The continuity of business is vital in any setting but even more so in hospitals when patient encounters and care delivery may be interrupted. Considering the importance of the work that is carried out in healthcare facilities, developing continuity of business plans at all points of patient care is completely essential. Setting an example for other facilities, Spectrum Health System in West Michigan has developed a unique methodology to improve the fidelity of the patient experience in radiology during a planned system downtime or system disruption. Continuity of business in a facility as large as Spectrum Health requires thoughtful planning, setup, reaction, and follow through to ensure everything runs as according to plan. George Vallillee, manager of Radiology Information Solutions at Spectrum Health, shares the details of his approach, plan and resulting improvements in Spectrum radiology’s operational efficiencies.