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An intensive community management strategy, including outreach to high-risk patients, dedicated telephone triage, and a respiratory clinic, can reduce hospitalizations and improve outcomes for Covid-19., Summary The Covid-19 pandemic is overwhelming hospital and emergency response systems in the US, and is expected to affect provision of care years to come. Community management of Covid-19 reduces strain on inpatient resources and on patients. We describe our experience developing a community Covid-19 management strategy, what we have learned, and our next steps.