In this assessment, you will assume the role of the senior nurse at a regional hospital who has been assigned to develop a disaster recovery plan for the community using MAP-IT and trace-mapping, which you will present to city officials and the disaster relief team. Introduction For a health care facility to be able to fill its role in the community, it must actively plan not only for normal operation, but also for worst-case scenarios which could occur. In such disasters, the hospital’s services will be particularly crucial, even if the specifics of the disaster make it more difficult for the facility to stay open. As the senior nurse at the Smallville Regional Hospital, you play a vital role in ensuring the hospital’s readiness for disasters and its ability to recover from them. The hospital administrator wants to discuss disaster preparedness and recovery with you. Before the conversation, it would be helpful to familiarize yourself with the background information on events that have occurred in Smallville in recent years, including the involvement of the hospital.

Background Investigate further for relevant background information. Newspaper Headline: “Smallville Devastated by Wildfire: Rebuilding and Recovery Underway” November 8, 2022 Smallville, CA – In a tragic turn of events, the northern California town of Smallville was ravaged by a devastating wildfire on July 6, 2021. The fire, which quickly spread through the town, destroyed nearly 19,000 structures and claimed the lives of 31 residents. The community is now faced with the daunting task of rebuilding and recovering from this catastrophic event. The fire, known as the Blaze, raced into Smallville with unprecedented speed and intensity, leaving residents with little time to evacuate. Many were forced to flee on foot, seeking refuge in parking lots and commercial buildings that were never intended to serve as temporary shelters in a firestorm.

2 The impact of this disaster was felt particularly hard by residents of low socioeconomic status (SES). People in poverty, with low incomes, and of low SES often face greater challenges in recovering from disasters. The loss of homes, possessions, and livelihoods has left many in a state of uncertainty and vulnerability. However, amidst the devastation, there is hope. The community has come together to support one another and begin the process of rebuilding. Local organizations, government agencies, and volunteers have joined forces to provide assistance and resources to those affected by the fire. Experts studying the response to disasters like the Blaze emphasize the need for a radical overhaul in how we prepare for and respond to such events in the era of climate change. This includes rethinking disaster recovery strategies and implementing measures to mitigate the impact of future disasters. The town of Smallville is determined to rise from the ashes and rebuild stronger than ever. City leaders are working on developing comprehensive emergency plans and evacuation standards to ensure the safety of residents in the face of future wildfires. The community is resilient and united in their efforts to restore their beloved town. As the rebuilding and recovery process continues, it is crucial for the nation to learn from this tragedy and implement measures to better prepare for and respond to disasters. The lessons learned from the Blaze will serve as a wake-up call for communities across the country, emphasizing the importance of proactive planning and effective disaster response strategies. Fact Sheet: Smallville, CA Population: 5,200 Median Household Income: $60,000 Percentage of Population Below Poverty Line: 22% Racial/Ethnic Composition: White: 69% African American: 6% Native American: 2% Asian/Pacific Islander: 10% Other Races: 8% Two or More Races: 5%

3 Additionally, there are an unknown number of undocumented migrant workers with limited English proficiency. Education High school graduate or higher, percent of persons age 25 years+: 84.0% Bachelor’s degree or higher, percent of persons age 25 years+: 18.5% Health With a disability, under age 65 years: 10.8% Persons without health insurance, under age 65 years: 12.5% Income & Poverty Median household income: $37,476 Per capita income in past 12 months: $20,274 Persons in poverty: 23.0% Staff Interviews Dr. Peter Jenski, Internal Medicine. “The impact of the fire on the residents of Smallville has been devastating. Many of them have lost their homes, possessions, and livelihoods. The fire has also had a significant impact on their physical and mental health.” Bill Reiner, Social Worker: “Yes, I agree. People in low socioeconomic status groups are particularly vulnerable to the effects of disasters like this one. They often face greater challenges in recovering from disasters.” Nurse Kaley Grant, ICU: “That’s right. The fire has increased the risk of respiratory and lung diseases, which can be particularly harmful to people with pre-existing conditions.” Dr. Linh Boswell, Psychiatrist: “And let’s not forget about the mental health impact. The trauma of losing everything in a fire can be overwhelming. Many residents are experiencing symptoms of post-traumatic stress disorder (PTSD) and depression.” Dr. Tom Sowka, Pharmacist: “It’s important that we provide comprehensive care to these patients, addressing both their physical and mental health needs. We need to work together to ensure that they receive the care and resources they need to recover from this disaster.” Dr. Luisa Gonzalez, Hospital Administrator: ” I couldn’t agree more. We need to work together as a medical community to support the affected residents and implement comprehensive emergency plans and evacuation standards to mitigate the impact of future disasters. We can learn from previous disasters and use those lessons to better prepare for future events.”

