Thread by @sdbaral

My dream response:
TAGOPIE
Team, Analysis, Goal, Objectives, Planning, Implementation, Evaluate

Team -- what competencies should be in the emergency operations center (EOC) making decisions (methodologists, practitioners, clinicians, gov't, lawyers, clinicians, economists)

TAGOPIE
Analysis

Stakeholder Analysis (who will be affected/needs representation)
Epidemiological Analysis (CFR, IFR, RR, etc)
Situational Analysis (decision tree with different response models of expected benefits and costs. Costs include human, financial, and institutional.

Goals
Based on the three types of analyses, set a goal for your response.

Set specific, measurable, attainable, relevant, and time-bound (SMART) Objectives that flow from the goal used to inform key performance indicators.

Can be done in 2-3 hours with with analyses complete.

Plan implementation

Consider how you are going to pull off each of these elements--you know who stakeholders are, relevant agencies, etc. Consider strategies to sustain key health and social services to prevent COVID-mortality but also support acute and chronic health needs.

Implementation : use the E's
Economical (supports to mitigate infection)
Environmental (housing, occupational IPAC, etc)
Engineering (ventilation, innovative strategies)
Empathy (meet people where they are, not where we want them to be)
Education
Empowerment
Equity
Enforcement

Evaluate

Key performance indicators looking at overall COVID-morbidity and mortality, disparities, non-COVID morbidity and mortality, social welfare, well being, etc.

Adapt plan accordingly--spend more for those who need more.

Communicate consistently, compassionately, etc

Yes, this was a new bug. But we could have used public health principles that have been around for centuries and scaled them to this PHEIC.

But we did none of this.

We threw playbook out the window, ran a model, shutdown, and now hoping testing and masks can bring us back.