Original Investigation

Implementation of Alternate Care Facilities During Public Health Emergencies

JAMA Network Open 10.1001/jamanetworkopen.2026.26931

August 05, 2026 at 11:00 AM EDT

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In this qualitative study of ACF experiences, consistent operational needs that extend beyond current national guidance were revealed. These findings suggest that incorporating experiential lessons related to flexibility, partnerships, resource readiness, executive support, and site leadership will strengthen future ACF planning, support more effective activation, and enhance national health care surge capacity during emergencies.

Corresponding Author: Jessica Ryder, MD, MPH, Department of Emergency Medicine, University of Colorado School of Medicine, 12401 E 17th Ave, Leprino Bldg, 7th Floor, Office 756, Aurora, CO 80045 (jessica.ryder@cuanschutz.edu).

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