{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T20:37:45Z","timestamp":1792096665120,"version":"4.4.0"},"reference-count":16,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T00:00:00Z","timestamp":1648771200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The coronavirus disease (COVID-19) pandemic caused critical hospital bed and staffing shortages in parts of California for most of 2020 and 2021. Alternate Care Sites (ACS) were established in several regions to alleviate the hospital patient surge and to maximize staffed bed capacity. Over 1900 patients were successfully provided medical care (with physician, nursing, respiratory therapy, oxygen, and pharmacy services) in relatively austere settings. This paper examines the challenges faced at these ACS facilities and how adaptations were incorporated according to the changing dynamics of the COVID-19 pandemic to successfully manage higher acuity patients. ACS facilities were 1 approach to California\u2019s surge of COVID-19 patients, despite limited medical supplies and staffing.<\/jats:p>","DOI":"10.1017\/dmp.2022.93","type":"journal-article","created":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T02:26:58Z","timestamp":1648780018000},"source":"Crossref","is-referenced-by-count":7,"title":["Utilization of Alternate Care Sites During the COVID-19 Surge and Mass Care: California, 2020\u20132021"],"prefix":"10.1017","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1671-2945","authenticated-orcid":false,"given":"Kate","family":"Christensen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitch","family":"Metzner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LeAnne","family":"Lovett-Floom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol","family":"Lindsay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colin A.","family":"Meghoo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathy","family":"Staats","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4175-0820","authenticated-orcid":false,"given":"Asha","family":"Devereaux","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Noste","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6868-2664","authenticated-orcid":false,"given":"Howard","family":"Backer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2022,4,1]]},"reference":[{"key":"S1935789322000933_ref7","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2021.241"},{"key":"S1935789322000933_ref15","volume-title":"Proclamation of a State of Emergency","year":"2020"},{"key":"S1935789322000933_ref12","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2021.267"},{"key":"S1935789322000933_ref14","volume-title":"Executive Order N-25-20","year":"2020"},{"key":"S1935789322000933_ref6","first-page":"e10799","article-title":"Development and implementation of an alternate care site during the COVID-19 pandemic","volume":"12","author":"Mathews","year":"2020","journal-title":"Cureus."},{"key":"S1935789322000933_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2020.09.003"},{"key":"S1935789322000933_ref5","doi-asserted-by":"publisher","DOI":"10.7326\/M21-1213"},{"key":"S1935789322000933_ref1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6912e3"},{"key":"S1935789322000933_ref10","unstructured":"10. Mayberry, R. Cal OES provides update on state alternative care sites. Cal OES News. Published July 1, 2020. Accessed July 20, 2021. https:\/\/news.caloes.ca.gov\/cal-oes-provides-update-on-state-alternative-care-sites\/"},{"key":"S1935789322000933_ref13","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofab254"},{"key":"S1935789322000933_ref2","doi-asserted-by":"publisher","DOI":"10.5325\/pennhistory.84.4.0462"},{"key":"S1935789322000933_ref8","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2021.138"},{"key":"S1935789322000933_ref16","volume-title":"ASPR TRACIE","year":"2020."},{"key":"S1935789322000933_ref4","unstructured":"4. Standards and Guidelines for Healthcare Surge During Emergencies: Volume II: Government-Authorized Alternate Care Sites. California Department of Public Health. Published 2007. Accessed July 20, 2021. https:\/\/www.cidrap.umn.edu\/sites\/default\/files\/public\/php\/258\/258_acs.pdf"},{"key":"S1935789322000933_ref11","unstructured":"11. Meghoo, C , Zhang, FW , Staats, KL , et al. Reduction in hospital transfers at a US COVID-19 alternate care site: maintaining surge capacity support in Imperial County, California. Disaster Med Public Health Prep. 2021 [forthcoming]."},{"key":"S1935789322000933_ref3","doi-asserted-by":"publisher","DOI":"10.1177\/00333549101250S312"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789322000933","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T10:17:00Z","timestamp":1675246620000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789322000933\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,1]]},"references-count":16,"alternative-id":["S1935789322000933"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2022.93","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,1]]},"article-number":"e155"}}