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Hospitals face catastrophic financial challenges in light of the coronavirus disease 2019 (COVID-19) pandemic. Acute shortages in materials such as masks, ventilators, intensive care unit capacity, and personal protective equipment (PPE) are a significant concern. The future success of supply chain management involves increasing the transparency of where our raw materials are sourced, diversifying of our product resources, and improving our technology that is able to predict potential shortages. It is also important to develop a proactive budgeting strategy to meet supply demands through early designation of dependable roles to support organizations and through the education of healthcare staff. In this paper, we discuss supply chain management, governance and financing, emergency protocols, including emergency procurement and supply chain, supply chain gaps and how to address them, and the importance of communication in the times of crisis., Competing Interests: Declaration of competing interest Chikezie N Okeagu; Devin S. Reed; Lu Sun; Matthew M. Colontonio; Arthur Rezayev; Yahya A. Ghaffar; Rachel J. Kaye; Henry Liu; Elyse M. Cornett; Charles J. Fox: None declared under financial, general, and institutional competing interests. Richard D. Urman: Declared research funding from Merck, Medtronic, Acacia, and AcelRx, and fees from Takeda, Pfizer, and Heron. Alan D. Kaye: Declares fees from Merck., (Copyright © 2020 Elsevier Ltd. All rights reserved.)

The Hospital Incident Command System (HICS) is an incident management system specific to hospitals based on the principles of Incident Command System (ICS), and it includes prevention, protection, mitigation, response, and recovery. It plays a crucial role in effective and timely response during the periods of disasters, mass casualties, and public health emergencies. In recent times, hospitals have used a customized HICS structure to coordinate effective responses to public health problems such as the Ebola outbreak in the US and SARS epidemic in Taiwan. The current COVID-19 pandemic has placed unprecedented challenges on the healthcare system, necessitating the creation of HICS that can help in the proper allocation of resources and ineffective utilization of healthcare personnel. The key elements in managing a response to this pandemic include screening and early diagnosis, quarantining affected individuals, monitoring disease progression, delivering appropriate treatment, and ensuring an adequate supply of personal protective equipment (PPE) to healthcare staff., (Copyright © 2020 Elsevier Ltd. All rights reserved.)