2027 A Public Health Emergency Exercise After-Action Framework: A Graduate Public Health Portfolio Project

Imed Bouchrika, PhD

by Imed Bouchrika, PhD

Co-Founder and Chief Data Scientist

What Is a Public Health Emergency Exercise After-Action Framework?

A public health emergency exercise after-action framework is a repeatable way to collect exercise evidence, assess performance against stated objectives, and turn identified gaps into improvements. In the United States, the Federal Emergency Management Agency's Homeland Security Exercise and Evaluation Program (HSEEP) provides widely used terminology and a model for exercise evaluation and the AAR/IP. A student can adapt that model to a health department's responsibilities without claiming the project is an official HSEEP-compliant agency report.

The framework should name the exercise type, scenario, participating functions, objectives, expected actions, evidence sources, and rules for interpreting observations. A vaccination-distribution tabletop, for example, might examine how staff request supplies and communicate a site change. The exercise tests the process under the simulated conditions; it does not prove how the agency would perform in a real emergency.

An undergraduate student could also build a limited exercise template; students exploring comparing online public health bachelor's pathways should not assume a graduate credential is necessary to draft one. Graduate-level work should add stronger evaluation reasoning, stakeholder review, and a feasible improvement cycle.

How Does an After-Action Framework Support Public Health Preparedness?

The framework connects exercise performance to preparedness decisions. Rather than labeling an entire response "successful" or "unsuccessful," evaluators identify the objective being tested, describe the observed action, explain its operational consequence, and recommend a change that someone can own and verify. That makes the report useful for revising procedures, training staff, or planning a follow-up exercise.

Public health-specific observations might concern surveillance reporting, risk communication, coordination with healthcare partners, access for people with disabilities, or continuity of services. The relevant benchmark depends on the exercise plan and participating agencies; a student should not score a function against a capability the exercise never tested. The Centers for Disease Control and Prevention's Public Health Emergency Preparedness capabilities can help students frame health-department functions, while local plans determine what staff were actually expected to do.

For experienced practitioners, repeated findings may point to a broader organizational improvement question. That is different from a single student AAR/IP and may fit the applied leadership work associated with some online public health doctorate pathways. Neither degree level substitutes for agency authority to adopt a corrective action.

What Should a Graduate Public Health Portfolio Project Include?

The intended reader of the finished tool is a preparedness coordinator, exercise lead, or partner agency deciding what to improve. The portfolio reader also needs enough documentation to judge the student's methods. The following components separate a reusable academic framework from any restricted, exercise-specific records.

ComponentWhat it should establish
Project briefDecision-maker, exercise type, scope, learning objectives, and student role
Evaluation matrixEach exercise objective, expected action, evidence source, and observation method
Evidence protocolHow notes, documents, and participant feedback will be collected, reconciled, stored, and cited
AAR/IP templateFindings, supporting observations, limitations, corrective actions, owners, deadlines, and verification measures
Portfolio notePermissions, redactions, revisions, and what the student did or did not personally evaluate

A feasible class project may stop at a blank template and an illustrative scenario. A report about an actual partner exercise requires access and review that a student cannot grant themselves. Confirm with the faculty supervisor and site contact whether agency documents may be used, whether organizational or institutional review is needed, and whether even an anonymized excerpt is safe to publish. A practice-focused doctoral project may demand a different scale of leadership and implementation; comparing accessible public health doctoral programs does not establish that a graduate portfolio artifact meets any particular program's project rules.

How Should Students Choose an Accredited Public Health Program?

First confirm the institution's recognized accreditation. Then check the Council on Education for Public Health (CEPH) directory for the exact school, unit, or program and whether the degree under consideration falls within its accredited scope. Institutional accreditation and CEPH accreditation answer different questions; neither proves that a particular emergency preparedness elective or exercise placement is available.

Ask prospective programs to show the current course schedule, applied-experience approval process, example deliverable criteria, faculty supervision arrangements, and policy for using partner work in a public portfolio. If admission or course sequencing is a concern, use guidance on addressing prerequisite gaps before MPH enrollment to prepare questions, then obtain the program's answer in writing. The best fit is the program that can support an ethical, reviewable project within the student's timeline - not simply one that advertises a preparedness topic.

Other Things You Should Know About Public Health

Can I build a portfolio example without access to a real exercise?

Yes. Use a clearly labeled hypothetical scenario and blank or illustrative forms. Do not present invented observations as an agency's findings or a simulated report as an approved AAR/IP.

What if exercise observers disagree about what happened?

Preserve the differing accounts, check available records, and describe the uncertainty. A finding should not become more certain merely because the report needs a concise conclusion.

Does updating a plan mean a corrective action is complete?

Not necessarily. The agency may also need to distribute the change, train staff, or test the procedure. Define the evidence of completion when the action is assigned.

Can a public portfolio name the agencies in an exercise?

Only with appropriate permission. Even without personal information, agency names, operational details, and identified gaps may be sensitive; use an approved public version or a synthetic example.