4 Request from Administrator Dr. Luisa Gonzalez, Smallville Hospital Administrator, has asked you to present a compelling case to community stakeholders for the proposed disaster recovery plan. She requests you use the MAP-IT model, which is a step-by-step, structured plan that can be developed by a coalition that is tailored to a specific community’s needs. The MAP-IT model involves all stakeholders, making for a widely-supported and community- owned effort. It assesses assets as well as needs and looks for ways to use them. The five steps of the MAP-IT model are: 1. Mobilize individuals and organizations that care about the health of your community into a coalition. 2. Assess the areas of greatest need in your community, as well as the resources and other strengths that you can tap into to address those areas. 3. Plan your approach: start with a vision of where you want to be as a community; then add strategies and action steps to help you achieve that vision. 4. Implement your plan using concrete action steps that can be monitored and will make a difference. 5. Track your progress over time.

In addition to using the MAP-IT model, work up an approach supported by Healthy People 2020 and put it all into a PowerPoint. You can save the PowerPoint deck and the audio of its accompanying presentation at the public library so that the public can access it and see that you’re serious. By doing this, you can create a prototype for other local communities near thisone, and possibly other facilities in the organization. To ensure that the disaster recovery plan is effective, you can also involve diverse stakeholders, replace guesswork and hunches with data- driven decisions, and create comprehensive, detailed plans that define the roles and responsibilities of disaster recovery team members and outline the criteria to launch the plan into action.

Complete the following:

1. Develop a disaster recovery plan for the community that will reduce health disparities and improve access to services after a disaster.

· Assess community needs.

· Consider resources, personnel, budget, and community makeup.

· Identify the people accountable for implementation of the plan and describe their roles.

· Focus on specific Healthy People 2020 goals and 2030 objectives.

· Include a timeline for the recovery effort.

2. Apply the MAP-IT (Mobilize, Assess, Plan, Implement, Track) framework to guide the development of your plan:

· Mobilize collaborative partners.

· Assess community needs.

· Use the demographic data and specifics related to the disaster to identify the needs of the community and develop a recovery plan. Consider physical, emotional, cultural, and financial needs of the entire community.

· Include in your plan the equitable allocation of services for the diverse community.

· Apply the triage classification to provide a rationale for those who may have been injured during the train derailment. Provide support for your position.

· Include in your plan contact tracing of the homeless, disabled, displaced community members, migrant workers, and those who have hearing impairment or English as a second language in the event of severe tornadoes.

· Plan to reduce health disparities and improve access to services.

· Implement a plan to reach Healthy People 2020 goals and 2030 objectives.

· Track and trace-map community progress.

· Use the CDC’s Contract Tracing Resources for Health Departments as a template to create your contact tracing.

· Describe the plan for contact tracing during the disaster and recovery phase.

3. Develop a slide presentation of your disaster recovery plan with an audio recording of you presenting your assessment of the scenario and associated data in the Assessment 03 Supplement: Disaster Recover Plan [PDF] Download Assessment 03 Supplement: Disaster Recover Plan [PDF]resource for city officials and the disaster relief team. Be sure to also include speaker notes.

Presentation Format and Length

You may use Microsoft PowerPoint (preferred) or other suitable presentation software to create your slides and add your voice-over along with speaker notes. If you elect to use an application other than PowerPoint, check with your instructor to avoid potential file compatibility issues.

Be sure that your slide deck includes the following slides:

· Title slide.

· Recovery plan title.

· Your name.

· Date.

· Course number and title.

· References (at the end of your presentation).

Your slide deck should consist of 10–12 content slides plus title and references slides. Use the speaker’s notes section of each slide to develop your talking points and cite your sources as appropriate. Be sure to also include a transcript that matches your recorded voice-over. The transcript can be submitted on a separate Word document. Make sure to review the Microsoft PowerPoint tutorial for directions.

