Let's imagine your community HCO is in a mid$-$sized mid$-$western city and in tornado alley. You are assigned to review disaster planning. This is a situation where the core triggers of continuous improvement don$$t work. You can$$t build on experience or use performance measures, because you don$$t have any. So your review must consult the records of others and use that information to think through, $$What would happen here if$...$ The first thing to notice is that tornado disasters are much larger$-$scale..... They last longer, affect more people, and affect the HCO$$s capability to respond.

What issues should your disaster plan address?

How will you evaluate the HCO$$s plans?

Are we prepared for a major tornado?

How do we improve our disaster response?