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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.

About the PRAPARE Assessment Tool

PRAPARE Implementation and Action Toolkit

Recorded PRAPARE Webinars 

PRAPARE Trainings and Resources

Image result for new iconFact Sheet: The Impact of COVID-19 on PRAPARE Social Determinants of Health Domains

  • This fact sheet outlines how PRAPARE SDOH domains impact individuals’ risk of morbidity and mortality from COVID-19. Care team members and aligned social service partners can use this information to identify those who may be most vulnerable during the pandemic, prioritize patients in need of outreach and additional services, and develop plans for addressing social risks in the community.

Image result for new iconPublication in the Journal of Health Care for the Poor and Underserved:  Collecting Social Determinants of Health Data in the Clinical Setting: Findings from National PRAPARE Implementation

  • Nationally, health centers implementing PRAPARE social risk screening demonstrate high prevalence of SDH risks among underserved patients. This data is critical for informing social interventions and upstream transformation to improve health equity.

PRAPARE Innovation Case Studies are Available!

  • As part of our PRAPARE Innovation Awards, we have been working with health centers to highlight their innovative uses of PRAPARE. Check out the PRAPARE Trainings and Resources page to read how health centers have been using PRAPARE with special populations (e.g., pediatric populations, homeless populations, behavioral health patients) and in innovative ways (e.g., using Ipads/kiosks, using for risk stratification, linking with enabling services, developing business case).

Follow us on Twitter!

  • Follow @prapare_sdoh and continue to share your successes and stories. Help us demonstrate the value of health centers and the work you do around social determinants of health with your patients and in your communities.  #PRAPARE #SDOH #ValueCHCs


    PRAPARE Resources

  • PRAPARE Translated into 26 Languages – The PRAPARE team worked with a qualified translation vendor to translate PRAPARE. We then engaged health centers to validate and test the translations to ensure that they were accurate and culturally appropriate. Translations include Arabic, Burmese, Chinese (Simplified), Chinese (Traditional), Korean, Portuguese, Somali, Spanish, Tagalog, Vietnamese and more!


  • Updated PRAPARE Implementation and Action Toolkit – The PRAPARE team updated the PRAPARE Implementation and Action Toolkit with more best practices, lessons learned, and user stories and worked with a graphic designer to give it a new, professional, yet easy to use look. The PRAPARE Implementation and Action Toolkit is designed to provide interested users with the resources, best practices, and lessons learned to guide implementation, data collection and responses to social determinant needs.

thumbnail of NACHC_PRAPARE_Full Toolkit


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© 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.