Supporting Evidence

Cite at least three credible sources from peer-reviewed journals or professional industry publications within the past 5 years to support your plan.

Graded Requirements

The requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point:

· Describe the determinants of health and the cultural, social, and economic barriers that impact safety, health, and recovery efforts in the community.

· Consider the interrelationships among these factors.

· Explain how your proposed disaster recovery plan will lessen health disparities and improve access to community services.

· Consider principles of social justice and cultural sensitivity with respect to ensuring health equity for individuals, families, and aggregates within the community.

· Explain how health and governmental policy impact disaster recovery efforts.

· Consider the implications for individuals, families, and aggregates within the community of legislation that includes, but is not limited to, the Americans with Disabilities Act (ADA), the Robert T. Stafford Disaster Relief and Emergency Assistance Act, and the Disaster Recovery Reform Act (DRRA).

· Present specific, evidence-based strategies to overcome communication barriers and enhance interprofessional collaboration to improve the disaster recovery effort.

· Consider how your proposed strategies will affect members of the disaster relief team, individuals, families, and aggregates within the community.

· Include evidence to support your strategies.

· Organize content with clear purpose/goals and with relevant and evidence-based sources (published within 5 years).

· Slides are easy to read and error free. Detailed audio and speaker notes are provided. Audio is clear, organized, and professionally presented.

· Develop your presentation with a specific purpose and audience in mind.

· Adhere to scholarly and disciplinary writing standards and APA formatting requirements.

Additional Requirements

Before submitting your assessment, proofread all elements to minimize errors that could distract readers and make it difficult for them to focus on the substance of your presentation.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 1: Analyze health risks and health care needs among distinct populations.

· Describe the determinants of health and the cultural, social, and economic barriers that impact safety, health, and disaster recovery efforts in a community.

Competency 2: Propose health promotion strategies to improve the health of populations.

· Present specific, evidence-based strategies to overcome communication barriers and enhance interprofessional collaboration to improve disaster recovery efforts.

Competency 3: Evaluate health policies, based on their ability to achieve desired outcomes.

· Explain how health and governmental policy impact disaster recovery efforts.

Competency 4: Integrate principles of social justice in community health interventions.

· Explain how a proposed disaster recovery plan will lessen health disparities and improve access to community services.

Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health.

· Organize content with clear purpose/goals and with relevant and evidence-based sources (published within 5 years).

· Slides are easy to read and error free. Detailed audio, transcript, and speaker notes are provided. Audio is clear, organized, and professionally presented

SOLUTION

Disaster Recovery Plan for Smallville, CA – Senior Nurse Perspective

1. Introduction

Smallville (population 5,200) suffered devastating wildfires on July 6, 2021, destroying 19,000 structures and displacing many residents.
Vulnerable populations include low-income households (23% below poverty), elderly, disabled (10.8%), uninsured (12.5%), undocumented migrant workers, and non-English speakers.
The hospital plays a critical role in emergency response and post-disaster recovery.
Goal: Develop a recovery plan that reduces health disparities, ensures access to care, and builds community resilience.

2. Apply MAP-IT Framework

Mobilize

Coalition partners: Hospital staff (nurses, physicians, pharmacists, mental health specialists), local government, fire department, police, social services, public health department, NGOs, volunteers, faith-based organizations.
Role: Collaborate on disaster preparedness, share resources, coordinate communication, and identify priorities.
Objective: Build a unified disaster recovery coalition.

Assess

Community needs:
- Immediate medical care for injuries, respiratory issues, and chronic diseases (e.g., diabetes, heart disease).
- Mental health support (PTSD, depression, anxiety).
- Shelter, food, water, transportation, medications, and follow-up care.
- Vulnerable populations (low-income, disabled, elderly, migrant workers).
Resources: Hospital infrastructure, mobile clinics, volunteer staff, emergency shelters, community centers, and public health programs.
Demographics: 69% White, 6% African American, 10% Asian/Pacific Islander, 23% in poverty, 12.5% uninsured.

