Overview

NACHC focuses on Non-Clinical Factors of Health through several projects:

Training and Technical Assistance for assessing and addressing Non-Clinical Factors of Health
Implementation of the PRAPARE® screening tool for social drivers of health
Environmental Health and Climate Change Initiative

Non-Clinical Factors of Health roadmaps for payment and reimbursement
Obtaining and elevating stories from the field that demonstrate how health centers and their partners are addressing Non-Clinical Factors of Health needs within their community
Leading design sprints to explore how health centers and their partners are using Non-Clinical Factors of Health data and community voice to advance health outcomes

What are Non-Clinical Factors of Health?

The conditions in which people are born, grow, live, play, work, and age. These conditions are shaped by the distribution of money, power, and resources.

Graphic titled Solving Complex Problems with upstream and downstream factors — *Source: Institute for Clinical Systems Improvement; Going Beyond Clinical Walls: Solving Complex Problems, 2014 Graphic designed by ProMedica.*

Graphic Addressing Social Determinants of Health with 40 percent socioeconomic 10 percent physical environment 30 percent health behaviors and 20 percent health care — *Source: American Hospital Association – Addressing Social Determinants of Health, 2018*

Why Collect Standardized Data on Non-Clinical Factors of Health

PRAPARE Screening Tool for Non-Clinical Factors of Health

Protocol for Responding to and Assessing Patients’ Assets, Risks and Experiences (PRAPARE®)

PRAPARE® is a national standardized patient risk assessment tool designed to engage patients in assessing and addressing non-clinical factors of health. The tool is evidence-based, designed through stakeholder engagement, paired with an Implementation and Action Toolkit, and standardized across ICD-10, LOINC, and SNOMED.

NACHC collaborated with the Association of Asian Pacific Health Organizations (AAPCHO) and Oregon Primary Care Association (OPCA) to develop PRAPARE®.

Learn more by visiting the PRAPARE® Website

Question on PRAPARE®? Email [email protected]