvement plans contain a familiar structure:
• Observation
• Action Item
• Responsible Party
• Due Date
Those elements are important. They create direction and help organizations organize work.
However, they primarily answer one question: What are we going to do?
They rarely answer another equally important question: How will we know if it worked?Completing an action item is an activity. Improvement is an outcome. The two are related, but they are not the same.Updating a procedure does not automatically improve coordination. Conducting training does not automatically improve performance. Creating a checklist does not automatically improve decision-making.The action may be completed exactly as intended and still fail to produce meaningful change.
For example, consider an improvement item that states:
Update emergency notification procedures.
The task itself is straightforward.But what does success look like? Are notifications sent faster? Do more stakeholders receive the information they need? Is there greater confidence in the process? Are fewer communication issues identified during future exercises?Without defining what success looks like, it becomes difficult to determine whether the improvement effort actually improved anything.The focus shifts from outcomes to task completion.

Progress Should Be Evaluated, Not Assumed

Preparedness is notoriously difficult to measure.It is easy to count plans completed, exercises conducted, or personnel trained. It is much harder to determine whether coordination is stronger, decisions are better, or organizations are more resilient.That challenge does not mean measurement is impossible.
It means measurement should be intentional.
Meaningful measures should matter to both the people carrying out the work and the people who benefit from the outcome. If an organization implements a new process, updates a procedure, or conducts additional training, there should be a shared understanding of what success looks like and how progress will be evaluated.Otherwise, task completion can easily be mistaken for improvement.Just as importantly, evaluation creates opportunities for reflection.
Did the action address the problem we identified?
Did it solve the right problem?Would we make the same recommendation again today?Those questions are often more valuable than whether an action item was completed on time.

Final Thought

After-action reviews create opportunities to learn.Improvement plans create opportunities to change.The gap between the two is often where organizations struggle.Too often, we move from observation to action item without fully understanding the problem, and from action item to closure without evaluating whether the solution achieved the desired outcome.The organizations that improve over time are not necessarily the ones with the longest improvement plans. They are the ones willing to spend time understanding problems, designing thoughtful solutions, and evaluating whether those solutions are producing meaningful results.Because completing the action item is not the goal. Improvement is.

About Us

After years in emergency management and public sector innovation, Leigh Middleton recognized that many organizations were facing the same challenge: important work competing with limited capacity, competing priorities, and day-to-day operational demands.Nightingale Public Solutions was created to provide the kind of flexible, practitioner-led support that helps organizations move important work forward. Drawing on experience in emergency management, organizational improvement, stakeholder engagement, and strategic initiatives, Nightingale helps public sector organizations strengthen preparedness, improve coordination, and develop practical solutions to complex challenges.Through a hands-on and collaborative approach, Nightingale partners with clients to enhance preparedness, refine operations, facilitate stakeholder engagement, and build systems that perform effectively both in daily operations and during times of disruption.

I spent years in emergency management and public sector innovation. I saw organizations struggling with capacity and competing priorities. Nightingale was created to provide the kind of flexible, practitioner-led support I often wished existed.

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, strengthen coordination, and move important work forward.With more than 16 years of experience spanning emergency management, public sector innovation, community development, and organizational improvement, Leigh brings a practical, implementation-focused perspective to every project. She has led initiatives involving government, nonprofit, private sector, and community partners, helping organizations align priorities, improve processes, and translate ideas into actionable solutions.Prior to founding Nightingale Public Solutions, Leigh spent more than a decade with the City of San Antonio in both emergency management and innovation roles. During that time, she developed emergency plans, designed and evaluated exercises, facilitated regional preparedness initiatives, led process improvement efforts, and supported strategic projects focused on service delivery and organizational performance.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 Green Belt. She also served in the Peace Corps in Costa Rica from 2012 to 2014, an experience that shaped her commitment to service, adaptability, and community-centered problem solving.

Contact Us

Have a question? Want to connect about a potential project? Reach out and we will get back to you by email.