Achieving safe hospitals requires a comprehensive strategy that addresses the necessary policy, legal, and technical issues, and that ensures that all relevant institutions and actors will contribute to reaching the goal. Recognition by planners of the social, economic and political benefits of health care facilities that continue to function in disasters is considered a fundamental element in advancing this initiative, and in ensuring that there is a perception of real results on the part of the public.

In addition to a policy platform, a legal framework that supports the policy and technical support, it is also necessary to establish a formal program that indicates specific actions, timeframes, and designated responsible staff to facilitate monitoring progress.