Responder Resilience

David Picone

David Picone Profile Photo

CEO of the Health & Safety Leadership Alliance | Retired Battalion Chief

David Picone is CEO of the Health & Safety Leadership Alliance and a retired Battalion Chief from the San Diego Fire-Rescue Department. Over his 30-year career, he built one of the most comprehensive Health & Safety Office models in the fire service, authoring 34 integrated policies that address prevention, behavioral health, cancer mitigation, injury rehabilitation, and coordinated claims management. During a decade of operational growth, SDFD’s injury rate per FTE dropped from 32% to 24%, while annual workers’ compensation claims remained stable despite increased presumptive exposures. He secured over $1.5M in grants to develop a Division I–level Wellness Center and expanded peer, chaplain, and canine-based crisis support services department-wide. As CEO, Picone now leads a national effort to scale this proof-of-value framework across the fire, EMS, law enforcement, labor, healthcare, and risk sectors—aligning prevention and recovery systems with NFPA, OSHA, Cal/OSHA, IAFF-WFI, MTUS, ACOEM, and law enforcement standards.

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Aug. 12, 2026

Why First Responder Workers' Comp Fails — David Picone and Ramsey Ali | S6 E32

The injury gets treated. The claim gets filed. The responder gets lost in between. Retired Battalion Chief David Picone spent years inside a system that's supposed to cover everything: prevention, behavioral health, cancer, rehab, the claim itself, and watched it fail at the seams. So he rebuilt it.