Downtime by Riffle is the clinical downtime and long-term outage advisory arm of Riffle Resilience. They help healthcare organizations maintain safe patient care when digital systems fail. We focus on prolonged disruptions - days or weeks = not brief outages, translating risk into clear, executable actions for frontline teams and leaders.

We support: • Academic medical centers • Community and regional hospitals • Rural and critical access hospitals • Multi-site health systems • Long-term care and specialty facilities Our approach scales based on complexity, not size.

Most programs stop at plans and policies. Vetera focuses on what actually happens during a prolonged outage: • How downtime is declared • How care transitions to sustained manual operations • How services are prioritized or curtailed • How staff, supplies, and workflows hold up over multiple days Our work is built around hospital-wide workflows, critical assets, and real clinical behavior, not theoretical recovery models.

We offer advisory engagements, facilitated assessments, workflow mapping, downtime planning, tabletop drills, and resource validation. Our services are tailored to each hospital’s risk profile and goals.

Many engagements deliver meaningful outcomes in 8-16 weeks, depending on scope. We prioritize speed, focus, and practical deliverables over long assessments.

Both. We do not stop at recommendations. We help clients: • Build and validate procedures • Develop tools and kits • Train staff • Test readiness under stress Our work is designed to be used during real outages, not filed away.

Deliverables are practical and role-ready, including: • Readiness benchmarks and risk summaries • Prioritized workflow and asset lists • Downtime procedures and job aids • Standardized forms and supply guidance • Training materials and simulation packages • Clear improvement roadmaps Everything is designed for real-world execution.

We are a strong fit if: • You worry about outages lasting days, not hours • Your downtime procedures feel hard to use • Activation criteria are unclear or inconsistent • Manual workflows haven’t been stress-tested • You want readiness that protects patient safety

Most clients begin with a readiness or benchmark assessment, which establishes a clear baseline and prioritizes where to focus first for the greatest risk reduction.

No. Vetera is intentionally designed to work for both large systems and smaller hospitals. The core principles—workflow prioritization, activation clarity, and manual sustainability—apply regardless of size.