The Vancouver Coastal Health Authority (VCHA), with guidance from the British Colombia (BC) Provincial Health Services Authority, had been responsible for organizing and executing an effective COVID-19 response. Its approach for testing capacity and supply chain management had been influenced by several factors: lack of supply, lack of labour, lack of testing expertise, and provincial government mandates. Although these factors had constrained the VCHA’s ability to control the virus, BC’s projected case increases posed serious concerns within the current management. The head of the VCHA wondered how she could better position the VCHA to combat COVID-19 in the long term while securing enough supplies. As she was concerned that COVID-19 cases would continue to surge, she knew this strategy had to be effective and time-sensitive.
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