Introduction: The UNDRR Disaster Resilience Scorecard for Cities is a known tool that was developed for local governments to evaluate their resilience to disasters. In this review, we examine the case where a modified version of the scorecard was used to assess resiliency to nuclear disasters, and the potential for further modification of the scorecard to better assess specific stressors on a healthcare system. Methods: Utilizing a modified Delphi approach with nuclear and radiation experts from the US and Israel, the UNDRR Scorecard was modified to assess resiliency to a nuclear disaster. Once modified, the scorecard was distributed to local government officials, nuclear and radiation specialists, and public health and healthcare personnel utilizing Qualtrics software. A post-scorecard survey was provided for feedback on how the scorecard could further be improved and refined to achieve its stated objective. Small changes were made after consideration of the feedback from the same committee of experts that initially modified the scorecard. Results: Early results have identified strengths and weaknesses within local governments and health systems that can be used to strengthen the response to a nuclear disaster. Most recently, the scorecard was used at a workshop for nuclear safety in Montgomery, Alabama, and received positive feedback. Modifications continue to be made from post-survey feedback after approval of the expert committee. Conclusion: The scorecard has been a useful tool in defining the baseline preparedness and estimating the resilience of local governments and health systems to disasters. In Montgomery, Alabama, the scorecard helped identify important action items for the community to focus on to improve their community’s resilience to nuclear disasters. This case in modification of the UNDRR utilizing this approach shows promise that, with a structured approach, the UNDRR disaster resilience scorecard can be modified to further improve a community’s resilience to specific disasters.
Stricklin et al. (Sun,) studied this question.