Plan

Vision: Safe, equitable access to healthcare and essential services for all Smallville residents post-disaster.
Strategies:
1. Rapid triage system at hospital and mobile units.
2. Equitable distribution of medical care, food, water, and medications.
3. Targeted outreach to vulnerable populations (homeless, disabled, non-English speakers, undocumented workers).
4. Mental health support services (counseling, PTSD interventions).
5. Continuity of chronic disease care (diabetes, hypertension, respiratory conditions).
Healthy People 2020 & 2030 Goals:
- HP 2020: Increase access to health services, reduce health disparities.
- HP 2030: Strengthen preparedness for public health emergencies, reduce chronic disease burden, and improve mental health outcomes.

Implement

Action Steps:
- Deploy mobile health units for shelter and rural areas.
- Establish a contact tracing team to track displaced, homeless, disabled, and non-English-speaking residents.
- Utilize triage classification to prioritize care based on injury severity, vulnerability, and comorbidities.
- Provide culturally sensitive communication, multilingual resources, and ADA-compliant services.
- Coordinate logistics: transportation, shelters, supplies, and staffing schedules.
Personnel Accountabilities:
- Senior Nurse: Oversee nursing staff deployment, coordinate triage, ensure equitable care.
- Physicians: Provide direct medical care and chronic disease management.
- Social Workers: Connect patients with housing, food, mental health, and financial assistance.
- Hospital Administrator: Allocate budget, liaise with city officials, manage hospital operations.
- Public Health Officers: Contact tracing, community outreach, vaccination programs, data tracking.

Track

Monitoring:
- Weekly dashboards on patient care, resource distribution, and recovery progress.
- Track recovery milestones: hospital functionality, access to care, mental health interventions.
Trace-Mapping:
- Map displaced individuals, high-risk groups, and service coverage areas.
- Use GIS technology and local census data to monitor recovery equity.

3. Reducing Health Disparities

Prioritize vulnerable populations (low SES, elderly, disabled, non-English speakers).
Ensure equitable allocation of care, resources, and outreach services.
Culturally competent services and multilingual education materials.
Follow social justice principles to ensure all individuals have access to care, recovery resources, and disaster support.

4. Communication & Collaboration

Use evidence-based strategies:
- Clear messaging through local radio, social media, text alerts.
- Multidisciplinary coordination: medical, mental health, public safety, social services.
- Regular community briefings to build trust and transparency.

5. Legal and Policy Considerations

ADA Compliance: Ensure accessibility for disabled and hearing-impaired residents.
Staffing & Funding: Align with Robert T. Stafford Disaster Relief and Emergency Assistance Act and Disaster Recovery Reform Act (DRRA).
Policy Impact: Streamline resource allocation and interagency coordination.

6. Timeline

Phase	Activities	Timeframe
Preparation	Mobilize partners, assess risks & resources	Month 1
Implementation	Triage, mobile units, shelters, contact tracing	Month 2–4
Recovery	Chronic disease follow-up, mental health support, rebuilding	Month 5–12
Evaluation	Track outcomes, equity, and service gaps	Month 6–12 and ongoing

7. References

CDC. (2022). Public Health Emergency Preparedness and Response.
Healthy People 2020 & 2030. U.S. Department of Health & Human Services.
FEMA. (2020). Disaster Recovery Reform Act Guidance.
Smith, J., & Jones, L. (2021). Disaster Preparedness and Community Health: Lessons from Wildfires. Journal of Emergency Management, 19(4), 233–245.

PowerPoint Outline (10–12 Slides)

Title Slide: “Smallville Disaster Recovery Plan – MAP-IT Approach”
Introduction: Role of hospital in disaster response
Background: July 2021 wildfire, population impact
Mobilize: Stakeholders and coalition partners
Assess: Community needs and resources
Plan: Vision, strategies, Healthy People 2020/2030 goals
Implement: Action steps, personnel roles, triage system
Track: Monitoring progress, trace-mapping, dashboards
Reducing Health Disparities: Equity & social justice initiatives
Legal & Policy Considerations: ADA, DRRA, Stafford Act
Timeline: Phases and activities
References & Acknowledgements

Speaker Notes: Include detailed talking points with explanations of each strategy, data references, and rationale for each actio

Smallville Regional Hospital Disaster Recovery Plan: A MAP-IT Approach