The goal during a medical surge event is to maximize surge capacity strategies that will mitigate the crisis while minimizing the risk associated with deviations from conventional care. Orchard Hospital has established strategies which allows flexibility to move across care continuum’s and provide safe, appropriate care within the current situation. Moving through care continuum’s by starting at the lowest risk and moving to higher risk as demand increase and options decrease, supports Orchard’s ability to choose the appropriate level of care which poses the least risk while in turn delivering the best possible care for patient and community.