According to NAACHOs MAPP User Handbook:

Completing the Phase Four answers the following questions:

What issues are critical to the success of the local public health system?
What fundamental policy choices or critical challenges must be addressed in order for the community to achieve its vision? (NACCHO, 2013)

If a community is needed to please be sure to utilize Nassau County, NY only

There are seven steps to completing Phase Four:

Step One: Determine the Need for Completing the Phase
Step Two: Present a Summary of All Four Assessments
Step Three: Brainstorm Potential Strategic Issues
Step Four: Synthesize and Prioritize Strategic Issues
Step Five: Disseminate Results
Step Six: Conduct Process Evaluation for Phase Four
Step Seven: Celebrate (NACCHO, 2013)

Students will complete the following steps of Phase Four, Identify Strategic Issues:

Step Two: Present a Summary of All Four Assessments
Summarize the results of each of the four assessments.  Refer to page 87 of the MAPP User Handbook for the recommended information to include in your summary.

Step Three: Brainstorm Potential Strategic Issues
First complete the Brainstorming Worksheet (available as a separate document under Week 5 Course Materials) in order to help you identify themes. Identify three themes/issues seen in the assessment results.  Include the Brainstorming Worksheet as an appendix to this paper.

Step Four: Synthesize and Prioritize Strategic Issues
Read the NACCHO Prioritization Tip Sheet to learn the different prioritization processes available.

Select one prioritization process and explain why it was selected.  Then, prioritize the three themes/issues identified in the previous step using the selected prioritization process.  Provide a narrative description of the process and include any tables/graphs in an appendix.

For the top prioritized issue, the root causes of why it is a health issue need to be determined.  Using the Health Problem Analysis Worksheet (available as a separate document under Week 5 Course Materials), complete the health analysis for the number one health issue for your community.  Include the Health Problem Analysis Worksheet in an appendix and provide a narrative description of the Health Problem Analysis in your paper.