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The Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE) is a national effort to help health centers and other providers collect the data needed to better understand and act on their patients’ social determinants of health. As providers are increasingly held accountable for reaching population health goals while reducing costs, it is important that they have tools and strategies to identify the upstream socioeconomic drivers of poor outcomes and higher costs. With data on the social determinants of health, health centers and other providers can define and document the increased complexity of their patients, transform care with integrated services and community partnerships to meet the needs of their patients, advocate for change in their communities, and demonstrate the value they bring to patients, communities, and payers.



The PRAPARE assessment tool consists of a set of national core measures as well as a set of optional measures for community priorities. It was informed by research, the experience of existing social risk assessments, and stakeholder engagement. It aligns with national initiatives prioritizing social determinants (e.g., Healthy People 2020), measures proposed under the next stage of Meaningful Use, clinical coding under ICD-10, and health centers’ Uniform Data System (UDS). PRAPARE emphasizes measures that are actionable. PRAPARE Electronic Health Record templates exist for eClinicalWorks, Epic, GE Centricity, and NextGen and are freely available to the public as part of our PRAPARE Implementation and Action Toolkit. Please note: This is the latest and finalized version of the PRAPARE tool.

While not mandatory, it is important that users of PRAPARE collect standardized data on ALL of the core measures of PRAPARE.  Standardized data at the organizational, state, and national levels will accelerate population health planning, facilitate benchmarking across organizations, and document patient complexity that can inform payment models and risk adjustment.

PRAPARE Core Measures
Race Education
Ethnicity Employment
Migrant and/or Seasonal Farm Work Insurance
Veteran Status Income
Language Material Security
Housing Status  Transportation
Housing Stability  Social Integration and Support
Address/Neighborhood  Stress
PRAPARE Optional Measures
Incarceration History Safety
Refugee Status Domestic Violence


The PRAPARE Implementation and Action Toolkit 

The PRAPARE Implementation and Action Toolkit is now freely available online as of September 2016 and contains resources, best practices, and lessons learned to help guide interested users in each step of the implementation process, ranging from implementation strategies and workflow diagrams to Electronic Health Record templates and sample reports to examples of interventions to address the social determinants of health.


Translated Versions of PRAPARE

  • Spanish: Translated and field-tested by the Michigan Primary Care Association as of April 2017


Recorded Trainings and Webinars Now Available on YouTube!

We are excited to officially announce the launch of the PRAPARE YouTube Playlist (located on the nachcmedia channel) – a place to view presentations and webinars ranging from PRAPARE 101 to specific electronic health record template functionalities. Stay tuned for future recorded webinars.

General PRAPARE EHR-Specific

PRAPARE 101 Webinar


The PRAPARE Readiness Assessment Tool

The PRAPARE Readiness Assessment Tool can be used to help identify your organization’s readiness to implement PRAPARE. The assessment can inform where your organization is at and help you decide where you want your organization to be as well as provide guidance on how to become “highly prepared.”

Organizations can fill out the Readiness Assessment Tool online here.


Primary Care Association (PCA) Readiness Assessment Tool

The PRAPARE PCA Readiness Assessment Tool is now available for PCAs as of August 2017 to assess their capacity to support their member organizations in implementing PRAPARE and using PRAPARE data.

PCAs can fill out the Readiness Assessment Tool online here so that PRAPARE staff can view results to inform training.


PRAPARE Train the Trainer Academy

To support the rising demand for training on PRAPARE implementation and use, we launched the second round of a free PRAPARE Train the Trainer Academy to build the knowledge and capacities of health center member organizations (e.g., state Primary Care Associations, Health Center Controlled Networks, etc.) to assist their health centers in PRAPARE implementation and use PRAPARE data for state policy and transformation initiatives.

Round One ended May 2018 and Round Two will occur between August 2018 – May 2019. Applications for Round Two are closed. Questions? Contact

To learn more about the experiences, approaches and lessons learned from our Round One PRAPARE Train the Trainer Academy participants, PCA/HCCN teams developed case studies to support other PCAs and HCCNs with PRAPARE implementation and using PRAPARE data for payment reform and transformation efforts. The case studies focused on three topic areas: (1) PRAPARE training model/approach used to support PRAPARE implementation in health centers, (2) PRAPARE data strategy used to aggregate, analyze, and visualize PRAPARE data, and (3) PRAPARE impact and sustainability plans to highlight uses of PRAPARE data and opportunities to apply PRAPARE data.

Round One Train the Trainer Academy Case Studies


PRAPARE Innovation and Engagement Awards

To broaden our understanding and knowledge of PRAPARE, its use, and its impact to bring PRAPARE to scale, NACHC, AAPCHO, and OPCA are launching the second round of the PRAPARE Innovation and Engagement Awards. The purpose of the Innovation and Engagement Awards is two-fold: (1) to identify, support, and learn from innovative and unique uses of PRAPARE and (2) to disseminate those models and lessons learned in order to accelerate the use of PRAPARE across different organizations and more patients. Please read the application for more information.

Applications for Round Two are due Friday, October 26th by midnight EST. Five organizations will be awarded, with each organization awarded $8,000 for active participation during the award period. Round One concluded July 2018. Round Two will occur November 2018 – July 2019. Any organization currently using or testing PRAPARE is eligible to apply.

Questions? Contact  prapare@nachc.orgFrequently Asked Questions regarding the application are available.




Other Resources

  • Want more in-depth information on how PRAPARE has been used on-the-ground and the technical specifications for the four Electronic Health Record PRAPARE templates (available for eClinicalWorks, Epic, GE Centricity, and NextGen) or a general overview of PRAPARE and how it was created? Sign in to MyNACHC and search for “PRAPARE” to view the Electronic Health Record-specific webinars from June 2016. Slides from these webinars are also available for eClinicalWorks, Epic, GE Centricity, and NextGen. Also, search to view an earlier webinar titled “Collecting Social Determinants Data with PRAPARE”.


PRAPARE has been a multi-year effort between NACHC, the Association of Asian Pacific Community Health Organizations, the Oregon Primary Care Association, and the Institute for Alternative Futures, along with a group of pioneer health centers and health center networks in Hawaii, Iowa, New York, and Oregon. PRAPARE was supported with funding from the Kresge Foundation, the Blue Shield of California Foundation, and the Kaiser Permanente National Community Benefit Fund at the East Bay Community Foundation.

© 2019. National Association of Community Health Centers, Inc., Association of Asian Pacific Community Health Organizations, Oregon Primary Care Association.  PRAPARE and its resources are proprietary information of NACHC and its partners, intended for use by NACHC, its partners, and authorized recipients.  Do not publish, copy, or distribute this information in part or whole without written consent from NACHC.