The risks and vulnerability of hospitals to different disasters require a modified strategy to plan for adequate preparedness towards mitigating the impacts and sustain functionality of services during emergency situations. The systems approach is a purposive viewpoint that addresses holistically and comprehensively the various concerns and gaps in the disaster management cycle. The approach necessarily focuses on the underlying causes of disasters, the pre-conditions of disaster risks and the vulnerability of the community. This article recommends integrating structure, process and outcome measures with disaster risk management strategy into a systems approach model for disaster management in hospitals.