Since the additional outdoor air flow is air-conditioned by auxiliary equipment, two portable HEPA filtered air purifiers were placed at the entrance of the new medical facility to direct the filtered air into the overpressure antennas and then into the hallway to supplement the air extracted through the patient’s bedroom windows. After the review and approval process, the GFA research team conducted a virtual review of facilities and temporary modifications, which accounted for more than 100% of the required field research process, enabling HHS to support these solutions throughout the pandemic. In addition, separate dressing rooms and locker rooms were created, creating additional physical barriers between VOCID-19 and non-CVID-19 areas to protect residents and staff. The urgency of the VOCID-19 and the need to implement these changes in real time prompted HACCP to authorize these changes, provided that the design and blueprints went through a document submission process and subsequent field studies at the sites. With minimal testing occurring at the beginning of the pandemic, the MDG recognized the importance of establishing an isolated area on campus to monitor elderly residents suspected of having VIDOC-19 and those who tested positive. MJH reviewed the VIDOC-19 manual published by TLC Engineering and chose the option that included creating smaller spaces and increasing ventilation rates that would exceed the Centers for Disease Control and Prevention requirements for ventilation. The boarding campus includes a long-term rehabilitation hospital, hospice, dialysis treatment center, inpatient and nursing care center, 432-bed nursing home and one of the PACE centers in Florida. However, this decision proved to be short-lived when it became clear that additional and temporary VOCID 19 wings would be required. As a result, a decision was made to convert the first two floors of the building to qualified medical care. All of the converted rooms were previously specialized medical stations with systems of care. Due to the increased influx of used air into the patient rooms, additional outside air was required to prevent the building from becoming depressed. Although VIDOC-19 was modified to provide a safe environment for patients and nursing staff, the building’s HVAC system also needed to be designed to prevent excess heat or humidity from entering the building. The VIDOC-19 facilities at Miami Jewish Medical Services were fenced to maintain a 25-foot distance from exits that allow air to escape from patient rooms.