RT Journal Article SR Electronic T1 COVID-19 A comprehensive hospital agile preparedness (CHAPs) tool for pandemic preparedness, based on the COVID-19 experience JF Future Healthcare Journal JO Future Healthc J FD Royal College of Physicians SP fhj.2020-0030 DO 10.7861/fhj.2020-0030 A1 Ini Adelaja A1 Meelad Sayma A1 Henry Walton A1 Greta McLachlan A1 James de Boisanger A1 Sam Bartlett-Pestell A1 Emma Roche A1 Vanita Gandhi A1 Gavin J Wilson A1 Zara Brookes A1 Chee Yeen Fung A1 Heather Macfarlane A1 Annakan Navaratnam A1 Peter Scolding A1 Sara Hurley YR 2020 UL http://www.rcpjournals.org/content/early/2020/04/28/fhj.2020-0030.abstract AB COVID-19 presents an unprecedented challenge to hospitals and the systems in which they operate. The primary exponential surge of COVID-19 cases is arguably the most devastating event a hospital will face. In some countries, these surges during the initial outbreak of the disease have resulted in hospitals suffering from significant resource strain, leading to excess patient mortality and negatively impacting staff wellbeing. As experience builds in managing these surges, it has become evident that agile, tailored planning tools are required. The comprehensive hospital agile preparedness (CHAPs) tool provides clinical planners with six key domains to consider that frequently create resource strain during COVID-19; it also allows local planners to identify issues unique to their hospital, system or region. Although this tool has been developed from COVID-19 experiences, it has potential to be modified for a variety of pandemic scenarios according to transmission modes, rates and critical care resource requirements.