Disaster recovery plan

Please review the extensive scenario and additional information/instructions prior to bidding.

Create a comprehensive recovery plan, guided by the MAP-IT (Mobilize, Assess, Plan, Implement, Track) framework

Cite at least 4 credible sources from peer-reviewed journals or professional industry publications within the past 5 years to support your plan.

• Review the MAP-IT (Mobilize, Assess, Plan, Implement, Track) framework, which you will use to guide the development of your plan:

• Mobilize collaborative partners.

• Assess community needs.

• Plan to lessen health disparities and improve access to services.

• Implement a plan to reach Healthy People 2020 goals or 2030 objectives.

• Track community progress.

Be sure to include the following:

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

1. Provide a concise, accurate description of the determinants of health and the cultural, social, and economic barriers that impact safety, health, and disaster recovery efforts in a community. 

2. Clearly describes the interrelationships among these factors

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

1. Provide clear insight into how principles of social justice and cultural sensitivity help to ensure health equity for individuals, families, and aggregates in the community.

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

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

2. Articulate the logical policy implications for community members linked to specific policy provisions.

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

1. Present specific, evidence-based strategies to overcome communication barriers and enhance interprofessional collaboration to improve disaster recovery efforts that are well-supported by with relevant and credible evidence. 

2. Articulate the implications and potential consequences of proposed strategies.

Scenario: No one who was in Valley City two years ago will ever forget the catastrophic derailment of an oil-tanker train and the subsequent explosion and fire. While fatalities were fewer than they could have been, six residents of our city lost their lives. Nearly two hundred were hospitalized, and much of the city was temporarily evacuated. Several homes near the railroad tracks were leveled, and our water supply was contaminated by oil leakage for several months.

For the first two hours of the crisis, the Valley City Fire Department was caught unprepared by the damage to the city water supply caused by the explosion, which was more extensive than had been considered possible. The Fire and Police departments had trouble coordinating radio communications, and a clear chain of command at the scene between departments was painfully slow to emerge. The hospital was woefully understaffed for the first six hours of the crisis, taking far too long to find a way to bring additional staff and resources onto the scene. The city health department was unacceptably dilatory in testing the municipal water supply for contaminants.

A call from the Herald’s offices to City Hall confirmed that the city’s disaster plan is over a decade old, and is unfortunately myopic both in the events it considers as possible disasters and in the agencies it plans for. It is of utmost importance to the future of our city that this plan be revised, revisited, and expanded. All city agencies should review their own disaster plans and coordinate with the city for a master plan. The same goes for crucial non-government agencies, most especially the Valley City Regional Hospital. Of course, this all exists in the shadow of budget cuts both at city hall and the hospital.

Population: 8,295 (up from 6,585 in 2010 census)

Median Age: 43.6 years. 17.1% under age 18; 14.8% between 18 and 24; 21.1% between 25 and 44; 24.9% 46 – 64; 22% 65 or older.

Officially, residents are 93% white, 3% Latino, 2% African-American, 1% Native American, 1% other.

—additionally, unknown number of undocumented migrant workers with limited English proficiency

Special needs: 204 residents are elderly with complex health conditions; 147 physically disabled and/or use lip-reading or American Sign Language to communicate.

Note that the Valley City Homeless shelter runs at capacity and is generally unable to accommodate all of the city’s homeless population. Also, the city is in the midst of a financial crisis, with bankruptcy looming, and has instituted layoffs at the police and fire departments.

Valley City Region Hospital Fact Sheet

105-bed hospital (currently 97 patients; 5 on ventilators, 2 in hospice care.)

NOTEWORTHY: Both of VCRH’s ambulances are aging and in need of overhaul. Also, much of the hospital’s basic infrastructure and equipment is old and showing wear. The hospital has run at persistent deficits and has been unable to upgrade; may be looking at downsizing nursing staff.

Create a plan that addresses:

1. patient triage in the near term and recovery efforts 

1. Prioritizing care

2. Including using resources, calling nurses who are off to come in and help

3. Delegating who’s in charge to minimize chaos

2. Having a concrete plan and preventing improvisation

3. Keeping a clear line of communication to prevent countermanding of what others have said

4. Include plans to check in with patients after disaster

5. Systemic disaster planning issues

6. Importance of team approach in creating a disaster plan

1. Including working with other agencies on joint disaster operation for the future

7. How should government/FEMA be involved

1. Should disaster be declared?

2. Government funding for recovery efforts

3. How long should FEMA stay?

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