About the PRAPARE Assessment Tool

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 ToolkitPlease 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

Translated Versions of PRAPARE

SpanishTranslated and field-tested by the Michigan Primary Care Association as of May 2017

Questions? Read through our Frequently Asked Questions.

© 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  Do not publish, copy, or distribute this information in part or whole without written consent from NACHC.