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.
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|
|Migrant and/or Seasonal Farm Work||Insurance|
|Housing Stability||Social Integration and Support|
|PRAPARE Optional Measures|
|Refugee Status||Domestic Violence|
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.
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.
To support the rising demand in PRAPARE, we will offer 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 support their health centers in PRAPARE implementation and use PRAPARE data for state policy and transformation initiatives. Please read the application for more information.
There will be two rounds of the PRAPARE Train the Trainer Academy. Round One will occur between August 2017 – May 2018 and Round Two will occur between August 2018 – May 2019. Applications for Round 1 have been closed. Applications for Round 2 will be open beginning in May/June of 2018. Questions? Contact email@example.com.
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 first ever PRAPARE Health Center Engagement and Innovation Awards. The purpose of the Engagement and Innovation 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 health centers and more patients. Please read the application for more information.
Five health centers will be awarded, with each health center awarded $8,000 for active participation during each round. Round One will occur between October 2017 – May 2018 and Round Two will occur October 2018 – May 2019. Application for Round One are due Friday, September 15th by midnight EST. Submit applications and questions to firstname.lastname@example.org. Only health centers are eligible to apply.
Translated Versions of PRAPARE
- Spanish: Translated and field-tested by the Michigan Primary Care Association as of May 2017
FAQs, Webinars, and Other Resources
- Have more questions? Read through our Frequently Asked Questions.
- Want a general overview of PRAPARE, how it was created, and what we’ve learned? View recent PRAPARE 101 webinars from May 2017 and October 2016 (slides also available). You can also sign in to MyNACHC and search for “PRAPARE” to view an earlier webinar titled “Collecting Social Determinants Data with PRAPARE”.
- 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)? Sign in to MyNACHC and search for “PRAPARE” to view our Electronic Health Record-specific webinars from June 2016. Slides from these webinars are also available for eClinicalWorks, Epic, GE Centricity, and NextGen.
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 Easy Bay Community Foundation.
© 2017. 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.