 Adaptive capacity is essential for healthcare systems to be able to respond to sudden disruptions like the COVID-19 pandemic. It involves the ability of a system to adjust to changing conditions and maintain its functioning. Transformation is also important, as it allows for long-term sustainability and growth. Combining these two elements enables healthcare systems to remain stable and effective even when faced with unexpected challenges. This article was authored by David G. Angeliar, Harris A. Er, Michael Burke, and others.