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* Abbreviation: IQR — : interquartile range On April 3, 2020, in response to the coronavirus disease 2019 pandemic, the Children’s Hospital Association of the United States issued guidance for coordinating pediatric hospital care and increasing general hospital surge capacity.1 Observing that ∼200 hospitals already care for 50% of all pediatric admissions, it called for immediate consolidation of pediatric care within experienced pediatric facilities and coordinated efforts between children’s and community hospitals to benefit both adult and pediatric patients. The goal was to expand adult capacity in community hospitals caring for older patients while, at the same time, providing care for pediatric patients in settings where customized pediatric resources are available. Because local conditions vary, flexibility and thoughtful coordination across hospital systems were … Address correspondence to Michael L. McManus, MD, MPH, Boston Children’s Hospital, Bader 6th Floor, 300 Longwood Ave, Boston, MA 02115. E-mail: michael.mcmanus{at}childrens.harvard.edu