“In less than a month we went from zero COVID patients to 285, and we’re only a 300-bed hospital,” says Dr. Brian Radbill, recalling the early weeks in March and April when coronavirus stormed New York City. As chief medical officer, Radbill oversaw the Manhattan hospital’s transformation into a COVID care facility, which required a lot of on-the-fly innovation. “It was a real team effort. I have to say, every single person stepped up in the hospital and we met every challenge.” For example, they had to get creative to maintain line of sight to critically-ill patients in spaces that were not built for it -- which initially included the use of baby monitors and iPads – and also had to figure out ways to create more negative pressure space, all while reacting to daily changes in their understanding of the disease. Listen as Radbill brings host Shiv Gaglani inside the early days of the COVID struggle and reflects on what lasting impact he thinks this experience will have on his hospital and the healthcare system at large. He also discusses ongoing work to improve the quality of care and patient flow and shares his perspective on the role of hospitals in the changing healthcare landscape.