At the onset of the pandemic in New York City, our medium sized midtown hospital exhausted our meager stockpile of personal protective equipment (PPE) faster than a forest fires ravages. One reason briskly identified was the failure to cohort COVID-19 patients on a single floor. The other more important cause was that medicine teams in our hospital have patients scattered throughout the hospital in a non geographic model across 4 different floors. Within 2 weeks, administration and hospital medicine leadership developed a geographic model. We started cohorting all COVID-19 positive patients on separate floors from negative patients. A geographic physician team model was also developed, which allowed physicians and nurses to don and doff at the entry and exit of each COVID-19 unit.